Effect of aquomanual therapy on pain and physical function of patients with chronic musculoskeletal disorders: A pilot study using quantitative and qualitative methods

Abstract

Introduction: Aquomanual therapy, which combines aquatic and manual therapy, aims to treat pain and improve physical function in individuals with chronic musculoskeletal disorders. This study aimed to verify the effectiveness of aquomanual therapy and document the participants' experiences and opinions. Methods: Aquomanual therapy was applied to individual participants (10 community-dwelling adults with chronic musculoskeletal disorders) in an indoor swimming pool in the aquatic therapy room of the hospital three times per week for 8 weeks. This study used a mixed method prospective descriptive design. And, we used the visual analog scale to assess pain, a goniometer to measure range of motion (ROM), the Fatigue Severity Scale (FSS) to assess fatigue, and the Short Form-36 Health Status Questionnaire (SF-36) to assess quality of life and qualitative symptoms through in-depth individual interviews. Results: On the FSS, there were significant differences in neck, shoulder, and back pain (p < 0.05) and ROM of the neck, shoulder, and back (p < 0.05) but not in ROM of neck flexion. On the SF-36, there were significant differences in General health, Physical functioning, Role-physical, Bodily pain, and Vitality (p < 0.05) but no statistically significant increase in Role-emotional, Social functioning, or Mental health. Qualitative data collected in the in-depth individual interviews included: 1) decreased pain; 2) relaxation and relief of tiredness; 3) ease of use; 4) understanding the correct posture; and 5) novelty and enjoyment. Conclusions: Aquomanual therapy may relieve pain in and increase physical function of patients with chronic musculoskeletal disorders and was received positively.