Physical activity, training and exercise in the prevention of low back pain: a focus review with special emphasis on motor control
Open accessAbstract
Rationale: This focus review aims to describe the currentevidence on training and exercise (with a special focus on motor control) in the primary prevention, chronification prevention and recurrence prevention of low back pain.Methods: Two investigators independently performed a systematic literature research in MEDLINE (PubMed). Studies on participants who currently had, or had ever had at least one episode of non-specific low back pain or their respective control cohort were included. Only trials adopting an intervention that consisted of exercises without additional specific treatment with the aim of primary prevention, prevention of chronification or prevention of recurrences of low back pain were considered eligible. Results and Discussion: For primary prevention, exercise alone and (probably even more effective) exercise in combination with education are able to reduce the risk of acute low back pain occurrence. Considering the amount of exercise needed to be effective, an inverted u-shaped association is probable. For chronification prevention, early onset physical activity after the non-specificity diagnosis of the back pain may be helpful. Moderate evidence supports the relevance of exercise programmes after primary care for recurrence prevention. Motor control exercises might also be able to reduce the recurrence risk.KEY WORDS: MiSpEx, LBP, Sensorimotor, Neuromuscular
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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].”
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- Authors
- Niederer, D., Vogt, L., & Banzer, W.
- ORCID
- Venue
- Deutsche Zeitschrift für Sportmedizin
- Published
- 2018-07-01
- Volume
- 2018
- Issue
- 7-8
- Pages
- 262-266
- ISSN
- 0344-5925 (ISSN-L)
- 2510-5264
- OpenAlex
- W2894525135
- Cited by
- 7
- References
- 22
- Citations by year
- 2026: 1 · 2022: 1 · 2021: 3 · 2020: 2
- FWCI
- 0.81
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by-nc-sa
- Locations
- German Journal of Sports Medicine (publishedVersion, cc-by-nc-sa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- 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
- low back pain, non-specific low back pain, exercise therapy, physical activity, motor control, primary prevention, recurrence prevention, exercise education, neuromuscular training, sensorimotor training
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