Angela Searle1, Martin Spink2, Alan Ho3, Vivienne Chuter4. 1. Discipline of Podiatry, University of Newcastle, NSW, Australia Angela.Searle@newcastle.edu.au. 2. Discipline of Podiatry, University of Newcastle, NSW, Australia. 3. School of Psychology, Faculty of Science and Information Technology, University of Newcastle, NSW, Australia. 4. Discipline of Podiatry, University of Newcastle, NSW, Australia Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Australia.
Abstract
OBJECTIVE: To determine, for adults with chronic low back pain, which exercise interventions are the most effective at reducing pain compared to other treatments. DATA SOURCES: A search of MEDLINE, CINAHL, EMBASE, SPORTDiscus, PsycINFO and The Cochrane Library was conducted up to October 2014. REVIEW METHODS: Databases were searched for published reports of randomised trials that investigated the treatment of chronic low back pain of non-specific origin with an exercise intervention. Two authors independently reviewed and selected relevant trials. Methodological quality was evaluated using the Downs and Black tool. RESULTS: Forty-five trials met the inclusion criteria and thirty-nine were included in the meta-analysis. Combined meta-analysis revealed significantly lower chronic low back pain with intervention groups using exercise compared to a control group or other treatment group (Standard Mean Deviation (SMD) =-0.32, CI 95% -0.44 to -0.19, P<0.01). Separate exploratory subgroup analysis showed a significant effect for strength/resistance and coordination/stabilisation programs. CONCLUSIONS: Our results found a beneficial effect for strength/resistance and coordination/stabilisation exercise programs over other interventions in the treatment of chronic low back pain and that cardiorespiratory and combined exercise programs are ineffective.
OBJECTIVE: To determine, for adults with chronic low back pain, which exercise interventions are the most effective at reducing pain compared to other treatments. DATA SOURCES: A search of MEDLINE, CINAHL, EMBASE, SPORTDiscus, PsycINFO and The Cochrane Library was conducted up to October 2014. REVIEW METHODS: Databases were searched for published reports of randomised trials that investigated the treatment of chronic low back pain of non-specific origin with an exercise intervention. Two authors independently reviewed and selected relevant trials. Methodological quality was evaluated using the Downs and Black tool. RESULTS: Forty-five trials met the inclusion criteria and thirty-nine were included in the meta-analysis. Combined meta-analysis revealed significantly lower chronic low back pain with intervention groups using exercise compared to a control group or other treatment group (Standard Mean Deviation (SMD) =-0.32, CI 95% -0.44 to -0.19, P<0.01). Separate exploratory subgroup analysis showed a significant effect for strength/resistance and coordination/stabilisation programs. CONCLUSIONS: Our results found a beneficial effect for strength/resistance and coordination/stabilisation exercise programs over other interventions in the treatment of chronic low back pain and that cardiorespiratory and combined exercise programs are ineffective.
Authors: Amanda M Brandow; C Patrick Carroll; Susan Creary; Ronisha Edwards-Elliott; Jeffrey Glassberg; Robert W Hurley; Abdullah Kutlar; Mohamed Seisa; Jennifer Stinson; John J Strouse; Fouza Yusuf; William Zempsky; Eddy Lang Journal: Blood Adv Date: 2020-06-23
Authors: Ewertton DE S Bezerra; Fernando Diefenthaeler; João Pedro Nunes; Raphael L Sakugawa; Isabel Heberle; Bruno M Moura; Antônio R P Moro; Giuseppe Marcolin; Antonio Paoli Journal: Int J Exerc Sci Date: 2021-04-01