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Clin Rehabil. 2015 Dec;29(12):1155-67. doi: 10.1177/0269215515570379. Epub 2015 Feb 13.

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

Author information

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.

KEYWORDS:

Chronic low back pain; exercise; meta-analysis; systematic review

PMID:
25681408
DOI:
10.1177/0269215515570379
[Indexed for MEDLINE]

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