Exercise for the Primary, Secondary and Tertiary Prevention of Low Back Pain in the Workplace: A Systematic Review

Bell, Julie Ann; Burnett, Angus

doi:10.1007/s10926-009-9164-5

Cited by 159Musculoskeletal pain and rehabilitationOccupational Health and Safety in WorkplacesWorkplace Health and Well-being

Exercise for the Primary, Secondary and Tertiary Prevention of Low Back Pain in the Workplace: A Systematic Review

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Bell, Julie Ann, Burnett, Angus·2009·Journal of Occupational Rehabilitation

DOI 10.1007/s10926-009-9164-5

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Abstract

Introduction Low back pain (LBP) is one of the most costly conditions to manage in occupational health. Individuals with chronic or recurring LBP experience difficulties returning to work due to disability. Given the personal and financial cost of LBP, there is a need for effective interventions aimed at preventing LBP in the workplace. The aim of this systematic review was to examine the effectiveness of exercises in decreasing LBP incidence, LBP intensity and the impact of LBP and disability.Methods A comprehensive literature search of controlled trials published between 1978 and 2007 was conducted and a total of 15 studies were subsequently reviewed and analyzed.Results There was strong evidence that exercise was effective in reducing the severity and activity interference from LBP. However, due to the poor methodological quality of studies and conflicting results, there was only limited evidence supporting the use of exercise to prevent LBP episodes in the workplace. Other methodological limitations such as differing combinations of exercise, study populations, participant presentation, workloads and outcome measures; levels of exercise adherence and a lack of reporting on effect sizes, adverse effects, and types of sub-groups, make it difficult to draw definitive conclusions on the efficacy of workplace exercise in preventing LBP.Conclusions Only two out of the 15 studies reviewed were high in methodological quality and showed significant reductions in LBP intensity with exercise. Future research is needed to clarify which exercises are effective and the dose-response relationships regarding exercise and outcomes.

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Limited evidence exists from a systematic review of 10 RCTs and 5 non-randomized clinical trials for the overall effectiveness of exercise to prevent low back pain in humans.
“Limited evidence exists according to a systemic review of 10 RCTs and 5 non-randomized clinical trials for the overall effectiveness of exercise to prevent LBP in humans (31).”
From Lack of Exercise Is a Major Cause of Chronic Diseases (2012) · cites this paper as [31]
Only limited evidence is available on whether tertiary prevention is effective when adopting exercise in general, and motor control exercise in particular.
“Only limited evidence is available if tertiary prevention is effective when adopting exercise in general, and MCE in particular[33,34].”
From Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression (2020) · cites this paper as [33]

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Authors: Bell, J. A., & Burnett, A.
Affiliations: Edith Cowan University (AU)
Venue: Journal of Occupational Rehabilitation
Publisher: Springer Science and Business Media LLC
Published: 2009-02-14
Volume: 19
Issue: 1
Pages: 8-24
ISSN: 1053-0487 (ISSN-L)
1573-3688
DOI: 10.1007/s10926-009-9164-5
OpenAlex: W2075584365
Cited by: 159
References: 92
Citations by year: 2026: 3 · 2025: 7 · 2024: 8 · 2023: 10 · 2022: 10 · 2021: 16 · 2020: 12 · 2019: 2 · 2018: 11 · 2017: 8 · 2016: 9 · 2015: 6 · 2014: 16 · 2013: 9 · 2012: 17
FWCI: 1.07
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: www.springer.com/tdm (tdm)
Locations: Journal of Occupational Rehabilitation (publishedVersion)
PubMed (publishedVersion)
eSpace (Curtin University) (submittedVersion)
Australasian Journal of Paramedicine (submittedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
Health Sciences › Health Professions › General Health Professions › Workplace Health and Well-being
Keywords: low back pain, exercise intervention, workplace exercise, low back pain prevention, primary prevention, secondary prevention, tertiary prevention, disability, work-related musculoskeletal disorders, exercise adherence, exercise dose-response
MeSH terms: Exercise Therapy, Humans, Occupational Diseases, Primary Prevention, Research Design, Treatment Outcome, Low Back Pain, Workplace, Secondary Prevention, Tertiary Prevention

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Exercise for the Primary, Secondary and Tertiary Prevention of Low Back Pain in the Workplace: A Systematic Review

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