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Medical Hydrology and Balneology: Environmental Aspects

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L<strong>and</strong> Based or Hidrotherapy: which is the most<br />

effective multimodal treatment in low back pain?<br />

Cuesta A (1) , González M (1) , Ramos S (2) , Calderón P (2) , Prieto R (2)<br />

(1) Department of Psychiatry <strong>and</strong> Physiotherapy, Faculty of Health Sciences,<br />

University of Malaga<br />

(2) Patronato Municipal de Deportes de Torremolinos. Malaga, Spain<br />

mgsa23@uma.es<br />

Introduction <strong>and</strong> Objectives<br />

Aim: To study the response to the intervention that provide either a l<strong>and</strong> – based<br />

multimodal physiotherapy program as an acquatic – based multimodal physiotherapy<br />

program, for comparison to identify which of the two media (environments)<br />

provides a greater improvement in subjects suffering chronic nonspecific low back<br />

pain.<br />

Materials <strong>and</strong> Methods<br />

Through questionnaires SF-12 (PHS <strong>and</strong> MHS), EuroQol-5D (EQ5D <strong>and</strong><br />

EQVAS) <strong>and</strong> Rol<strong>and</strong> Morris Questionnaire (Disability), measure the general health<br />

state, quality of life <strong>and</strong> functional capacity of 75 patients (44 women, 31 men) with<br />

a mean age of 51 (±12,83) years suffering chronic nonspecific low back pain without<br />

radiation to lower limbs, divided into two subgroups depending on the environment<br />

where the principal action takes place: subgroup 1 (aquatic-based multimodal<br />

physiotherapy program), with 49 subjects, <strong>and</strong> subgroup 2 (l<strong>and</strong>-based multimodal<br />

physiotherapy program) with 26 subjects. These measurements were performed<br />

before <strong>and</strong> after the intervention where there are integrated manual therapy, therapeutic<br />

exercise <strong>and</strong> health education, during eight weeks<br />

Results<br />

Conclusions<br />

There were no differences between both environment when performing the procedure,<br />

being clear the importance of patient preferences have, these findings will<br />

provide the patient with two alternatives when making the proposed protocol<br />

Keywords: Physiotherapy: Quality Of Life: Low Back Pain: Deep Water Running.<br />

Balnea<br />

2012, núm. 6, 365<br />

365<br />

ISBN: 978-84-669-1887-0<br />

978-84-669-3482-4

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