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CompletedNCT06874881AquaLand-CLBPUpdated Dec 2, 2025

Aquatic and Land Exercises for Chronic Low Back Pain

An interventional study of Aquatic Exercises and Land Exercises in Chronic Low Back Pain (Non-specific, Uncomplicated), sponsored by University of Edinburgh. Completed at 1 site in United Kingdom. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2025-12-02.

Sponsored by University of Edinburgh · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
32
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

This study aims to learn about the effects of aquatic and land exercises on managing chronic low back pain in adults aged 18-65. The participants engage in a 12-week supervised land and water-based exercise program.

The main questions this study aims to answer are:

  • How effective are aquatic exercises on low back pain, functional disability, Kinesiophobia, sleep quality, and overall quality of life?
  • Is aquatic therapy more effective than land exercises for treating LBP or vice versa?
02

Conditions studied

  • Chronic Low Back Pain (Non-specific, Uncomplicated)

Keywords

  • Chronic low back pain
  • Aquatic therapy
  • Hydrotherapy
  • Water-based exercise
  • Exercise intervention
  • Land Exercise
  • Quality of life
  • Rehabilitation research
  • Functional Disability
03

In context

Lead sponsor

University of Edinburgh is the lead sponsor of 393 studies on the registry; 64 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age between 18 and 65
  • Both Genders
  • Literate in the English language to understand instructions/ to complete a self-report questionnaire.
  • Having non-specific Chronic low back pain (≥12 weeks)
  • Patient willingness to be a part of any randomly selected treatment groups.

Exclusion criteria

Exclusion Criteria:

  • Pregnant Females
  • If they had low back pain as the result of diagnosis of severe osteoporosis, spinal bone disorders such as spondylosis and spondylolisthesis, fractures, lumbar spine stenosis, lower limb joint replacement surgery, hip orthosis, ankylosing spondylitis, rheumatoid arthritis, infective or inflammatory disease, compression of the radial nerve, meningitis, arthrosis, lumbar region tumours, Leg length discrepancy, previous back surgery.
  • Uncontrolled hypertension, Severe postural hypotension, any heart disease like Left heart failure or exercise-induced angina. Medical illnesses without a medical managing plan in place, e.g., uncontrolled epilepsy, diabetes mellitus. Neurologic deficit, open wounds, current or recurrent radiation treatment.
  • Patients with severe depression and psychosis
  • People who are already participating in an individually-prescribed exercise programme for LBP.

Aquatic exercises /Pool specific:

  • Individuals with hydrophobia/ water-related anxiety, or inability to adapt to an aquatic environment.
  • Allergy to chlorine, Severe limiting airway disease
  • Faecal or urinary incontinence, diarrhoea, and vomiting.
  • Weight more than the emergency evacuation manual handling risk assessment.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
32 participants (actual)

Study arms

  • Experimental
    Aquatic Exercise Group

    The aquatic exercise session is approximately 45-60 minutes, thrice a week, for twelve weeks, 36 sessions total. They are supervised by an experienced researcher who is a qualified Physiotherapist. The one-hour session generally includes a warm-up, the main exercise session, and a cool-down period. The exercises include balance and agility training, cardio exercises, flexibility, upper and lower limb stretching and strengthening exercises, trunk rotations, etc. Additionally, the group receives back care education involving guidelines and recommendations for adopting good posture, self-management, and active lifestyle advice each week of the intervention. Also, the participants are given a participant education handbook containing all the information and resources about LBP.

    Other: Aquatic Exercises

  • Active comparator
    Land Exercise Group

    The land exercise group will follow the same structured protocol as the aquatic exercise group regarding duration, frequency, and intensity.

    Other: Land Exercises

Interventions

  • OtherAquatic Exercises

    The aquatic exercise intervention consists of structured, supervised, water-based exercises designed and delivered by an experienced physiotherapist specifically for individuals with chronic low back pain. Sessions are conducted in a temperature-controlled swimming pool with proper warm-up and cool-down. The intervention follows a progressive intensity approach with easy, medium, and hard approaches.

    Also known as: Aquatic Physical Therapy, Hydrotherapy, Water-Based Exercises, Aquatic Therapy, Pool-Based Rehabilitation, Aquatic Physiotherapy, Aquatic Rehabilitation, Therapeutic Water Exercise

  • OtherLand Exercises

    The land-based exercise intervention mirrors the aquatic exercise protocol regarding exercise type, duration, frequency, and progression but is performed on land.

    Also known as: Land-Based Exercise Therapy, Physiotherapy-Based Exercise, Musculoskeletal Rehabilitation Program, Therapeutic Exercise Routine

06

What researchers measure

Primary outcomes

  1. Pain Intensity

    Pain intensity is measured by the Numerical Pain Rating Scale where the participants will report their pain as 0 (no pain) and 10(worst imaginable pain).

    Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).

  2. Functional Disability

    Functional disability is assessed by the Roland-Morris Disability Questionnaire, a 24-item self-reported measure evaluating the impact of low back pain on daily activities.

    Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).

Secondary outcomes

  1. Health-Related Quality of Life

    Quality of Life is assessed by the Short-Form Health Survey 36, a validated questionnaire measuring the eight physical and mental health domains.

    Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).

  2. Sleep Quality

    The Pittsburgh Sleep Quality Index measures the sleep quality, its scores measured from 0-21, with higher scores indicating poor sleep quality.

    Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).

  3. Kinesiophobia (Fear of Movement-Related to Pain)

    Kinesiophobia is measured with the Tampa Scale of Kinesiophobia, a 17-item questionnaire designed to measure the fear associated with the chronic pain and movement.

    Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).

  4. Dynamic Balace Performance

    The Y balance test measures dynamic balance by measuring stability while reaching in three directions: anterior, posteromedial, and posterolateral.

    Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).

  5. Hamstring Flexibility

    The active knee extension test is a clinical measure of the hamstring flexibility.

    Time frame: Baseline before the intervention/pre-testing, at the 8th week of the intervention, within a week after the last training session, and three months after the end of the training (Follow-up period).

07

Study locations

1 site
  • St. Leonard building, The University of Edinburgh
    Edinburgh, EH8 8AQ, United Kingdom
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 2, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT06874881
Lead sponsor
University of Edinburgh
Responsible party
Sponsor
First posted
Mar 13, 2025
Start date
Mar 6, 2025
Primary completion
Nov 28, 2025
Completion
Nov 28, 2025
Last update
Dec 2, 2025

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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