The Role of Exercise in Treating Low Back Pain

Essman, Matthew; Lin, Cindy Y.

doi:10.1249/jsr.0000000000000982

Cited by 6 publications

(6 citation statements)

References 51 publications

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“…On the other hand, aerobic exercise has only been recommended as one of the most effective exercise modalities in the NMA by Owen et al [66]. This discrepancy in the results, as well as the fact that stretching and standard care, both of which consist to an extent of physical exercise and movement, were among the most effective interventions in our study, is consistent with the current scientific literature, which recommends exercise as the first line of management for LBP, but it has not yet shown that a single exercise modality by itself is considered superior to another [70].…”

Section: Discussionsupporting

confidence: 86%

Effects of Lifestyle Interventions on the Improvement of Chronic Non-Specific Low Back Pain: A Systematic Review and Network Meta-Analysis

Herrero,

Val,

Lapuente-Hernández

et al. 2024

Healthcare

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Chronic non-specific low back pain (CNSLBP) is a highly prevalent musculoskeletal condition that has a great socioeconomic impact on health systems. Instead of focusing on mechanical causes and direct workload in the development of CNSLBP, genetics, psychosocial environment, lifestyle and quality of life are coming to the forefront in its approach. The main objective was to analyze whether interventions aimed at modifying lifestyle can be effective in improving pain intensity and functional disability in CNSLBP. A search in PubMed, Web of Science, Scopus and SportDiscus databases was performed. Both a univariate and a multivariate network meta-analysis were applied with the difference pre/post-treatment. A total of 20 studies were included for qualitative analysis, of which 16 were randomized clinical trials with a moderate–high methodological quality and were part of the quantitative analysis. The interventions that had the greatest effect in reducing pain intensity were cognitive therapy combined with functional exercise programs, lumbar stabilization exercise and resistance exercise; meanwhile, for functional disability, they were functional exercise programs, aerobic exercise and standard care. In conclusion, a multimodal intervention aimed at changing one’s lifestyle that encompasses cognitive, behavioral, and physical aspects seems to be highly effective in improving pain intensity and functional disability caused by CNSLBP; however, it is not yet known if these improvements are maintained in the long term.

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Section: Discussionsupporting

confidence: 86%

Effects of Lifestyle Interventions on the Improvement of Chronic Non-Specific Low Back Pain: A Systematic Review and Network Meta-Analysis

Herrero,

Val,

Lapuente-Hernández

et al. 2024

Healthcare

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“…Favoring a patient-centered approach and their goals and preferences can increase adherence ( 47 ) . In this sense, technology assists in motivation and in greater involvement with the exercises ( 48 ) .…”

Section: Discussionmentioning

confidence: 99%

Digital self-care in the management of spine musculoskeletal disorders: A systematic review and meta-analysis

Cargnin,

Schneider,

Rosa-Junior

2023

Rev. Latino-Am. Enfermagem

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Objective: to analyze the effectiveness of digital self-care in the management of pain and functional disability among people with spine musculoskeletal disorders. Method: a systematic literature review, developed with the PRISMA checklist, of randomized clinical trials of people with spine musculoskeletal disorders and digital interventions accessed by means of computers, smartphones or other portable devices. Databases researched: National Library of Medicine, Excerpta Médica dataBASE, SciVerse Scopus, Literatura Latino-Americana e do Caribe em Ciências da Saúde, Science Citation Indexes, Cumulative Index to Nursing and Allied Health Literature and Physiotherapy Evidence Database. The descriptive synthesis of the results and by means of meta-analyses (fixed-effects model) was performed with the Review Manager software. The methodological quality was evaluated with the Physiotherapy Evidence Database scale. Results: a total of 25 trials were selected (5,142 participants), which showed statistically significant improvements (p <0.05) in 54% (12/22) in the pain levels and 47% (10/21) in functional disability in the Intervention Group. The meta-analyses showed moderate effects on pain intensity and small effects on functional disability. There was a predominance of medium quality studies. Conclusion: the digital care interventions showed a beneficial result in pain intensity and in functional disability, mainly for chronic low back pain. Digital care emerges as promising to support self-management of the spine musculoskeletal conditions. PROSPERO registry number CRD42021282102.

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“…The more frequent the physical activity, the smaller the probability of suffering from chronic low back pain. Though it is not clear which modality of exercise is more positive [ 19 ], a recent review and meta-analysis stated that core-based exercises might be the most beneficial for pain and function [ 61 ]. It has also been proven that a moderate degree of physical activity during non-working hours may reduce the incidence of chronic low back pain [ 62 ].…”

Section: Discussionmentioning

confidence: 99%

“…The prevalence of chronic low back pain has been found to be higher in individuals who have physically demanding occupational task that frequently require bending, lifting, and lumbar flexion postures [ 19 ]. Occupational tasks that require driving [ 20 ] or sitting [ 19 ] for long periods have been also related to higher rates of chronic low back pain.…”

Section: Introductionmentioning

confidence: 99%

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Body Mass Index and Its Influence on Chronic Low Back Pain in the Spanish Population: A Secondary Analysis from the European Health Survey (2020)

et al. 2023

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Risk factors such as obesity and a sedentary lifestyle contribute to the development of chronic low back pain. Purpose: To describe how body mass index (BMI) influences the prevalence of chronic low back pain in the general Spanish population and assess this influence given other factors as sex, age, physical occupational demands, and recreational physical activity. Methods: An analytical cross-sectional design was performed based on secondary data from the European Health Survey in Spain (2020). Data on age, gender, physical occupational demands, physical activity, BMI, and presence of chronic low back pain were extracted. Results: A total of 19,716 (52.2% women) subjects with a median age of 53 years old were analyzed. Of these, 18.3% had chronic low back pain, 39% were overweight, and 16.1% were obese. The adjusted generalized linear model showed that being obese increased the odds of chronic low back pain by 1.719 times (p < 0.001). Being a woman increased the odds by 1.683 times (p < 0.001). Performing occupational tasks requiring high physical demands increased the odds by 1.403 times (p < 0.001). Performing physical activity in leisure time several times a week decreased the odds by 0.598 times (p < 0.001). For every additional year of age, the odds of chronic low back pain increased by 3.3% (p < 0.001). Conclusions: Obesity is related with the presence of chronic low back pain in the general Spanish population. This association persists, being the more relevant factor, after adjusting the association of BMI and chronic low back pain with other factors such as sex, age, physical occupational demands, and recreational physical activity.

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The Role of Exercise in Treating Low Back Pain

Abstract: Appropriate exercise is an important part of the management of acute and chronic low back pain. This review describes the role of exercise for low back pain.

Cited by 6 publications

References 51 publications

Effects of Lifestyle Interventions on the Improvement of Chronic Non-Specific Low Back Pain: A Systematic Review and Network Meta-Analysis

Effects of Lifestyle Interventions on the Improvement of Chronic Non-Specific Low Back Pain: A Systematic Review and Network Meta-Analysis

Digital self-care in the management of spine musculoskeletal disorders: A systematic review and meta-analysis

Body Mass Index and Its Influence on Chronic Low Back Pain in the Spanish Population: A Secondary Analysis from the European Health Survey (2020)

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