Evaluating Two Distinct Movement Therapies for Long-Term Lumbar Discomfort: A Controlled Clinical Observation

Abstract

This study aimed to evaluate the effectiveness of water-based exercise in thermal mineral water versus land-based exercise therapy on lumbar spine mobility and physical disability in adults with chronic low back pain. A total of 72 inpatients at a specialized rehabilitation hospital were randomly assigned to one of two groups: 36 underwent a standardized 3-week program of group aquatic therapy, while the other 36 participated in land-based group exercises. All participants also received electroanalgesic therapy and underwater massage. Lumbar spine mobility was assessed using standardized flexible tape measurements, and physical disability was evaluated using the Physical Disability Index. Assessments were carried out before and after the intervention. Both groups showed statistically significant improvement in lumbar range of motion and reduced disability levels by the end of treatment. However, there were no significant differences between the two groups in any measured outcomes (p<0.01). In summary, both land-based and aquatic therapy led to meaningful improvements, but neither approach demonstrated superior results over the other in managing chronic low back pain.