Navid No

Navid No

The effect of eight weeks of hydrotherapy and ginger on psychological indicators and factors related to obesity in women with chronic nonspecific back pain

Document Type : Original article

Authors
Zahra Samadi 1
Halimeh Vahdatpoor 2
1 Master, Cellular and Molecular Sciences, Basic Sciences, Hakim Sabzevari University, Sabzevar, Iran
2 PhD student in Sports Physiology, Faculty of Sports Sciences, Hakim Sabzevari University, Sabzevar, Iran
10.22038/nnj.2021.57989.1288
Abstract
Introduction: Back pain is a common problem among obese people in most societies. One of the new methods that has received more attention is hydrotherapy. Also, other suggested solutions are the use of drugs, especially anti-inflammatory and analgesic herbs such as ginger. Therefore, the aim of this study was to evaluate the effect of eight weeks of hydrotherapy and ginger on psychological indicators and factors related to obesity in women with low back pain.
Materials and Methods: The present study was a quasi-experimental. 48 obese women with back pain in Behbahan were randomly divided into four groups: hydrotherapy + ginger consumption (n=12), hydrotherapy group (n=12), ginger supplement group (n=12), control group (n=12). The training program was performed for eight weeks, three sessions per week, each session lasting 60 minutes. Subjects in the hydrotherapy + ginger group and the ginger supplement group consumed one gram of ginger powder daily for eight weeks. Resilience, sleep quality, body mass index, weight and waist to pelvic ratio (WHR) were measured before and after eight. SPSS software version 24 was used for statistical operations. A significance was considered P ≤ 0.05 in all tests. Analysis of covariance was used to analyze the data.
Results: Comparing the results in two stages showed that there was a significant difference between the indicators of resilience, sleep quality, body mass index and body weight of obese women with low back pain in the different groups (P≤0.05). There was no significant difference in the waist to pelvis ratio (P≥0.05).
Conclusion: According to the research results, concomitant use of ginger supplement along with hydrotherapy exercises can reduce back pain, increase resilience and improve sleep quality and weight loss in obese women with low back pain.
Keywords
Hydrotherapy
Psychological indicators
Psychological
  1. Varallo G, Giusti, E. M, Scarpina, F, Cattivelli, R, Capodaglio, P Castelnuovo, G. The Association of Kinesiophobia and Pain Catastrophizing with Pain-Related Disability and Pain Intensity in Obesity and Chronic Lower-Back Pain. Brain Sciences. 2021; 11(1): 11-19.
  2. Gatchel, R , Polatin, P, Noe, C, Gardea, M, Pulliam, C, Thompson, J. Treatment-and cost-effectiveness of early intervention for acute low-back pain patients: a one-year prospective study. Journal of occupational rehabilitation. 2003; 13(1): 1-9.
  3. Galukande, M, Muwazi, S, & Mugisa, B. Disability associated with low back pain in Mulago Hospital, Kampala Uganda. African health sciences. 2006; 6(3): 173-176.
  4. Khauv, K.B. and C. John. Health-related quality of life improvements in adult patients with chronic low back pain under low-force chiropractic care: A practice-based study. Chiropractic Journal of Australia. 2011; 41(4): 118-122.
  5. Searle, A. Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials. Clinical rehabilitation. 2015; 29(12): 1155-1167.
  6. Gordon, R, Bloxham, S. A systematic review of the effects of exercise and physical activity on non-specific chronic low back pain. In Healthcare. Multidisciplinary Digital Publishing Institute. 2016; 4(2), 22-31.
  7. Abadi, H. The effect of aquatic exercise program on low-back pain disability in obese women. Journal of exercise rehabilitation. 2019; 15(6): p. 855.
  8. Pillastrini, P. An updated overview of clinical guidelines for chronic low back pain management in primary care. Joint Bone Spine. 2012; 79(2): 176-185.
  9. Lotffi, H. Ebrahimi Atri, Hashemi Javaheri,  Norouzi, k. Comparison of two aquatic exercise therapy protocols on disability and pain in the middle- aged men with chronic low back pain. 2015; 6(3): 64-71.
  10. Negi, R. Sharma, S. K., Gaur, R., Bahadur, A., & Jelly, P. Efficacy of Ginger in the Treatment of Primary Dysmenorrhea: A Systematic Review and Meta-analysis. Cureus. 2021; 13(3).
  11. Araya-Quintanilla, F., Gutierrez-Espinoza, H., Munoz-Yanez, M. J., Sanchez-Montoya, U., & Lopez-Jeldes, J. Effectiveness of ginger on pain and function in knee osteoarthritis: A PRISMA systematic review and meta-analysis. Pain physician. 2020; 23(2): 151-161.
  12. Rahmani, Niloufar, Barati, Hovanlu, Fariborz, Kalantarian, & Mohammad.The effect of six weeks of water training with and without weight vest on balance indices of middle-aged women with imbalance.Research in Sports Rehabilitation. 2019; 7 (13): 55-66.
  13. Kauffman, B. Y, Manning, K, Rogers, A. H, Garey, L, Gallagher, M. W., Viana, A. G., & Zvolensky, M. J. The Role of Anxiety Sensitivity in Terms of Weight-Related Impairment and Fatigue Severity Among Adults with Obesity and Chronic Low Back Pain. Cognitive Therapy and Research. 2020; 44(6): 1132-1139
  14. Stefanović A, Kotur-Stevuljević J, Spasić S, Bogavac-Stanojević N, Bujisić N. The influence of obesity on the oxidative stress status and the concentration of leptin in type 2 diabetes mellitus patients. Diabetes Res Clin Pract. 2008; 79(3): 156-1 63.
  15. Akodu, A. K, Akindutire, M. The effect of stabilization exercise on pain-related disability, sleep disturbance, and psychological status of patients with non-specific chronic low back pain. The Korean journal of pain. 2018; 31(3): 199.

 

  1. Hosseinifar M, Akbari A, Shahrakinasab A. The effects of McKenzie and lumbar stabilization exercises on the improvement of function and pain in patients with chronic low back pain: a randomized controlled trial. J Shahrekord Univ Med Sci. 2009; 11 (1): 1-9 [in Persian]
  2. Baena-Beato, A, Arroyo-Morales, M, Delgado-Fernêndez, M, Gatto-Cardia, M. C, & Artero, E. G. Effects of different frequencies (2–3 days/week) of aquatic therapy program in adults with chronic low back pain. A non-randomized comparison trial. Pain medicine. 2013; 14(1): 145-158.
  3. Matsumura MD, Zavorsky GS, Smoliga JM. The effects of pre‐exercise ginger supplementation on muscle damage and delayed onset muscle soreness. Phytotherapy Research. 2015; 29(6): 887-93.
  4. Barker KL, Dawes H, Hansford P, Shamley D. Perceived and measured levels of exertion of patients with chronic back pain exercising in a hydrotherapy medicine and rehabilitation. 2003; 84(9): 1319-23.
  5. Madani P, Avandi Seyed M, Haghshenas R, Pakdel A.. The effect of 8 weeks of intense resistance training with ginger supplementation on waist to hip ratio and body composition of obese women.Koomesh Magazine. 2019; 19(2): 66-78.
  6. Sayed, S, Ahmed, M, El-Shehawi, A, Alkafafy, M, Al-Otaibi, S, El-Sawy, H, El-Shazly, S. Ginger water reduces body weight gain and improves energy expenditure in rats. Foods. 2020; 9(1): 38.
  7. Besharat M., Salehi Maryam, Shah Mohammadi St., Nadali H., Zbardast A.The relationship between resilience and hard work with athletic success and mental health in athletes. 2019; 3(2): 38-49.
  8. Toprak Celenay, S, Karaaslan, Y, Mete, O, Ozer Kaya, D. Coronaphobia, musculoskeletal pain, and sleep quality in stay-at home and continued-working persons during the 3-month Covid-19 pandemic lockdown in Turkey. Chronobiology International. 2020; 4(6): 1-8.
  9. Pinheiro, M. B., Morosoli, J. J., Ferreira, M. L., Madrid-Valero, J. J., Refshauge, K., Ferreira, P. H., & Ordoñana, J. R. Genetic and environmental contributions to sleep quality and low back pain: a population-based twin study. Psychosomatic medicine. 2018; 80(3): 263-270.
  10. Celenay, S. T., Mete, O., Akan, S., Yildirim, N. U., & Erten, S. Comparison of the effects of stabilization exercise plus kinesio taping and stabilization exercise alone on pain and well-being in fibromyalgia. Complementary therapies in clinical practice. 2020; 38: 101076.
Navid No
Volume 24, Issue 79
Autumn 2021
Pages 65-75