Integrated Effect Of Hydrotherapy With Core Stabilizing Exercises In Rehabilitation In Lumbar Disc Herniation: A Review Literature

ABSTRACT Introduction: Lumbar disc bulging results from extrusion of the nucleus pulposus through a compromised annulus fibrosus, resulting in compression of neural elements, pain, and functional impairment. Core stabilization exercises and hydrotherapy have been found to be effective treatment modalities. Core stabilization exercises improve spinal stabilization through strengthening the deep trunk muscles, and hydrotherapy offers a low-impact environment that facilitates movement and minimizes pain. This review seeks to assess the combined effect of these interventions in managing lumbar disc bulging. Objective: This review is solely objective to evaluate the combined effects of these interventions on managing lumbar disc bulging. Methods: Review on PubMed, Google Scholar, and ResearchGate was conducted. All 120 peer-reviewed journal articles that were considered relevant were screened, and 15 studies were selected to be analyzed in detail. Results: The results indicate that the integration of hydrotherapy and core stabilization exercises enhances the success of the rehabilitation. Integration successfully reduces pain, improves spinal stability, and enhances functional mobility compared to conventional rehabilitation. Hydrotherapy also improves compliance with exercise regimens by minimizing discomfort and improving movement. Conclusion: The integrated approach of core stabilization training and hydrotherapy provides an appealing solution for rehabilitation from lumbar disc bulging. It enables enhanced functional rehabilitation, postural control, and pain management. Additional studies with standardized protocols would be appropriate to adapt the clinical applications to the most. Keywords: Bulging, Core reinforcing, Core stabilizing exercises, Disc herniation, Disc rupture, Hydrotherapy, Low back distress, Lumbar disc stability.