Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials

Searle, Angela; Spink, Martin J; Ho, Alan; Chuter, Vivienne

doi:10.1177/0269215515570379

Cited by 479 publications

(401 citation statements)

References 68 publications

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“…In addition Kamioka et al [28] reported that there was strong evidence that in a healthy population Pilates exercise improved flexibility and enhanced muscular endurance in the short term. While our study did not specifically measure TrA contraction Searle et al [36] noted that isolated training of TrA led to an earlier onset of TrA activation which reflected a more constant activation pattern that is observed in healthy individuals. The increase in CE found in our study could not be attributed solely to TrA and MF contraction as the method of testing recruited both global and local musculature which was not specifically trained in the intervention.…”

Section: Discussionmentioning

confidence: 84%

“…We cannot infer causation using the current study design nor did we investigate mechanisms of action associated with Pilates exercise although the improvements in functional disability may be suggestive of muscle recruitment (TrA, MF) which enhance static and dynamic posture [13]. In a review of exercise interventions for LBP Searle et al [36] reported that interventions with an emphasis on isometric contractions of TrA contributed to lumbo-pelvic stability when stability was challenged. Furthermore Rio et al [37] observed that isometric contractions of the quadriceps femoris induced greater immediate analgesia in patella tendonopathy patients compared to concentric eccentric contractions.…”

Section: Discussionmentioning

confidence: 99%

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The Effect of a Pilates Exercise Programme on Perceived Functional Disability and Pain Associated with Non-Specific Chronic Low Back Pain

Helen¹

2017

MOJYPT

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Section: Discussionmentioning

confidence: 84%

Section: Discussionmentioning

confidence: 99%

The Effect of a Pilates Exercise Programme on Perceived Functional Disability and Pain Associated with Non-Specific Chronic Low Back Pain

Helen¹

2017

MOJYPT

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“…Although some therapeutic interventions have demonstrated benefits, researchers have not quantified or characterized the results yielded by specific non-surgical interventions [9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

“…Various studies have suggested that exercise programs are effective in the treatment of LBP [9][10][11][12]; however, most researchers fail to provide evidence favoring one exercise over another. Contradicting results might be related to poor sensitivity of the instruments, an unmatched research design, small sample sizes, and/or the lack of a valid and reliable index for standardization.…”

Section: Comprehensive Balance Parametersmentioning

confidence: 99%

The Quantified Indices for Compensatory Patterns for Low Back Pain and Outcome Measures

Sung¹,

Danial²

2017

Innovations in Spinal Deformities and Postural Disorders

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The quantification of balance stability is valuable to a number of populations, including older adults with low back pain (LBP). Investigations into postural stability and oneleg standing should be performed to integrate balance performance using kinematic and kinetic indices. The comparison of postural control between older adults with LBP and healthy older adults might contribute to a further understanding of postural adaptations, especially when considering visual condition. The one-leg standing test would highlight the differences in kinematic and kinetic stabilities between groups. Because the eyes-closed condition results in significantly decreased spinal stability, the normalized kinematic and kinetic indices could be utilized to compare postural integration as well as proprioceptive responses. Older adults with LBP demonstrated higher lumbar spine stability in the eyes-open condition, which might be due to a possible pain avoiding strategy from the standing limb. Clinicians need to consider both kinetic and kinematic indices and visual condition when addressing lumbar spine stability. Quantified indices for compensatory patterns might provide further understanding of optimal injury prevention and rehabilitation strategies for individuals with LBP.

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“…Além disso, os Testes Físicos Funcionais (TFF) também podem fornecer parâmetros sobre estabilidade lombo-pélvica, já que indivíduos com dor lombar tendem a apresentar comprometimento na capacidade física e funcional. Algumas dessas alterações são: hipotrofia muscular, menor resistência e força muscular [10][11][12] , déficit proprioceptivo 13 , alterações de extensibilidade muscular e no controle motor 10,14 . Para avaliar a capacidade físico-funcional da região lombo--pélvica, diferentes testes podem ser encontrados na literatura [15][16][17] .…”

Section: Introductionunclassified

Acurácia De Testes Funcionais Na Identificação Da Pré-Ativação De Músculos Lombopélvicos

Jassi

Antonio

Oliveira

et al. 2016

Rev Bras Med Esporte

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RESUMOIntrodução: Ajustes antecipatórios (pré-ativação) dos músculos profundos do tronco aumentam a estabilidade lombopélvica. Estudos prévios demonstram que indivíduos assintomáticos podem apresentar atrasos no início de ativação muscular e alterações físico-funcionais. No entanto, não foram encontrados estudos que tenham verificado se testes físico-funcionais (TFF) são capazes de identificar alteração no início de ativação dos músculos estabilizadores lombopélvicos. Objetivo: Verificar os níveis de sensibilidade, especificidade e acurácia de um conjunto de testes de avaliação da capacidade física funcional para detectar alterações na pré-ativação dos músculos transverso do abdome/oblíquo interno (TrA/OI) e multífido lombar (ML) durante o teste de movimento rápido de flexão do ombro (TMRFO). Método: Participaram do estudo 27 voluntários assintomáticos para dor lombar, com média de idade de 23,8 anos (desvio padrão: 2,2), e que foram submetidos aos TFF e TMRFO para determinação do início da ativação dos músculos profundos do tronco por meio da eletromiografia de superfície. Foi verificada sensibilidade e especificidade e análise da acurácia através da curva ROC (Receiver Operating Characteristic) e teste de qui-quadrado para comparações entre porcentagens (p < 0,05). Resultados: A "pré-ativação" foi a condição que ocorreu com maior frequência no grupo como um todo, bem como em ambos os gêneros, com exceção do TrA/OI no gênero feminino (χ 2 = 0,28/P = 0,58). Entre todos os TFF aplicados, o de enrolamento repetitivo do tronco apresentou maior valor de sensibilidade, especificidade e área sob a curva ROC (0,75; 0,73; 0,74, respectivamente). Conclusão: Entre os TFF avaliados, o de enrolamento repetitivo do tronco mostrou níveis aceitáveis de acurácia para identificar alterações na ativação da musculatura estabilizadora lombopélvica em voluntários assintomáticos para dor lombar. Assim, o teste de enrolamento repetitivo do tronco pode ser utilizado na clínica para predizer alterações na ativação dos músculos profundos do tronco.Descritores: eletromiografia; estabilização; aptidão física; região lombossacral. (0.75; 0.73; 0.74, respectively ABSTRACT Introduction: Anticipatory adjustments (pre-activation) of the deep trunk muscles increase lumbopelvic stability. Previous studies have shown that asymptomatic individuals may experience delays in the start of muscle activation, as well as functional physical alterations. However, there are no studies that assess whether physical and functional tests (PFT) are able to identify changes in early activation of the lumbopelvic stabilizer muscles. Objective: To assess the levels of sensitivity, specificity and accuracy of a set of physical and functional performance tests to detect changes in anticipatory activation of the transversus abdominis/internal oblique muscles (TrA/OI) and lumbar multifidus (ML) during a task of fast shoulder flexion movements (FSFM

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Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials

Abstract: 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.

Cited by 479 publications

References 68 publications

The Effect of a Pilates Exercise Programme on Perceived Functional Disability and Pain Associated with Non-Specific Chronic Low Back Pain

The Effect of a Pilates Exercise Programme on Perceived Functional Disability and Pain Associated with Non-Specific Chronic Low Back Pain

The Quantified Indices for Compensatory Patterns for Low Back Pain and Outcome Measures

Acurácia De Testes Funcionais Na Identificação Da Pré-Ativação De Músculos Lombopélvicos

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