Cited by 555Musculoskeletal pain and rehabilitationPregnancy-related medical researchSpine and Intervertebral Disc Pathology

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Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials

Searle, Angela, Spink, Martin, Ho, Alan, Chuter, Vivienne·2015·Clinical Rehabilitation

DOI 10.1177/0269215515570379

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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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Authors: Searle, A., Spink, M., Ho, A., & Chuter, V.
Affiliations: University of Newcastle Australia (AU)
Corresponding author: Searle, Angela
ORCID: Searle, Angela
Spink, Martin
Chuter, Vivienne
Venue: Clinical Rehabilitation
Publisher: SAGE Publications
Published: 2015-02-13
Volume: 29
Issue: 12
Pages: 1155-1167
ISSN: 0269-2155 (ISSN-L)
1477-0873
DOI: 10.1177/0269215515570379
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
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: Clinical Rehabilitation (publishedVersion)
PubMed (publishedVersion)
NOVA (University of Newcastle Australia) (submittedVersion)
Topics: Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Obstetrics and Gynecology › Pregnancy-related medical research
Health Sciences › Medicine › Orthopedics and Sports 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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Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials

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