Effects of early aquatic exercise intervention on trunk strength and functional recovery of patients with lumbar fusion: a randomized controlled trial
This study investigated the effectiveness of an early aquatic exercise program on trunk muscle function and functional recovery of patients with lumbar fusion. Twenty-eight subjects were divided into two equal groups. Patients in the aquatic group performed two 60-min aquatic exercise sessions and t...
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| Published in | Scientific reports Vol. 13; no. 1; p. 10716 |
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| Language | English |
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03.07.2023
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| Abstract | This study investigated the effectiveness of an early aquatic exercise program on trunk muscle function and functional recovery of patients with lumbar fusion. Twenty-eight subjects were divided into two equal groups. Patients in the aquatic group performed two 60-min aquatic exercise sessions and three 60-min home exercise sessions per week for 6 weeks, whereas those in the control group performed five sessions of 60-min home exercises per week for 6 weeks. The primary outcomes were the Numerical Pain Rating Scale (NPRS) and Oswestry Disability Index (ODI), and the secondary outcomes were Timed Up and Go Test (TUGT), trunk flexor and extensor muscle strength, lumbopelvic stability, and lumbar multifidus muscle thickness measured pre- and post-intervention. Compared with participants in the control group, those in the experimental group showed significant improvement in NPRS, ODI, trunk extensor strength, lumbopelvic control, lumbar multifidus muscle thickness, and relative change in multifidus muscle thickness (significant time by group interactions, P < 0.05). Participants in both groups showed significant time effects (P < 0.001) for TUGT and trunk flexor strength outcome. Aquatic exercise combined with home exercise was superior to home exercise alone in reducing pain, disability and improving muscle strength, lumbopelvic stability, and lumbar multifidus muscle thickness. |
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| AbstractList | This study investigated the effectiveness of an early aquatic exercise program on trunk muscle function and functional recovery of patients with lumbar fusion. Twenty-eight subjects were divided into two equal groups. Patients in the aquatic group performed two 60-min aquatic exercise sessions and three 60-min home exercise sessions per week for 6 weeks, whereas those in the control group performed five sessions of 60-min home exercises per week for 6 weeks. The primary outcomes were the Numerical Pain Rating Scale (NPRS) and Oswestry Disability Index (ODI), and the secondary outcomes were Timed Up and Go Test (TUGT), trunk flexor and extensor muscle strength, lumbopelvic stability, and lumbar multifidus muscle thickness measured pre- and post-intervention. Compared with participants in the control group, those in the experimental group showed significant improvement in NPRS, ODI, trunk extensor strength, lumbopelvic control, lumbar multifidus muscle thickness, and relative change in multifidus muscle thickness (significant time by group interactions, P < 0.05). Participants in both groups showed significant time effects (P < 0.001) for TUGT and trunk flexor strength outcome. Aquatic exercise combined with home exercise was superior to home exercise alone in reducing pain, disability and improving muscle strength, lumbopelvic stability, and lumbar multifidus muscle thickness. This study investigated the effectiveness of an early aquatic exercise program on trunk muscle function and functional recovery of patients with lumbar fusion. Twenty-eight subjects were divided into two equal groups. Patients in the aquatic group performed two 60-min aquatic exercise sessions and three 60-min home exercise sessions per week for 6 weeks, whereas those in the control group performed five sessions of 60-min home exercises per week for 6 weeks. The primary outcomes were the Numerical Pain Rating Scale (NPRS) and Oswestry Disability Index (ODI), and the secondary outcomes were Timed Up and Go Test (TUGT), trunk flexor and extensor muscle strength, lumbopelvic stability, and lumbar multifidus muscle thickness measured pre- and post-intervention. Compared with participants in the control group, those in the experimental group showed significant improvement in NPRS, ODI, trunk extensor strength, lumbopelvic control, lumbar multifidus muscle thickness, and relative change in multifidus muscle thickness (significant time by group interactions, P < 0.05). Participants in both groups showed significant time effects (P < 0.001) for TUGT and trunk flexor strength outcome. Aquatic exercise combined with home exercise was superior to home exercise alone in reducing pain, disability and improving muscle strength, lumbopelvic stability, and lumbar multifidus muscle thickness. Abstract This study investigated the effectiveness of an early aquatic exercise program on trunk muscle function and functional recovery of patients with lumbar fusion. Twenty-eight subjects were divided into two equal groups. Patients in the aquatic group performed two 60-min aquatic exercise sessions and three 60-min home exercise sessions per week for 6 weeks, whereas those in the control group performed five sessions of 60-min home exercises per week for 6 weeks. The primary outcomes were the Numerical Pain Rating Scale (NPRS) and Oswestry Disability Index (ODI), and the secondary outcomes were Timed Up and Go Test (TUGT), trunk flexor and extensor muscle strength, lumbopelvic stability, and lumbar multifidus muscle thickness measured pre- and post-intervention. Compared with participants in the control group, those in the experimental group showed significant improvement in NPRS, ODI, trunk extensor strength, lumbopelvic control, lumbar multifidus muscle thickness, and relative change in multifidus muscle thickness (significant time by group interactions, P < 0.05). Participants in both groups showed significant time effects (P < 0.001) for TUGT and trunk flexor strength outcome. Aquatic exercise combined with home exercise was superior to home exercise alone in reducing pain, disability and improving muscle strength, lumbopelvic stability, and lumbar multifidus muscle thickness. Abstract This study investigated the effectiveness of an early aquatic exercise program on trunk muscle function and functional recovery of patients with lumbar fusion. Twenty-eight subjects were divided into two equal groups. Patients in the aquatic group performed two 60-min aquatic exercise sessions and three 60-min home exercise sessions per week for 6 weeks, whereas those in the control group performed five sessions of 60-min home exercises per week for 6 weeks. The primary outcomes were the Numerical Pain Rating Scale (NPRS) and Oswestry Disability Index (ODI), and the secondary outcomes were Timed Up and Go Test (TUGT), trunk flexor and extensor muscle strength, lumbopelvic stability, and lumbar multifidus muscle thickness measured pre- and post-intervention. Compared with participants in the control group, those in the experimental group showed significant improvement in NPRS, ODI, trunk extensor strength, lumbopelvic control, lumbar multifidus muscle thickness, and relative change in multifidus muscle thickness (significant time by group interactions, P < 0.05). Participants in both groups showed significant time effects (P < 0.001) for TUGT and trunk flexor strength outcome. Aquatic exercise combined with home exercise was superior to home exercise alone in reducing pain, disability and improving muscle strength, lumbopelvic stability, and lumbar multifidus muscle thickness. |
| ArticleNumber | 10716 |
| Author | Wang, Wendy Tzyy-Jiuan Chen, Wen-Yin Chou, Wen-Hsiang Huang, An-Hua Shih, Yi-Fen |
| Author_xml | – sequence: 1 givenname: An-Hua surname: Huang fullname: Huang, An-Hua organization: Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University, Department of Rehabilitation, Cheng Hsin General Hospital – sequence: 2 givenname: Wen-Hsiang surname: Chou fullname: Chou, Wen-Hsiang organization: Department of Orthopedics, Cheng Hsin General Hospital – sequence: 3 givenname: Wendy Tzyy-Jiuan surname: Wang fullname: Wang, Wendy Tzyy-Jiuan organization: Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University – sequence: 4 givenname: Wen-Yin surname: Chen fullname: Chen, Wen-Yin email: wychen@ym.edu.tw organization: Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University – sequence: 5 givenname: Yi-Fen surname: Shih fullname: Shih, Yi-Fen email: yfshih@nycu.edu.tw organization: Department of Physical Therapy and Assistive Technology, National Yang Ming Chiao Tung University |
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| Cites_doi | 10.1589/jpts.23.57 10.1097/BRS.0000000000001132 10.3109/09638288.2012.690496 10.1097/PHM.0000000000000801 10.1097/BRS.0b013e31825a17ab 10.1136/bmjopen-2012-000829 10.1136/bjsm.32.1.44 10.1097/BRS.0b013e3181abbfdf 10.1097/BRS.0b013e3181d1049f 10.1016/j.jelekin.2005.06.013 10.1007/s00421-009-1306-0 10.1097/BRS.0b013e3181a79618 10.1249/MSS.0b013e318219dae7 10.1016/j.apmr.2003.06.013 10.1016/j.apmr.2008.12.011 10.2478/v10109-009-0013-z 10.1159/000314963 10.1097/00007632-199811150-00011 10.1589/jpts.25.681 10.1016/j.physio.2015.03.3426 10.1016/j.pmrj.2009.05.017 10.1055/s-2003-41557 10.1016/j.jbmt.2020.12.035 10.2519/jospt.2007.2418 10.1097/01.brs.0000248132.15231.fe 10.1016/S0004-9514(14)60481-5 10.1046/j.1365-201x.2000.00680.x 10.1589/jpts.24.1037 10.1007/s00586-009-1191-6 10.1097/01.BRS.0000103946.26548.EB 10.1016/j.pain.2006.12.008 10.1016/j.ptsp.2011.06.002 10.1016/j.physio.2022.03.003 10.1007/s00586-005-1044-x 10.1016/S0003-9993(03)00139-4 10.1097/01.BRS.0000076821.41875.1C |
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| References | RahmannAEBrauerSGNitzJCA specific inpatient aquatic physiotherapy program improves strength after total hip or knee replacement surgery: A randomized controlled trialArch. Phys. Med. Rehabil.200990574575510.1016/j.apmr.2008.12.01119406293 DowzerCNReillyTCableNTEffects of deep and shallow water running on spinal shrinkageBr. J. Sports Med.199832144481:STN:280:DyaK1c3itVKgsA%3D%3D10.1136/bjsm.32.1.4495621631756062 AboufazeliMAfshar-MohajerNJafarpishehMSHeidariMAkbariMRecovery of the lumbar multifidus muscle size in chronic low back pain patients by strengthening hip abductors: A randomized clinical trialJ. Bodyw. Mov. Ther.20212614715210.1016/j.jbmt.2020.12.03533992236 BarelaAMStolfSFDuarteMBiomechanical characteristics of adults walking in shallow water and on landJ. Electromyogr. Kinesiol.200616325025610.1016/j.jelekin.2005.06.01316111894 GongWCorrelations between transversus abdominis thickness, lumbar stability, and balance of female university studentsJ. Phys. Ther. Sci.201325668168310.1589/jpts.25.681242598283805001 BresselEDolnyDGVandenbergCCroninJBTrunk muscle activity during spine stabilization exercises performed in a poolPhys. Ther. Sport2012132677210.1016/j.ptsp.2011.06.00222498146 ShiZZhouHLuLPanBWeiZYaoXKangYLiuLFengSAquatic exercises in the treatment of low back pain: A systematic review of the literature and meta-analysis of eight studiesAm. J. Phys. Med. Rehabil.201897211612210.1097/PHM.000000000000080128759476 HanGChoMNamGMoonTKimJKimSHongSChoBThe effects on muscle strength and visual analog scale pain of aquatic therapy for individuals with low back painJ. Phys. Ther. Sci.2011231576010.1589/jpts.23.57 HaefeliMElferingAPain assessmentEur Spine J200615Suppl 1S172410.1007/s00586-005-1044-x16320034 BeckerBEAquatic therapy: Scientific foundations and clinical rehabilitation applicationsPM R20091985987210.1016/j.pmrj.2009.05.01719769921 WallworkTLHidesJAStantonWRIntrarater and interrater reliability of assessment of lumbar multifidus muscle thickness using rehabilitative ultrasound imagingJ. Orthopaed. Sports Phys. Ther.2007371060861210.2519/jospt.2007.2418 FerreiraMLFerreiraPHLatimerJHerbertRDHodgesPWJenningsMDMaherCGRefshaugeKMComparison of general exercise, motor control exercise and spinal manipulative therapy for chronic low back pain: A randomized trialPain20071311–2313710.1016/j.pain.2006.12.00817250965 SungPSMultifidi muscles median frequency before and after spinal stabilization exercisesArch. Phys. Med. Rehabil.20038491313131810.1016/S0003-9993(03)00139-413680567 HungerfordBGilleardWHodgesPEvidence of altered lumbopelvic muscle recruitment in the presence of sacroiliac joint painSpine200328141593160010.1097/01.BRS.0000076821.41875.1C12865851 KladnyBFischerFHaaseIEvaluation of specific stabilizing exercise in the treatment of low back pain and lumbar disk disease in outpatient rehabilitationZ. Orthop. Ihre Grenzgeb.200314144014051:STN:280:DC%2BD3szptF2msw%3D%3D10.1055/s-2003-4155712928996 GabrielsenAVidebaekRJohansenLWarbergJChristensenNPumpBNorskPForearm vascular and neuroendocrine responses to graded water immersion in humansActa Physiol. Scand.2000169287941:CAS:528:DC%2BD3cXjvFGjtr8%3D10.1046/j.1365-201x.2000.00680.x10848638 ChowJHChanCCValidation of the Chinese version of the Oswestry Disability IndexWork200525430731416340107 HuangA-HLeeLChenW-YCorrelation of isometric trunk strength and lumbopelvic control in chronic low back painPhysiotherapy2015101e597e59810.1016/j.physio.2015.03.3426 Weinstein, J. N., Lurie, J. D., Olson, P. R., Bronner, K. K., & Fisher, E. S. United States' trends and regional variations in lumbar spine surgery: 1992–2003. Spine (Phila Pa 1976)31(23), 2707–2714 (2006). SimmondsMJOlsonSLJonesSHusseinTLeeCENovyDRadwanHPsychometric characteristics and clinical usefulness of physical performance tests in patients with low back painSpine (phila Pa)19982322241224211:STN:280:DyaK1M%2FltlSktw%3D%3D10.1097/00007632-199811150-00011 Rushton, A., Eveleigh, G., Petherick, E. J., Heneghan, N., Bennett, R., James, G., & Wright, C. Physiotherapy rehabilitation following lumbar spinal fusion: A systematic review and meta-analysis of randomised controlled trials. BMJ Open2(4) (2012). Baena-BeatoPÁArteroEGArroyo-MoralesMRobles-FuentesAGatto-CardiaMCDelgado-FernándezMJCRAquatic therapy improves pain, disability, quality of life, body composition and fitness in sedentary adults with chronic low back painA controlled clinical trial.2014284350360 TarnanenSNevaMHKautiainenHYlinenJPekkanenLKaistilaTVuorenmaaMHakkinenAThe early changes in trunk muscle strength and disability following lumbar spine fusionDisabil. Rehabil.201335213413910.3109/09638288.2012.69049622671313 Zamarioli, A., Pezolato, A., dro Mieli, E., & Shimano, A. The significance of water rehabilitation in patients with anterior cruciate ligament reconstruction. Physiother. Q. 16(2), 3 (2008). BresselEDolnyDGGibbonsMJMTrunk muscle activity during exercises performed on land and in water.2011431019271932 Keller, A., Brox, J. I., Gunderson, R., Holm, I., Friis, A., & Reikeras, O. Trunk muscle strength, cross-sectional area, and density in patients with chronic low back pain randomized to lumbar fusion or cognitive intervention and exercises. Spine (Phila Pa 1976)29(1), 3–8 (2004). PsycharakisSGColemanSGLintonLValentinSThe WATER study: Which AquaTic ExeRcises increase muscle activity and limit pain for people with low back pain?Physiotherapy202211610811810.1016/j.physio.2022.03.00335709587 FanSHuZZhaoFZhaoXHuangYFangXMultifidus muscle changes and clinical effects of one-level posterior lumbar interbody fusion: minimally invasive procedure versus conventional open approachEur. Spine J.201019231632410.1007/s00586-009-1191-619876659 Ostelo, R. W., Costa, L. O., Maher, C. G., de Vet, H. C., & van Tulder, M. W., Rehabilitation after lumbar disc surgery: An update Cochrane review. Spine (Phila Pa 1976)34(17), 1839–1848 (2009). Cole, A. J., & Becker, B. E. Comprehensive aquatic therapy. Butterworth-Heinemann (2004). ArokoskiJPValtaTKankaanpaaMAiraksinenOActivation of lumbar paraspinal and abdominal muscles during therapeutic exercises in chronic low back pain patientsArch. Phys. Med. Rehabil.200485582383210.1016/j.apmr.2003.06.01315129408 JullGRichardsonCToppenbergRComerfordMBuiBTowards a measurement of active muscle control for lumbar stabilisationAust. J. Physiother.19933931871931:STN:280:DC%2BC2cbislygtw%3D%3D10.1016/S0004-9514(14)60481-525026257 OestergaardLGNielsenCVBungerCESogaardRFruensgaardSHelmigPChristensenFBThe effect of early initiation of rehabilitation after lumbar spinal fusion: a randomized clinical studySpine (Phila Pa 1976)201237211803180910.1097/BRS.0b013e31825a17ab22565381 HermanTGiladiNHausdorffJMProperties of the ‘timed up and go’test: More than meets the eyeGerontology201157320321010.1159/00031496320484884 Abbott, A. D., Tyni-Lenne, R., & Hedlund, R. Early rehabilitation targeting cognition, behavior, and motor function after lumbar fusion: A randomized controlled trial. Spine (Phila Pa 1976)35(8), 848–857 (2010). KatsuraYYoshikawaTUedaS-YUsuiTSotobayashiDNakaoHSakamotoHOkumotoTFujimotoSEffects of aquatic exercise training using water-resistance equipment in elderlyEur. J. Appl. Physiol.2010108595796410.1007/s00421-009-1306-019960351 BresselEDolnyDGGibbonsMTrunk muscle activity during exercises performed on land and in waterMed. Sci. Sports Exerc.201143101927193210.1249/MSS.0b013e318219dae721448084 Jakovljevič, M., & Vauhnik, R. Aquatic exercises versus land based exercises for elderly patients after a total hip replacement. Slov. Med. J. 80(4) (2011). KangHChoKShimSYuJJungJEffects of exercise rehabilitation on pain, disability, and muscle strength after posterior lumbar interbody fusion surgery: A randomized controlled trialJ. Phys. Ther. Sci.201224101037104010.1589/jpts.24.1037 Johnson, J. Functional rehabilitation of low back pain with core stabilizations exercises: suggestions for exercises and progressions in athletes (2012). Greenwood, J., McGregor, A., Jones, F., Mullane, J., & Hurley, M. Rehabilitation following lumbar fusion surgery: A systematic review and meta-analysis. Spine (Phila Pa 1976) 41(1), E28–E36 (2016). Han, G., Cho, M., Nam, G., Moon, T., Kim, J., Kim, S., Hong, S., & Cho, B. J. J. o. P. T. S. The effects on muscle strength and visual analog scale pain of aquatic therapy for individuals with low back pain. 23(1), 57–60 (2011). Dundar, U., Solak, O., Yigit, I., Evcik, D., & Kavuncu, V. Clinical effectiveness of aquatic exercise to treat chronic low back pain: a randomized controlled trial. Spine (Phila Pa 1976)34(14), 1436–1440 (2009). 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| References_xml | – ident: 37237_CR14 doi: 10.1589/jpts.23.57 – ident: 37237_CR25 doi: 10.1097/BRS.0000000000001132 – volume: 35 start-page: 134 issue: 2 year: 2013 ident: 37237_CR5 publication-title: Disabil. Rehabil. doi: 10.3109/09638288.2012.690496 contributor: fullname: S Tarnanen – volume: 25 start-page: 307 issue: 4 year: 2005 ident: 37237_CR40 publication-title: Work contributor: fullname: JH Chow – ident: 37237_CR17 – volume: 97 start-page: 116 issue: 2 year: 2018 ident: 37237_CR19 publication-title: Am. J. Phys. Med. Rehabil. doi: 10.1097/PHM.0000000000000801 contributor: fullname: Z Shi – volume: 37 start-page: 1803 issue: 21 year: 2012 ident: 37237_CR24 publication-title: Spine (Phila Pa 1976) doi: 10.1097/BRS.0b013e31825a17ab contributor: fullname: LG Oestergaard – volume: 28 start-page: 350 issue: 4 year: 2014 ident: 37237_CR13 publication-title: A controlled clinical trial. contributor: fullname: PÁ Baena-Beato – ident: 37237_CR2 doi: 10.1136/bmjopen-2012-000829 – volume: 32 start-page: 44 issue: 1 year: 1998 ident: 37237_CR7 publication-title: Br. J. Sports Med. doi: 10.1136/bjsm.32.1.44 contributor: fullname: CN Dowzer – ident: 37237_CR3 doi: 10.1097/BRS.0b013e3181abbfdf – ident: 37237_CR38 doi: 10.1097/BRS.0b013e3181d1049f – volume: 16 start-page: 250 issue: 3 year: 2006 ident: 37237_CR8 publication-title: J. Electromyogr. Kinesiol. doi: 10.1016/j.jelekin.2005.06.013 contributor: fullname: AM Barela – volume: 108 start-page: 957 issue: 5 year: 2010 ident: 37237_CR28 publication-title: Eur. J. Appl. Physiol. doi: 10.1007/s00421-009-1306-0 contributor: fullname: Y Katsura – ident: 37237_CR12 doi: 10.1097/BRS.0b013e3181a79618 – volume: 43 start-page: 1927 issue: 10 year: 2011 ident: 37237_CR9 publication-title: Med. Sci. Sports Exerc. doi: 10.1249/MSS.0b013e318219dae7 contributor: fullname: E Bressel – volume: 85 start-page: 823 issue: 5 year: 2004 ident: 37237_CR10 publication-title: Arch. Phys. Med. Rehabil. doi: 10.1016/j.apmr.2003.06.013 contributor: fullname: JP Arokoski – ident: 37237_CR29 – volume: 90 start-page: 745 issue: 5 year: 2009 ident: 37237_CR15 publication-title: Arch. Phys. Med. Rehabil. doi: 10.1016/j.apmr.2008.12.011 contributor: fullname: AE Rahmann – ident: 37237_CR16 doi: 10.2478/v10109-009-0013-z – volume: 57 start-page: 203 issue: 3 year: 2011 ident: 37237_CR27 publication-title: Gerontology doi: 10.1159/000314963 contributor: fullname: T Herman – ident: 37237_CR11 – volume: 23 start-page: 2412 issue: 22 year: 1998 ident: 37237_CR41 publication-title: Spine (phila Pa) doi: 10.1097/00007632-199811150-00011 contributor: fullname: MJ Simmonds – volume: 25 start-page: 681 issue: 6 year: 2013 ident: 37237_CR32 publication-title: J. Phys. Ther. Sci. doi: 10.1589/jpts.25.681 contributor: fullname: W Gong – volume: 101 start-page: e597 year: 2015 ident: 37237_CR43 publication-title: Physiotherapy doi: 10.1016/j.physio.2015.03.3426 contributor: fullname: A-H Huang – volume: 1 start-page: 859 issue: 9 year: 2009 ident: 37237_CR6 publication-title: PM R doi: 10.1016/j.pmrj.2009.05.017 contributor: fullname: BE Becker – volume: 141 start-page: 401 issue: 4 year: 2003 ident: 37237_CR23 publication-title: Z. Orthop. Ihre Grenzgeb. doi: 10.1055/s-2003-41557 contributor: fullname: B Kladny – volume: 26 start-page: 147 year: 2021 ident: 37237_CR35 publication-title: J. Bodyw. Mov. Ther. doi: 10.1016/j.jbmt.2020.12.035 contributor: fullname: M Aboufazeli – volume: 37 start-page: 608 issue: 10 year: 2007 ident: 37237_CR22 publication-title: J. Orthopaed. Sports Phys. Ther. doi: 10.2519/jospt.2007.2418 contributor: fullname: TL Wallwork – ident: 37237_CR1 doi: 10.1097/01.brs.0000248132.15231.fe – volume: 39 start-page: 187 issue: 3 year: 1993 ident: 37237_CR42 publication-title: Aust. J. Physiother. doi: 10.1016/S0004-9514(14)60481-5 contributor: fullname: G Jull – volume: 169 start-page: 87 issue: 2 year: 2000 ident: 37237_CR20 publication-title: Acta Physiol. Scand. doi: 10.1046/j.1365-201x.2000.00680.x contributor: fullname: A Gabrielsen – volume: 24 start-page: 1037 issue: 10 year: 2012 ident: 37237_CR21 publication-title: J. Phys. Ther. Sci. doi: 10.1589/jpts.24.1037 contributor: fullname: H Kang – volume: 19 start-page: 316 issue: 2 year: 2010 ident: 37237_CR37 publication-title: Eur. Spine J. doi: 10.1007/s00586-009-1191-6 contributor: fullname: S Fan – ident: 37237_CR4 doi: 10.1097/01.BRS.0000103946.26548.EB – volume: 43 start-page: 1927 issue: 10 year: 2011 ident: 37237_CR36 publication-title: Trunk muscle activity during exercises performed on land and in water. contributor: fullname: E Bressel – volume: 131 start-page: 31 issue: 1–2 year: 2007 ident: 37237_CR30 publication-title: Pain doi: 10.1016/j.pain.2006.12.008 contributor: fullname: ML Ferreira – volume: 13 start-page: 67 issue: 2 year: 2012 ident: 37237_CR33 publication-title: Phys. Ther. Sport doi: 10.1016/j.ptsp.2011.06.002 contributor: fullname: E Bressel – volume: 116 start-page: 108 year: 2022 ident: 37237_CR34 publication-title: Physiotherapy doi: 10.1016/j.physio.2022.03.003 contributor: fullname: SG Psycharakis – volume: 15 start-page: S17 issue: Suppl 1 year: 2006 ident: 37237_CR39 publication-title: Eur Spine J doi: 10.1007/s00586-005-1044-x contributor: fullname: M Haefeli – volume: 23 start-page: 57 issue: 1 year: 2011 ident: 37237_CR18 publication-title: J. Phys. Ther. Sci. doi: 10.1589/jpts.23.57 contributor: fullname: G Han – volume: 84 start-page: 1313 issue: 9 year: 2003 ident: 37237_CR26 publication-title: Arch. Phys. Med. Rehabil. doi: 10.1016/S0003-9993(03)00139-4 contributor: fullname: PS Sung – volume: 28 start-page: 1593 issue: 14 year: 2003 ident: 37237_CR31 publication-title: Spine doi: 10.1097/01.BRS.0000076821.41875.1C contributor: fullname: B Hungerford |
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| Title | Effects of early aquatic exercise intervention on trunk strength and functional recovery of patients with lumbar fusion: a randomized controlled trial |
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