Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials
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.
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Strength/resistance and coordination/stabilisation exercise programs seem to be superior to other interventions in the treatment of chronic low back pain.
“In general, strength/resistance and coordination/stabilisation exercise programs seem to be superior to other interventions in the treatment of chronic low back pain [4].”
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- Authors
- Searle, A., Spink, M., Ho, A., & Chuter, V.
- Affiliations
- University of Newcastle Australia (AU)
- Corresponding author
- Searle, Angela
- Venue
- Clinical Rehabilitation
- Publisher
- SAGE Publications
- Published
- 2015-02-13
- Volume
- 29
- Issue
- 12
- Pages
- 1155-1167
- ISSN
- 0269-2155 (ISSN-L)
- 1477-0873
- OpenAlex
- W2149320717
- Cited by
- 555
- References
- 80
- Citations by year
- 2026: 26 · 2025: 43 · 2024: 38 · 2023: 69 · 2022: 76 · 2021: 72 · 2020: 63 · 2019: 63 · 2018: 40 · 2017: 34 · 2016: 19 · 2015: 10
- FWCI
- 4.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- NOVA (University of Newcastle Australia) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
- Keywords
- chronic low back pain, exercise intervention, non-specific low back pain, cardiorespiratory exercise, analgesia, exercise therapy effectiveness
- MeSH terms
- Exercise Therapy, Humans, Randomized Controlled Trials as Topic, Low Back Pain, Chronic Pain
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