Effects of a Therapeutic Exercise Protocol for Patients with Chronic Non-Specific Back Pain in Primary Health Care: A Single-Group Retrospective Cohort Study

Abstract

Background: Back pain is highly prevalent; in Spain, it produces a very high economic cost and the scientific evidence supporting treatments shows low to moderate evidence for exercise. Therefore, the aim of this study was to assess the effectiveness of a therapeutic group exercise protocol in reducing pain intensity and disability in patients with back pain in primary health care setting. Methods: A total sample of 149 patients who suffered from chronic non-specific back pain was selected. Patients received a therapeutic exercise protocol, including auto-mobilization exercises for the neck and lumbar regions, as well as core stabilization exercises. Pain intensity and disability were evaluated before and after the therapeutic exercise protocol. Results: Statistically significant differences (p < 0.05) were shown in pain intensity and disability for patients with non-specific neck and low-back pain, with an effect size from moderate to large. Conclusions: A therapeutic exercise protocol may provide beneficial effects upon disability and pain intensity in patients with chronic non-specific back pain, including neck and low-back pain conditions In addition, It could be considered for inclusion as a back-pain-approach program in primary healthcare.

Effect of transcutaneous neuromodulation on normalization of dermal body temperature and pain in a tender scar in the presence of low back pain: An update and case report

“…One of the most common and difficult problems seen in clinical practice is low back pain (LBP). 1 The likelihood of experiencing acute LBP at some point in one’s life is approximately 70%–85%, and out of those affected, 90% are expected to endure more than one episode. 2 The prevalence of chronic pain affects about 20%–25% of the population.…”

Efficacy of Electroacupuncture Combined with Chinese Herbal Medicine on Pain Intensity for Chronic Sciatica Secondary to Lumbar Disc Herniation: Study Protocol for a Randomised Controlled Trial

“…However, the efficacy of them is controversial. [12][13][14] Based on the above analysis, safe, economical, and effective treatments are an unmet clinical need for patients with chronic sciatica.…”

Immediate Efficacy of Contralateral Acupuncture on SI3 Combined with Active Exercise for Acute Lumbar Sprains: Protocol for a Randomized Controlled Trial

“… 12 Recent studies have also highlighted the benefits of manual therapy and exercise in reducing pain and disability in patients with low back pain. 13 , 14 …”

“…12 Recent studies have also highlighted the benefits of manual therapy and exercise in reducing pain and disability in patients with low back pain. 13,14 Acupuncture, a traditional non-pharmacologic therapy, has potential advantages in the treatment of acute pain disorders. [15][16][17] Clinical studies have indicated that acupuncture can alleviate pain and enhance mobility in ALS patients.…”