Borges Joana, Monteiro Diogo, Silva Fernanda M, Jacinto Miguel, Pastilha Tiago, Duarte-Mendes Pedro
ESECS - Polytechnic University of Leiria, Leiria, Portugal.
Department of Physical Medicine and Rehabilitation, Unidade Local de Saúde do Baixo Mondego, Figueira da Foz, Portugal.
PLoS One. 2025 May 20;20(5):e0320858. doi: 10.1371/journal.pone.0320858. eCollection 2025.
Chronic low back pain (CLBP) is a disease with significant functional, emotional and social impact. Several interventions are proposed for its management and exercise is one of main, land-based or water-based. This study describes a randomized controlled trial that will analyze the effect of a combined aquatic and land-based exercise program compared to an aquatic-based program on pain, functional incapacity and quality of life in adults with CLBP. Additionally, it will analyze the effects of exercise cessation in the same outcomes.
A blind randomized controlled trial will be developed with a 1:1 allocation ratio. Around 30 adults with mechanical CLBP will be randomly allocated in two groups. The experimental group (ALG) will complete an aquatic and land-based exercise program and control group (AG) will carry out only an aquatic program, both for 8 weeks. Participants will be assessed with Visual Analogue Scale, Oswestry Disability Index, Short-Form 36, Tampa Scale of Kinesiophobia-13 and Modified-Modified Schober Test, collected at baseline (M0), after 8 weeks (M1) and 4 weeks after the end of the intervention (M2).
This study may provide a relevant contribution to understand the potential effect of a combined land and aquatic exercise program on pain, functional disability, fear of movement, quality of life and lumbar mobility. The results may provide important information for CLBP management.
This trial is registered with ClinicalTrials.gov (registration number: NCT06641570; date of registration: October 14, 2024).
慢性下腰痛（CLBP）是一种对功能、情绪和社会有重大影响的疾病。针对其管理提出了多种干预措施，运动是主要措施之一，包括陆上运动或水上运动。本研究描述了一项随机对照试验，该试验将分析与水上运动项目相比，水上和陆上联合运动项目对患有CLBP的成年人的疼痛、功能障碍和生活质量的影响。此外，还将分析运动停止对相同结果的影响。
将开展一项双盲随机对照试验，分配比例为1:1。约30名患有机械性CLBP的成年人将被随机分为两组。实验组（ALG）将完成一个水上和陆上运动项目，对照组（AG）将只进行水上运动项目，为期均为8周。将使用视觉模拟量表、Oswestry功能障碍指数、简短健康调查问卷36项、坦帕运动恐惧量表-13和改良Schober试验对参与者进行评估，评估在基线（M0）、8周后（M1）和干预结束后4周（M2）进行。
本研究可能为理解陆上和水上联合运动项目对疼痛、功能残疾、运动恐惧、生活质量和腰椎活动度的潜在影响提供相关贡献。研究结果可能为CLBP的管理提供重要信息。
本试验已在ClinicalTrials.gov注册（注册号：NCT06641570；注册日期：2024年10月14日）。
