Motor control exercise for chronic non-specific low-back pain
Open accessAbstract
Background Non-specific low back pain (LBP) is a common condition. It is reported to be a major health and socioeconomic problem associated with work absenteeism, disability and high costs for patients and society. Exercise is a modestly effective treatment for chronic LBP. However, current evidence suggests that no single form of exercise is superior to another. Among the most commonly used exercise interventions is motor control exercise (MCE). MCE intervention focuses on the activation of the deep trunk muscles and targets the restoration of control and co-ordination of these muscles, progressing to more complex and functional tasks integrating the activation of deep and global trunk muscles. While there are previous systematic reviews of the effectiveness of MCE, recently published trials justify an updated systematic review. Objectives To evaluate the effectiveness of MCE in patients with chronic non-specific LBP. Search methods We conducted electronic searches in CENTRAL, MEDLINE, EMBASE, five other databases and two trials registers from their inception up to April 2015. We also performed citation tracking and searched the reference lists of reviews and eligible trials. Selection criteria We included randomised controlled trials (RCTs) that examined the effectiveness of MCE in patients with chronic non-specific LBP. We included trials comparing MCE with no treatment, another treatment or that added MCE as a supplement to other interventions. Primary outcomes were pain…
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Core stability exercise (CSE) is an effective treatment for non-specific chronic low back pain (NCLBP).
“Core stability exercise (CSE) is a modestly effective treatment for NCLBP; however, CSE has only been shown to be a useful treatment option in the short term.”
Core stability exercises (CSEs) can increase the activation of LM and TrA.
“Core stability exercises (CSEs) can increase the activation of LM and TrA and have been proven useful for treating NCLBP [10].”
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“Core stability exercises (CSEs) can increase the activation of LM and TrA and have been proven useful for treating NCLBP [10].”
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- Authors
- Saragiotto, B. T., Maher, C. G., Yamato, T. P., Costa, L. O., Menezes Costa, L. C., Ostelo, R. W., & Macedo, L. G.
- Affiliations
- The University of Sydney (AU)
- Universidade Cidade de São Paulo; Masters and Doctoral Programs in Physical Therapy; Rua Cesário Galeno 448 São Paulo Brazil 03071-000
- Amsterdam Public Health (NL)
- University of Alberta (CA)
- Venue
- Cochrane Database of Systematic Reviews
- Publisher
- Wiley
- Published
- 2016-01-08
- Volume
- 2016
- Issue
- 11
- Pages
- CD012004-CD012004
- ISSN
- 1361-6137 (ISSN-L)
- 1465-1858
- PMC
- PMC8761501
- OpenAlex
- W2227323785
- Cited by
- 433
- References
- 13
- Citations by year
- 2026: 21 · 2025: 48 · 2024: 61 · 2023: 49 · 2022: 42 · 2021: 52 · 2020: 44 · 2019: 30 · 2018: 34 · 2017: 36 · 2016: 16
- FWCI
- 4.42
- 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)
- Amsterdam UMC (VU Amsterdam) - Institutional Repository (publishedVersion)
- VU Research Portal (publishedVersion, other-oa)
- Pure Amsterdam UMC (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- 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
- motor control exercises, chronic non-specific low back pain, pain intensity, disability, exercise therapy, return to work, quality of life, recurrence, risk of bias, back pain rehabilitation
- MeSH terms
- Adult, Exercise Therapy, Humans, Middle Aged, Muscle Contraction, Pain Measurement, Randomized Controlled Trials as Topic, Low Back Pain, Chronic Pain, Paraspinal Muscles
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