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Indian Journal of Physiotherapy and Occupational Therapy - An International Journal
Year : 2015, Volume : 9, Issue : 1
First page : ( 5) Last page : ( 10)
Print ISSN : 0973-5666. Online ISSN : 0973-5674.
Article DOI : 10.5958/0973-5674.2015.00002.7

Comparison between the effects of Aquatic Exercises and Land Based Exercises in the Treatment of Chronic Low Back Pain

Hawamdeh Mohannad1,*, Hawamdeh Ziad2, Ermely Ziad3, Qaddah Islam4, Soud Dima Abu5

1The Hashemite University, Faculty of Allied Health Sciences, Department of Physical and occupational therapy, Alzarqa-Jordan

2University of Jordan, Faculty of Medicine

3University of Jordan, Faculty of Rehabilitation Sciences

4Al-Tamayuz Center

5Royal Medical Services

*Corresponding Author: Mohannad Hawamdeh PT, PhD, The Hashemite University, Faculty Of Allied Health Sciences, Department Of Physical And Occupational Therapy, Alzarqa-Jordan. Email: Mohannadhawamdeh@hu.edu.jo

Online published on 5 January, 2015.



To investigate the effect of aquatic exercises in treatment of low back pain and to compare these effects with land based exercises.

Subjects and Method

Thirty patients from both sexes between 20–45 years old with chronic low back pain due to bad posture and lack in activity of daily living were referred to take part of this study; they were recruited from outpatient clinic of Al_Tamayuz Physical Therapy Center (Amman–Jordan), during the period extending from Oct 2013 up to Dec 2013. They were randomly divided into two groups: experimental group (A) treated with Aquatic exercises, and experimental group (B) treated with Land based exercises.

Both groups received treatment three times a week for eight weeks (24 sessions of 1 hour duration). Baseline measurements included lumbar flexibility measured by modified Schober test, Visual Analogue Scale (VAS), McGill Pain Questionnaire (MPQ) and Barthel Index was taken for both groups before and after intervention.


There was a significant improvement in all outcome measures for both groups after the end of treatment. A significant improvement (p < 0.05) was obtained in experimental group (A) compared to experimental group (B) in spinal mobility.

Both exercises media were relevant in the treatment of chronic low back pain with a significant improvement in experimental group (A).



Low back painAquatic exerciseLand ExerciseVASpain.


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