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Aquatic Exercises Enhance Muscle Activation and Alleviate Discomfort in Individuals with Lower Back Pain

Michael Edgar

The goal of aquatic exercise therapy is to treat and manage chronic low back pain (CLBP) by increasing muscle activity and reducing pain in people with low back pain. However, the authors are aware of no studies that have compared muscle activity between CLBP individuals performing various aquatic exercises. As a result, the muscle activity, pain, perceived exertion, and exercise intensity of various rehabilitative aquatic exercises were evaluated and contrasted in this study.

Cross-sectional design Setting A university building with a 25-meter indoor swimming pool.

Members: Twenty members with vague CLBP.

Evaluation of 26 aquatic exercises performed in shallow water (a depth of 1.25 meters). Muscle action was evaluated respectively for the erector spinae, multifidus, gluteus maximus and medius, rectus abdominis, and outer and inward obliques.

Main results include mean and peak muscle activity, pain on the visual analog scale, perceived exertion on the Bogg scale, and exercise intensity (heart rate).

Gluteal muscles were more active during his abduction/adduction and extension/flexion exercises. Varieties of squat activities expanded the movement of back extensors. Higher muscular strength action was created with practices that utilized lightness hardware and remembered leg and trunk developments while drifting for the back, and with some proprioceptive and dynamic lower appendage works out. The frequency and intensity of pain were extremely low, and all 17 exercises were pain-free.

Conclusions: This study provides evidence regarding the activity of the trunk and gluteal muscles, pain, intensity, and perceived exertion of aquatic exercisers with CLBP. As physiotherapists strive to implement progression in effort and muscle activity, variation in exercise type, and the desire to target or avoid particular muscles, the findings may be useful when prescribing rehabilitation exercises.