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Lbp Therapy

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Introduction
Low back pain (LBP) is defined as pain in the back between the bottom of the rib cage and buttock creases (National Guideline Centre UK, 2016). It is the most common cause of referral to a physical therapist and is one of the leading causes of disability (Hayden et al., 2005). It is estimated that LBP has a lifetime prevalence of 80% (Breivik et al., 2006), is the leading cause of years lived with disability in both developed and developing countries, and sixth in terms of overall disease burden (Hoy et al., 2014). More significantly, 62% of people experiencing LBP for the first time will develop chronic symptoms lasting longer than one year (Hestbaek, Leboeuf-Yde and Manniche, 2003). Furthermore 90% of these chronic low back pain …show more content…

A SR by Hayden et al. (2005) concluded that exercise therapy relieves pain and increases function in patients suffering from non-specific LBP (Hayden et al., 2005). Exercise therapy is considered to have an important role in the prevention and treatment of LBP, regardless the characteristics of the exercises selected (Hayden et al., 2005; Bell and Burnett, 2009). Reasonably, many different forms of physical activity have been recommended including walking, resistance and strength training, aerobics, stretching, and aquatic …show more content…

Previous SRs relating to this topic have mainly focused on various other conditions (Bartels et al., 2016; Bidonde et al., 2014) and while Waller et al (2008) did look at the effects of LBP, there is a gap in research as the degree and duration of symptoms experienced by each participant in each of their studies varied considerably and there was no clarification whether symptoms were acute, periodic, constant, or chronic (Waller, Lambeck and Daly, 2009). Since most LBP is reported as non-specific (Koes, Van Tulder and Thomas, 2006), a SR focusing on this population as opposed to all types of back pain, provides a more focused review question allowing an increase in likelihood of a valid and clinically specific conclusion. Therefore it would be advantageous to investigate and compare the effects of aquatic exercise and land based exercise for people with non-specific chronic low back pain on physical function and pain through a systematic review of randomized controlled

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