The optimal frequency of aquatic physiotherapy for individuals with chronic musculoskeletal pain: a randomised controlled trial

Antonio I. Cuesta-Vargas, Melanie White, Manuel Gonzales-Sanchez, Raija Kuisma

Research output: Contribution to journalArticle

Abstract

Purpose: People with chronic musculoskeletal disorders (PwCMSKD) after participating in a multimodal physiotherapy program (MPP) either two or three sessions a week. PwCMSKD participated in this prospective randomised controlled trial. An individualised MPP, consisting of exercises for mobility, motor-control, muscle strengthening, cardiovascular training, and health education, was implemented either twice a week (G a week) (G Roland Morris disability Questionnaire (RMQ), Neck-Disability-Index (NDI) and Western Ontario and McMaster Universities’ Arthritis Index (WOMAC) were used to measure outcomes of MPP for people with chronic low back pain, chronic neck pain and osteoarthritis, respectively. Measures were taken at baseline, 8 weeks (8 w), 6 months (6 m), and 1 year (1 y) after starting the programme. groups (G All variables showed improvement reaching the following values (from baseline to 1 y) G PHS: 57.72 (baseline: 41.17; (improvement: 16.55%), MHS: 74.51 (baseline: 47.46, 27.05%), HRQoL 0.90 (baseline: 0.72, 18%)), HRQoL-VAS 84.29 (baseline: 58.04, 26.25%), RMQ 4.15 (baseline: 7.85, 15.42%), NDI 3.96 (baseline: 21.87, 35.82%), WOMAC 7.17 (baseline: 25.51, 19.10%). G 0.67 (baseline: 0.88, 21%), HRQoL-VAS 86.91 (baseline: 52.64, 34.27%), RMQ 4.83 (baseline: 8.93, 17.08%), NDI 4.91 (baseline: 23.82, 37.82%), WOMAC 6.35 (baseline: 15.30, 9.32%). No significant differences between the two groups were found in the outcomes of a MPP except in the NDI at 8 weeks, but both groups improved in all variables during the course of 1 year under study.: To establish whether there was a difference in health-related quality of life (HRQoL) inMethods: Total of 1142: n¼58) or three times3: n¼56) for 1 year. Outcomes: HRQoL physical and mental health state (PHS/MHS). Results: No statistically significant differences were found between the two2 and G3), except in NDI at 8 w (3.34, (CI 95%: 6.94/0.84, p¼0.025 (scale 0–50)).2:3: PHS: 58.64 (baseline: 39.75, 18.89%), MHS: 75.50 (baseline: 45.45, (30.05%), HRQoL. Conclusions:No significant differences between the two groups were found in the outcomes of a MPP except in the NDI at 8 weeks, but both groups improved in all variables during the course of 1 year under study.
Original languageEnglish
Pages (from-to)311-318
Number of pages8
JournalDisability and Rehabilitation
Volume37
Issue number4
Publication statusPublished - 12 May 2014

Keywords

  • Chronic musculoskeletal disorders
  • exercise dose
  • frequency
  • health-related quality of life
  • physiotherapy

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