Hydrotherapy study in patients with “failed back surgery syndrome” – a therapeutic option?

Authors

  • Vítor Manuel Presa Varandas Moreira Hospital de São Marcos
  • Sónia Tizon Hospital de São Marcos
  • Tânia Pereira Hospital de São Marcos
  • Isabel Marques Hospital de São Marcos
  • Filipe José Ribeiro Antunes Hospital de São Marcos

DOI:

https://doi.org/10.11606/issn.2317-0190.v14i4a102864

Keywords:

Back Pain, Pain Measurement, Hydrotherapy, Rehabilitation

Abstract

The study was carried out to evaluate the efficacy of hydrotherapy on “failed back surgery syndrome”. Eight participants were assigned to an aquatic exercise group. The analgesic medication was withdrawn during the study. Evaluation parameters included the results of the Visual Analogue Scale (VAS) score and spine mobility. The patients were assessed at baseline and at the end of the 6-week follow-up period. The results showed that hydrotherapy had a positive impact on the outcome of chronic post-surgical low back pain. After 6 weeks of hydrotherapy, without analgesic medication, the overall mobility of the spine improved and back pain decreased. We conclude that aquatic exercises may positively impact the outcome of “failed back surgery syndrome”, probably remaining one of the few successful measures in the management of this kind of patient.

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References

North RB, Campbell JN, James CS, Conover-Walker MK, Wang H, Piantadosi S, et al. Failed back surgery syndrome: 5-year follow-up in 102 patients undergoing repeated operation. Neurosurgery. 1991;28(5):685-91.

Slipman CW, Shin CH, Patel RK, Isaac Z, Huston CW, Lipetz JS, et al. Etiologies of failed back surgery syndrome. Pain Med. 2002;3(3):200-14.

Schofferman J, Reynolds J, Herzog R, Covington E, Dreyfuss P, O'Neill C. Failed back surgery: etiology and diagnostic evaluation. Spine J. 2003;3(5):400-3.

Barker KL, Dawes H, Hansford P, Shamley D. Perceived and measured levels of exertion of patients with chronic back pain exercising in a hydrotherapy pool. Arch Phys Med Rehabil. 2003;84(9):1319-23.

Sjogren T, Long N, Storay I, Smith J. Group hydrotherapy versus group land-based treatment for chronic low back pain. Physiother Res Int. 1997;2(4):212-22.

Brody LT. Aquatic physical therapy for back pain. Orthop Phys Ther Clin North Am. 1999;8:507-18.

Reid Champion M. Hydrotherapy principles and practice. Oxford: Butterworth Heinemann; 1997.

Maher CG. Effective physical treatment for chronic low back pain. Orthop Clin North Am. 2004;35(1):57-64.

Becker EB. Biophysiologic aspects of hydrotherapy. In: Becker EB, Cole AC. Comprehensive aquatic therapy. Newton, MA: Butterworth-Heinemann; 1997.p.17-48.

Foley A, Halbert J, Hewitt T, Crotty M. Does hydrotherapy improve strength and physical function in patients with osteoarthritis--a randomised controlled trial comparing a gym based and a hydrotherapy based strengthening programme. Ann Rheum Dis. 2003;62(12):1162-7.

Waterfield J, Sim J. Clinical assessment of pain by the visual analogue scale. Inter J Ther Rehabil. 1996;3(2):94-7.

Gauvin MG, Riddle DL, Rothstein JM. Reliability of clinical measurements of forward bending using the modified fingertip-to-floor method. Phys Ther. 1990;70(7):443-7.

Thomas E, Silman AJ, Papageorgiou AC, Macfarlane GJ, Croft PR. Association between measures of spinal mobility and low back pain. An analysis of new attenders in primary care. Spine. 1998;23(3):343-7.

Hazard RG. Failed back surgery syndrome: surgical and nonsurgical approaches. Clin Orthop Relat Res. 2006;443:228-32.

Saal JS. General principles of diagnostic testing as related to painful lumbar spine disorders: a critical appraisal of current diagnostic techniques. Spine. 2002;27(22):2538-45.

Balogh Z, Ordögh J, Gász A, Német L, Bender T. Effectiveness of balneotherapy in chronic low back pain -- a randomized single-blind controlled follow-up study. Forsch Komplementarmed Klass Naturheilkd. 2005;12(4):196-201.

Pittler MH, Karagulle MZ, Karagulle M, Ernst E. Spa therapy and balneotherapy for treating low back pain: meta-analysis of randomized trials. Rheumatology (Oxford). 2006;45(7):880-4.

Gusi N, Tomas-Carus P, Häkkinen A, Häkkinen K, Ortega-Alonso A. Exercise in waist-high warm water decreases pain and improves health-related quality of life and strength in the lower extremities in women with fibromyalgia. Arthritis Rheum. 2006;55(1):66-73.

Fransen M, Nairn L, Winstanley J, Lam P, Edmonds J. Physical activity for osteoarthritis management: a randomized controlled clinical trial evaluating hydrotherapy or Tai Chi classes. Arthritis Rheum. 2007;57(3):407-14.

Roberts J, Freeman J. Hydrotherapy management of low back pain: a quality improvement project. Aust J Physiother 1995;41(3):205-8.

Konrad K, Tatrai T, Hunka A, Vereckei E, Korondi I. Controlled trial of balneotherapy in treatment of low back pain. Ann Rheum Dis. 1992;51(6):820-2.

Konlian C. Aquatic therapy: making a wave in the treatment of low back injuries. Orthop Nurs. 1999;18(1):11-20.

van Tulder M, Malmivaara A, Esmail R, Koes B. Exercise therapy for low back pain: a systematic review within the framework of the cochrane collaboration back review group. Spine. 2000;25(21):2784-96.

Foley A, Halbert J, Hewitt T, Crotty M. Does hydrotherapy improve strength and physical function in patients with osteoarthritis--a randomised controlled trial comparing a gym based and a hydrotherapy based strengthening programme. Ann Rheum Dis. 2003;62(12):1162-7.

Hodges PW. Core stability exercise in chronic low back pain. Orthop Clin North Am. 2003;34(2):245-54.

Epps H, Ginnelly L, Utley M, Southwood T, Gallivan S, Sculpher M, et al. Is hydrotherapy cost-effective? A randomised controlled trial of combined hydrotherapy programmes compared with physiotherapy land techniques in children with juvenile idiopathic arthritis. Health Technol Assess. 2005;9(39):1-59.

Lineker SC, Badley EM, Hawker G, Wilkins A. Determining sensitivity to change in outcome measures used to evaluate hydrotherapy exercise programs for people with rheumatic diseases. Arthritis Care Res. 2000;13(1):62-5.

Templeton MS, Booth DL, O'Kelly WD. Effects of aquatic therapy on joint flexibility and functional ability in subjects with rheumatic disease. J Orthop Sports Phys Ther. 1996;23(6):376-81.

Perret C, Poiraudeau S, Fermanian J, Colau MM, Benhamou MA, Revel M. Validity, reliability, and responsiveness of the fingertip-to-floor test. Arch Phys Med Rehabil. 2001;82(11):1566-70.

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Published

2007-12-09

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Original Article

How to Cite

1.
Moreira VMPV, Tizon S, Pereira T, Marques I, Antunes FJR. Hydrotherapy study in patients with “failed back surgery syndrome” – a therapeutic option?. Acta Fisiátr. [Internet]. 2007 Dec. 9 [cited 2024 May 21];14(4):210-3. Available from: https://www.revistas.usp.br/actafisiatrica/article/view/102864