Exercise as a treatment for chronic low back pain

Rainville, James; Hartigan, Carol; Martinez, Eugenio; Limke, Janet; Jouve, Cristin; Finno, Mark

doi:10.1016/s1529-9430(03)00174-8

Cited by 272 publications

(180 citation statements)

References 78 publications

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“…26,27 Epidemiological studies have shown that high fitness levels have been correlated with positive back health. [28][29][30] Due to its ability to improve musculoskeletal and cardiovascular function, physical exercise may be useful for improving back function and preventing development of work-related musculoskeletal disorders, this has been strongly suggested from prospective studies in medical literature. 29,31 Some studies suggest that ergonomic advice on improving physical activity should be offered before the individual begins his or her working career or during education.…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal neck and back pain in undergraduate dental students at a UK dental school — a cross-sectional study

Vijay

Ide

2016

Br Dent J

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Section: Discussionmentioning

confidence: 99%

Musculoskeletal neck and back pain in undergraduate dental students at a UK dental school — a cross-sectional study

Vijay

Ide

2016

Br Dent J

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“…Apart from physical benefits, exercise may rather be effective as an approach for affecting behavioural, cognitive, affective and disability components of CBP [27]. As we know, such factors play crucial roles in the development and maintenance of CBP.…”

Section: Discussionmentioning

confidence: 99%

“…It is also doubtful whether persons with back pain develop aerobic deconditioning or whether reduced aerobic fitness is associated with other aspects related to CBP such as pain intensity, activity limitation, depression, fear of injury and kinesiophobia [7,15,26,37,38,42,43]. Furthermore, there is inconclusive evidence for the predictive value of aerobic fitness for work-return in CBP [20,22,24,33] Although in general aerobic fitness shows a doseresponse relation to health outcomes [3], at present, there is modest evidence to suggest that exercise therapy and behavioural and multidisciplinary treatment programs that include exercise therapy are effective in reducing pain, improving physical functioning and activity and reducing the number of sick days in CBP [6,19,23,27,34]. Depending on intensity and duration, many of these programs for persons with CBP that include aerobic training do indeed affect aerobic fitness [28,33,36].…”

Section: Introductionmentioning

confidence: 99%

The impact of aerobic fitness on functioning in chronic back pain

Wormgoor¹,

Indahl²,

Tulder

et al. 2007

Eur Spine J

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Despite lack of convincing evidence that reduced aerobic fitness is associated with chronic back pain (CBP), exercise programs are regarded as being effective for persons with non-specific CBP. It is unsure whether gain in aerobic fitness following intervention is associated with functioning improvement in persons with CBP. The objective of this prospective cohort study was to study the impact of aerobic fitness on functioning in persons with CBP, at baseline and following 3-week intensive interdisciplinary intervention. This study included persons who had passed 8 weeks of sick-listing because of back pain (n = 94) and were referred to a 3-week intensive biopsychosocial rehabilitation program. Aerobic fitness was assessed with a sub-maximal bicycle test at baseline, at admission to and discharge from the rehabilitation program, and at 6 months follow-up. Contextual factors, body function, activity and participation were evaluated before and after intervention. In addition, working ability was recorded at 3-years followup. At baseline aerobic fitness was reduced in most subjects, but improved significantly following intervention. Baseline measurements and intervention effects did not differ among the diagnostic sub-groups. Neither contextual factors nor functioning at baseline were associated with aerobic fitness. Increase in aerobic fitness was not associated with improvements in functioning and contextual factors and work-return following intervention either. From this study we conclude that improvement of aerobic fitness seems of limited value as goal of treatment outcome for patients with CBP.

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“…to reduce anxiety about movement (Sullivan, 2008;Vlaeyen, De Jong, Geilen, Heuts, & Van Breukelen, 2002). Although this may have short-term benefits, the long-term effects are decreased motor control, dysfunction of the proprioceptive system ( Della , and increased pain (Martel, Thibault, & Sullivan, 2010;Rainville et al, 2004;Vlaeyen et al, 2002). Hence, it is important to regain awareness of these behaviors, especially if they have become automatic, along with increasing physical activity.…”

Section: Chronic Painmentioning

confidence: 99%

Go-with-the-Flow: Tracking, Analysis and Sonification of Movement and Breathing to Build Confidence in Activity Despite Chronic Pain

Singh

Piana

Pollarolo

et al. 2015

Human–Computer Interaction

105

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Chronic (persistent) pain (CP) affects 1 in 10 adults; clinical resources are insufficient, and anxiety about activity restricts lives. Technological aids monitor activity but lack necessary psychological support. This article proposes a new sonification framework, Go-with-the-Flow, informed by physiotherapists and people with CP. The framework proposes articulation of user-defined sonified exercise spaces (SESs) tailored to psychological needs and physical capabilities that enhance body and movement awareness to rebuild confidence in physical activity. A smartphone-based wearable device and a Kinect-based device were designed based on the framework to track movement and breathing and sonify them during physical activity. In control studies conducted to evaluate the sonification strategies, people with CP reported increased performance, motivation, awareness of movement, and relaxation with sound feedback. Home studies, a focus group, and a survey of CP patients conducted at the end of a hospital pain management session provided an in-depth understanding of how different aspects of the SESs and their calibration can facilitate self-directed rehabilitation and how the wearable version of the device can facilitate transfer of gains from exercise to feared or demanding activities in real life. We conclude by discussing the implications of our findings on the design of technology for physical rehabilitation

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Exercise as a treatment for chronic low back pain

Cited by 272 publications

References 78 publications

Musculoskeletal neck and back pain in undergraduate dental students at a UK dental school — a cross-sectional study

Musculoskeletal neck and back pain in undergraduate dental students at a UK dental school — a cross-sectional study

The impact of aerobic fitness on functioning in chronic back pain

Go-with-the-Flow: Tracking, Analysis and Sonification of Movement and Breathing to Build Confidence in Activity Despite Chronic Pain

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