- Title
- Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials
- Creator
- Searle, Angela; Spink, Martin; Ho, Alan; Chuter, Vivienne
- Relation
- Clinical Rehabilitation Vol. 29, Issue 12, p. 1155-1167
- Publisher Link
- http://dx.doi.org/10.1177/0269215515570379
- Publisher
- Sage
- Resource Type
- journal article
- Date
- 2015
- Description
- 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.
- Subject
- chronic low back pain; exercise; systematic review; meta-analysis
- Identifier
- http://hdl.handle.net/1959.13/1335765
- Identifier
- uon:27490
- Identifier
- ISSN:0269-2155
- Language
- eng
- Reviewed
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