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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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“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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Metadata
- 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 › 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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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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