Effects of Exercise on Low Back Pain:a Meta-analysis

KANG Yu-jie; YU Hong-yan

doi:10.16469/j.css.201902007

China Sport Science > 2019 > 39(2): 63-72. > DOI: 10.16469/j.css.201902007

KANG Yu-jie, YU Hong-yan. 2019: Effects of Exercise on Low Back Pain:a Meta-analysis. China Sport Science, 39(2): 63-72. DOI: 10.16469/j.css.201902007

Citation:

KANG Yu-jie, YU Hong-yan. 2019: Effects of Exercise on Low Back Pain:a Meta-analysis. China Sport Science, 39(2): 63-72. DOI: 10.16469/j.css.201902007

Citation:

KANG Yu-jie, YU Hong-yan. 2019: Effects of Exercise on Low Back Pain:a Meta-analysis. China Sport Science, 39(2): 63-72. DOI: 10.16469/j.css.201902007

PDF (2071 KB)

Effects of Exercise on Low Back Pain:a Meta-analysis

Shanghai Jiaotong University

More Information

Received Date: July 12, 2018

Graphical Abstract

Abstract

Abstract

Objective:To conduct a meta-analysis on the effects of exercise intervention on low back pain, and the optimal exercise intervention program was proposed accordingly.Methods:A total of 35 articles and 2 224 subjectswere included in this study, the Review Manager 5.3 was used to dosubgroup analysis by setting six adjustment variables: intervention program, exercise time,exercise frequency, intervention duration, study quality and sample size.The overall effect, heterogeneity, and publication bias were evaluated by using random effects model.Results: 1). The effect size of exercise intervention on low back pain was d=-0.86, which achieveda large effect and statistically significant. 2).Exercise frequency(I2=82.5%) and study quality(I2=89.3%) were highly heterogeneous in the association between exercise intervention and low back pain; exercise time(I2=59.2%), intervention duration(I2=60.2%)and sample size(I2=59.8%) reveled a moderate heterogeneity in the association of exercise intervention with low back pain, and the intervention program(I2=44.0%) was close to moderate heterogeneity in the association between exercise intervention and low back pain.Conclusion: 1) Exercise intervention was significantlyin relieving low back pain. 2) Both suspension training and yoga training were effective in relieving low back pain,and the suspension training was better. 3) The optimal exercise frequency was3~4 times per week. 4) Compared with other programs,a 4-week exercise intervention program was most effective in relieving low back pain.
- low back pain,
- exercise intervention,
- effect size,
- meta-analysis

FullText(HTML)

References (65)

References

白瑶,金丽,2014.瑜伽对腰肌劳损临床疗效的研究[J].当代体育科技,4(24):13-14.

方磊,严隽陶,曹彦俊,等,2015.五禽戏对中老年慢性非特异性下背痛患者腰腹核心肌群力学性能及疼痛影响的临床研究[J].上海中医药杂志,49(9):49-53.

顾新,2009.下背痛的物理治疗[J].中国康复医学杂志,24(1):86-88.

黄志剑,王积福,向伟,2013.表象训练对技能学习绩效影响的元分析[J].体育科学,33(5):25-30,40.

李海,尚艳华,钟惠雅,等,2010.瑜伽姿势训练在腰椎间盘突出症综合康复治疗中的应用观察[J].新醫醫,41(6):397-399,411.

李丽,冯梓芸,孙敬龙,2015.悬吊循经弹拨法治疗腰椎间盘突出症临床观察[J].康复学报,25(4):10-13.

林科宇,许轶,王楚怀,等,2014.悬吊式核心稳定训练对慢性非特异性下背痛的疗效[J].中国康复医学杂志,29(10):923-928.

刘鸣,2011.系统评价、Meta-分析设计与实施方法[M].人民卫生出版社,158-164.

刘鸣,2011.系统评价、Meta-分析设计与实施方法[M].人民卫生出版社,98-99.

刘鸣,2011.系统评价、Meta-分析设计与实施方法[M].人民卫生出版社,69-71.

刘鸣,2011.系统评价、Meta-分析设计与实施方法[M].人民卫生出版社,89-90.

吕桃叶,2016.核心力量训练对中年久坐人群腰肌劳损的干预研究[D].首都体育学院.

孙红,2015.悬吊运动疗法治疗非特异性下背痛的疗效观察[J].护士进修杂志,30(19):1806-1807.

王成秀,徐远红,杨凤翔,等,2011.悬吊运动训练对非特异性下背痛患者远期疗效的临床研究[J].中国康复,26(2):103-105.

王丹,翟俊霞,牟振云,等,2009.分析中的异质性及其处理方法[J].中国循证医学杂志,9(10):1115-1118.

王陶黎,唐一鸣,解骏,等,2017.数字医疗康复技术在悬吊运动治疗慢性非特异性下背痛中的应用[J].中国数字医学,12(5):88-90.

文进,李幼平,2007.Meta分析中效应尺度指标的选择[J].中国循证医学杂志,7(8):606-613.

徐雷,2014.身体活动对主观幸福感影响的元分析--来自实验研究的证据[J].体育科学,34(10):29-38.

殷恒婵,陈雁飞,张磊,等,2012.运动干预对小学生身心健康影响的实验研究[J].体育科学,32(2):14-27.

张明军,2012.瑜伽运动对女性慢性下背痛康复效果的分析[J].体育成人教育学刊,28(3):61-62.

郑凤英,彭少麟,2004.整合分析中两种假设模型的介绍及实例分析[J].生态科学,23(4):292-294.

周旭毓,方积乾,2002.Meta分析的常见偏倚[J].循证医学,2(4):216-220.

AIRAKSINEN O,BROX J I,CEDRASCHI C,et al.,2006.Chapter 4European guidelines for the management of chronic nonspecific low back pain[J].Eur Spine J,15:s192-s300.

AKHTAR M W,KARIMI H,GILANI S A,2017.Effectiveness of core stabilization exercises and routine exercise therapy in management of pain in chronic non-specific low back pain:A randomized controlled clinical trial[J].Pak J Med Sci,33(4):1002-1002

AKODU A,OKONKWO S,AKINBO S,2016.Comparative efficacy of core stabilization exercise and pilates exercise on patients with nonspecific chronic low back pain[J].Rom J Phys Ther/Rev Rom Kinetoterapie,21(38):14-22.

ALUKO A,DESOUZA L,PEACOCK J,2013.The effect of core stability exercises on variations in acceleration of trunk movement,pain,and disability during an episode of acute nonspecific low back pain:A pilot clinical trial[J].J Manip Physiol Ther,36(8):497-504.

ANDERSSON G B J,1999.Epidemiological features of chronic lowback pain[J].Lancet,354(9178):581-585.

BRONFORT G,MAIERS M J,EVANS R L,et al.,2011.Supervised exercise,spinal manipulation,and home exercise for chronic low back pain:A randomized clinical trial[J].Spine J:Official J North Am Spine Soc,11(7):585-585.

CHO H K,MOON W,KIM J,2015.Effects of yoga on stress and inflammatory factors in patients with chronic low back pain:A nonrandomized controlled study[J].Eur J Integr Med,7(2):118-123.

COHEN J,1977.The t test for means-statistical power analysis for the behavioral sciences-chapter 2[M].Statistical power analysis for the behavioral sciences.Academic Press,19-74.

DUTHEY B,2013.Priority medicines for europe and the world:“Apublic health approach to innovation”[J].WHO Background Paper,6(1):1-29.

EVANS D D,CARTER M,PANICO R,et al.,2010.Characteristics and predictors of short-term outcomes in individuals self-selecting yoga or physical therapy for treatment of chronic low back pain[J].Pm R JInjury Funct Rehabil,2(11):1006-1015.

GLADWELL V,HEAD S,HAGGAR M,et al.,2006.Does a program of pilates improve chronic non-specifi c low back pain?[J].J Sport Rehabil,15(4):338-350.

GOMES-NETO M,LOPES J M,CONCEIÇÃO C S,et al.,2017.Stabilization exercise compared to general exercises or manual therapy for the management of low back pain:A systematic review and meta-analysis[J].Phys Ther Sport,23:136-142.

HAYDEN J,VAN TULDER M W,MALMIVAARA A,et al.,2005.Exercise therapy for treatment of non specific low back pain[J].Cochrane Db Syste Rev,(3).

HIGHLAND K B,SCHOOMAKER A,ROJAS W,et al.,2018.Benefits of the restorative exercise and strength training for operational resilience and excellence yoga program for chronic lower back pain in service members:A pilot randomized control trial[J].Arch Phys Med Rehabil,99:91-98.

HOLTZMAN S,BEGGS R T,2013.Yoga for chronic low back pain:Ameta-analysis of randomized controlled trials[J].Pain Res Manage,18(5):267-272.

KIM Y W,KIM N Y,CHANG W H,et al.,2018.Comparison of the therapeutic effects of a sling exercise and a traditional stabilizing exercise for clinical lumbar spinal instability[J].J Sport Rehabil,27(1):47-54.

KIM T Y,LEE J H,OH S,et al.,2017.Effect of Simulated HorsebackRiding and Sling Exercise for Patients With Low Back Pain[J].Arch Phys Med Rehab,98(12):e175-e176.

KOES B W,VAN TULDER M W,OSTELO R,et al.,2001.Clinical guidelines for the management of low back pain in primary care:an international comparison[J].Spine,26(22):2504-2513.

KOUMANTAKIS G A,WATSON P J,OLDHAM J A,2005.Trunk muscle stabilization training plus general exercise versus general exercise only:Randomized controlled trial of patients with recurrent low back pain[J].Phys Ther,85(3):209-225.

KUMAR S P,2011.Efficacy of segmental stabilization exercise for lumbar segmental instability in patients with mechanical low back pain:A randomized placebo controlled crossover study[J].North Am J Med Sci,3(10):456.

MICHAELSON P,HOLMBERG D,AASA B,et al.,2016.High load lifting exercise and low load motor control exercises as interventions for patients with mechanical low back pain:A randomized controlled trial with 24-month follow-up[J].J Rehabil Med Official J Uems Eur Board Phys Rehabil Med,48(5):456-463.

MIYAMOTO G C,COSTA L O P,GALVANIN T,et al.,2013.Efficacy of the addition of modified Pilates exercises to a minimal intervention in patients with chronic low back pain:A randomized controlled trial[J].Phys Ther,93(3):310-320.

MONRO R,BHARDWAJ A K,GUPTA R K,et al.,2015.Disc extrusions and bulges in nonspecific low back pain and sciatica:Exploratory randomised controlled trial comparing yoga therapy and normal medical treatment[J].J Back Musculoskelet Rehabil,28(2):383-392.

NELSON-WONG E,CALLAGHAN J P,2010.Changes in muscle activation patterns and subjective low back pain ratings during prolonged standing in response to an exercise intervention[J].JElectromyogr Kines,20(6):1125-1133.

POSADZKI P,2011.Ernst E.Yoga for low back pain:A systematic review of randomized clinical trials[J].Clin Rheumatol,30(9):1257-1257.

SAKUMA Y,SASAKI-OTOMARU A,ISHIDA S,et al.,2012.Effect of a home-based simple yoga program in child-care workers:Arandomized controlled trial[J].J Altern Complement Med,18(8):769-776.

SHAMSI M B,SARRAFZADEH J,JAMSHIDI A,2015.Comparing core stability and traditional trunk exercise on chronic low back pain patients using three functional lumbopelvic stability tests[J].Physiother Theory Pract,31(2):89-98.

STIEGLITZ D D,VINSON D R,HAMPTON M C,2015.Equipmentbased pilates reduces work-related chronic low back pain and disability:A pilot study[J].J Bodywork Movement Ther,20(1):74-82.

STUBER K J,BRUNO P,SAJKO S,et al.,2014.Core stability exercises for low back pain in athletes:A systematic review of the literature[J].Clin J Sport Med:Official J Can Acad Sport Med,24(6):448-456.

TANG S,QIAN X,ZHANG Y,et al.,2016.Treating low back pain resulted from lumbar degenerative instability using Chinese Tuina combined with core stability exercises:A randomized controlled trial[J].Complement Ther Med,25:45-50.

TEKUR P,NAGARATHNA R,CHAMETCHA S,et al.,2012.Acomprehensive yoga programs improves pain,anxiety and depression in chronic low back pain patients more than exercise:An RCT[J].Complement Ther Med,20(3):107-118.

TEKUR P,SINGPHOW C,NAGENDRA H R,et al.,2008.Effect of short-term intensive yoga program on pain,functional disability and spinal flexibility in chronic low back pain:A randomized control study[J].J Altern Complem Med,14(6):637-644.

TEUT M,KNILLI J,DAUS D,et al.,2016.Qigong or yoga versus no intervention in older adults with chronic low back pain-a randomized controlled trial[J].J Pain,17(7):796-805.

UNSGAARD-TØNDEL M,FLADMARK A M,SALVESENØ,et al.,2010.Motor control exercises,sling exercises,and general exercises for patients with chronic low back pain:A randomized controlled trial with 1-year follow-up[J].Phys Ther,90(10):1426-1440.

VAN H W,O'SULLIVAN K,O'KEEFFE M,et al.,2018.The efficacy of interventions for low back pain in nurses:A systematic review[J].Int J Nurs Stud,77:222-231.

WAND B M,BIRD C,MCAULEY J H,et al.,2004.Early intervention for the management of acute low back pain:A single-blind randomized controlled trial of biopsychosocial education,manual therapy,and exercise[J].Spine,29(21):2350-2356.

WARD L,STEBBINGS S,CHERKIN D,et al.,2013.Yoga for functional ability,pain and psychosocial outcomesinmusculoskeletal conditions:A systematic review and meta-analysis[J].MusculoskelCare,11(4):203-217.

WILLIAMS K A,PETRONIS J,SMITH D,et al.,2005.Effect of Iyengar yoga therapy for chronic low back pain[J].Pain,115(1-2):107-117.

WILLIAMS K,ABILDSO C,STEINBERG L,et al.,2009.Evaluation of the effectiveness and efficacy of iyengar Yoga therapy on chronic low back pain[J].Spine,34(19):2066-2076.

YOU J H,KIM S Y,OH D W,et al.,2014.The effect of a novel core stabilization technique on managing patients with chronic low back pain:A randomized,controlled,experimenter-blinded study[J].Clin Rehabil,28(5):460-469.

YOUNG-DAE Y,YEON-SEOP L,2012.The effect of core stabilization exercises using a sling on pain and muscle strength of patientswith chronic low back pain[J].J Phys Ther Sci,24(8):671-674.

YUE Y S,WANG X D,XIE B,et al.,2015.Sling exercise for chronic low back pain:A systematic review and meta-analysis[J].Physiotherapy,101(6):e1709-e1710.

ZHANG Y,TANG S,CHEN G,et al.,2015.Chinese massage combined with core stability exercises for nonspecific low back pain:Arandomized controlled trial[J].Complement Ther Med,23(1):1-6.

Supplements (0)

Cited By

Cited by

Periodical cited type(18)

1.	李荣荣，张有明，张洋. 咖啡因对运动员跳跃能力作用效果的Meta分析. 体育科技文献通报. 2024(01): 247-255 .
2.	唐佳怡，马文瑶，梁书洋，杜雨飞，倪翠萍. 腰背肌锻炼对护士职业性腰背痛干预效果的系统评价及Meta分析. 循证护理. 2024(03): 403-413 .
3.	李福有，李华帅，郭成根，徐浩然，孙璞. Y平衡预测运动损伤风险可行性：1项前瞻性诊断试验meta分析. 中国康复医学杂志. 2024(06): 863-869 .
4.	陈文君，周籽全，董晓夫，袁秀丽. 针灸治疗考试焦虑疗效的Meta分析. 新疆中医药. 2023(02): 123-126 .
5.	黄文哲，成波锦，谢雯. 普拉提运动对下腰痛干预效果的Meta分析. 湖北体育科技. 2023(07): 606-611+628 .
6.	杨俊超，陈君颖，许春艳，邱俊强. 运动辅助治疗慢性腰痛效果的贝叶斯网状meta分析. 成都体育学院学报. 2022(04): 129-135 .
7.	郭成根，孙璞，陈奥娜. 运动对轻度认知障碍老年人认知功能干预效果的元分析. 首都体育学院学报. 2022(04): 373-383 .
8.	祝星星，刘玉祥，周香香. 操类运动对中国幼儿（3-6岁）弹跳能力影响的meta分析. 文体用品与科技. 2022(22): 109-111 .
9.	杨俊超，陈君颖，许春艳，邱俊强. 运动疗法治疗慢性腰痛效果的网状Meta分析. 中国循证医学杂志. 2021(01): 28-39 .
10.	陈紫砚，杨智. 太极拳对下背痛干预效果的元分析. 福建体育科技. 2021(01): 64-68+80 .
11.	陈静霞，安月，段远芳. 刺络拔罐联合麦肯基疗法治疗老年慢性非特异性下背痛临床观察. 现代中西医结合杂志. 2021(13): 1442-1446 .
12.	陈怀新，潘超星，严敏. 运动干预非特异性下背痛的研究进展. 当代体育科技. 2021(11): 24-26 .
13.	康玉杰，于红妍，辛谭思祺，陈兆坤. 瑜伽干预下背痛效果的Meta分析. 中国循证医学杂志. 2020(01): 47-52 .
14.	魏梦娴，黄浩洁. 腰痛与久坐行为关联性的研究进展. 中国体育科技. 2020(03): 32-41+74 .
15.	闵吉，孙萍萍，陈伟. 悬吊技术对于慢性非特异性下腰痛的治疗现状及研究进展. 颈腰痛杂志. 2020(04): 493-495 .
16.	顾励，胡彬彬，冯星华，曹彦俊，朱烱伟，曹军，任天强，严一成，赫祎珏. 中医整脊联合膏摩法调节慢性下背痛患者腰骶椎生物力学的临床观察. 按摩与康复医学. 2020(17): 46-48+58 .
17.	杨洪杰，刘善云. 运动改善腰痛患者腰椎稳定肌神经控制研究进展. 中国运动医学杂志. 2020(11): 898-903 .
18.	孙靖昆，闫兴国. 基于Cite Space的我国核心稳定性训练研究知识图谱分析. 军事体育学报. 2019(01): 68-74 .

Other cited types(11)

Get Citation

PDF

XML

Article views (4) PDF downloads (0) Cited by(29)

Turn off MathJax

Article Contents

Abstract

References

Effects of Exercise on Low Back Pain:a Meta-analysis

Abstract

References

Cited by

Periodical cited type(18)

Other cited types(11)

Catalog

Export File

Citation

Format

Content