Exercises for prevention of recurrences of low-back pain

Choi, Brian KL; Verbeek, Jos H; Tam, Wilson Wai-San; Jiang, Johnny Y

doi:10.1002/14651858.cd006555.pub2

Cited by 207Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyPregnancy-related medical research

Exercises for prevention of recurrences of low-back pain

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Choi, Brian KL, Verbeek, Jos H, Tam, Wilson Wai-San, Jiang, Johnny Y·2010·Cochrane Database of Systematic Reviews

DOI 10.1002/14651858.cd006555.pub2PMC PMC8078403

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Abstract

BACKGROUND: Back pain is a common disorder that has a tendency to recur. It is unclear if exercises, either as part of treatment or as a post-treatment programme, can reduce back pain recurrences. OBJECTIVES: To investigate the effectiveness of exercises for preventing new episodes of low-back pain or low-back pain-associated disability. SEARCH STRATEGY: We searched CENTRAL (The Cochrane Library 2009, issue 3), MEDLINE, EMBASE and CINAHL up to July 2009. SELECTION CRITERIA: Inclusion criteria were: participants who had experienced back pain before, an intervention that consisted of exercises without additional specific treatment and outcomes that measured recurrence of back pain or time to recurrence. DATA COLLECTION AND ANALYSIS: Two review authors independently judged if references met the inclusion criteria. The same review authors independently extracted data and judged the risk of bias of the studies. Studies were divided into post-treatment intervention programmes and treatment studies. Study results were pooled with meta-analyses if participants, interventions, controls and outcomes were judged to be sufficiently homogenous. MAIN RESULTS: We included 13 articles reporting on nine studies with nine interventions. Four studies with 407 participants evaluated post-treatment programmes and five studies with 1113 participants evaluated exercise as a treatment modality. Four studies had a low risk of bias, one study a high risk and the remainder an unclear risk of bias.We found moderate quality evidence that post-treatment exercises were more effective than no intervention for reducing the rate of recurrences at one year (Rate Ratio 0.50; 95% Confidence Interval 0.34 to 0.73). There was moderate quality evidence that the number of recurrences was significantly reduced in two studies (Mean Difference -0.35; 95% CI -0.60 to -0.10) at one-half to two years follow-up. There was very low quality evidence that the days on sick leave were reduced by post-treatment exercises (Mean Difference -4.37; 95% CI -7.74 to -0.99) at one-half to two years follow-up.We found conflicting evidence for the effectiveness of exercise treatment in reducing the number of recurrences or the recurrence rate. AUTHORS' CONCLUSIONS: There is moderate quality evidence that post-treatment exercise programmes can prevent recurrences of back pain but conflicting evidence was found for treatment exercise. Studies into the validity of measurement of recurrences and the effectiveness of post-treatment exercise are needed.

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The optimal dose-response relationship for the utmost treatment success is still unknown.
“The optimal dose-response-relationship for the utmost treatment success is, thus, still unknown.”
From Dose-response-relationship of stabilisation exercises in patients with chronic non-specific low back pain: a systematic review with meta-regression (2020) · cites this paper as [1]

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Authors: Choi, B. K., Verbeek, J. H., Tam, W. W.-S., & Jiang, J. Y.
Affiliations: Ministry of Health (SG)
Finnish Institute of Occupational Health (FI)
University of Hong Kong (HK)
Chinese Academy of Medical Sciences & Peking Union Medical College (CN)
ORCID: Verbeek, Jos H
Tam, Wilson Wai-San
Venue: Cochrane Database of Systematic Reviews
Publisher: Wiley
Published: 2010-01-20
Volume: 2011
Issue: 2
Pages: CD006555-CD006555
ISSN: 1361-6137 (ISSN-L)
1465-1858
DOI: 10.1002/14651858.cd006555.pub2
PMC: PMC8078403
OpenAlex: W3023541904
Cited by: 207
References: 64
Citations by year: 2026: 3 · 2025: 7 · 2024: 12 · 2023: 15 · 2022: 18 · 2021: 16 · 2020: 11 · 2019: 11 · 2018: 18 · 2017: 19 · 2016: 16 · 2015: 8 · 2014: 9 · 2013: 13 · 2012: 9
FWCI: 1.55
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Cochrane Database of Systematic Reviews (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
Keywords: low back pain, exercise therapy, back pain prevention, sick leave, disability
MeSH terms: Exercise Therapy, Humans, Randomized Controlled Trials as Topic, Low Back Pain, Secondary Prevention

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Exercises for prevention of recurrences of low-back pain

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