Best exercise options for reducing pain and disability in adults with chronic low back pain: pilates, strength, core-based, and mind-body. A network meta-analysis

Review written by Robin Kerr info

Key Points

  1. Pilates, core-based and mind-body exercises were the most effective interventions for pain reduction.
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BACKGROUND & OBJECTIVE

Low back pain (LBP) represents the highest global burden of disease (1) and affects health care systems around the world. To reduce pain and disability in this population, one of the best short-term recommendations is to perform exercise.

This Spanish systematic review with network meta-analysis (NMA) was performed to determine which type of exercise is best for reducing pain and disability in adults with chronic LBP.

Low back pain represents the highest global burden of disease.
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This study clearly shows that any exercise is better than none for reducing pain and improving disability in our low back pain patients.

METHODS

  • Six electronic databases were searched for randomized controlled trials (RCTs) testing the effects of exercise on the pain and disability associated with persistent LBP. Data was synthesized via Preferred Reporting Items for Systematic Reviews and Network Meta-Analysis (PRISMA-NMA) guidelines.
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