Effects of Exercise Therapy on Patients with Low Back Pain: A Meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

 CHENWei-ye ^1,2 , WANGHui-hao ^1,2 , LIANGFei-fan ^1,2 , DENGZhen ^1,2 , WANGKuan ^1,2 , XUQin-guang ^1,2 ,  ZHANHong-sheng ^1,2

1. Shi's Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM, Shanghai 201203 China;
2. Institute of Traumatology and Orthopaedics, Shanghai Academy of TCM, Shanghai 201203, China;

Corresponding?author：

ZHANHong-sheng, Email: shgsyjs@139.com

Keywords：

Low back pain; Exercise therapy; Meta-analysis; Systematic review; Randomized controlled trial

DOI：

10.7507/1672-2531.20150216

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To systematically review the clinical efficacy of exercise therapy for patients with low back pain. Methods We electronically searched databases including PubMed, The Cochrane Library, CNKI, WanFang Data and VIP from 2000 to September 2014 to collect randomized controlled trial (RCTs) about exercise therapy versus other therapies in the treatment of low back pain. Two reviewers independently screened literature, extracted data, and assessed the risk of bias of included studies. Then, meta-analysis was performed by using RevMan 5.3 software. Results A total of five RCTs involving 413 patients were finally included. Compared with the control group, exercise therapy could relieve pain (MD=-0.92, 95%CI -1.32 to -0.51, P<0.000 1), and improve function activity (MD=-1.21, 95%CI -1.43 to -0.99, P<0.01). Conclusion Exercise therapy can improve low back pain and functional activity to a certain extent. Due to the limited quantity and quality of the included studies, larger scale, multicenter, high quality RCTs are needed to verify the aforementioned conclusion.

Citation： CHENWei-ye, WANGHui-hao, LIANGFei-fan, DENGZhen, WANGKuan, XUQin-guang, ZHANHong-sheng. Effects of Exercise Therapy on Patients with Low Back Pain: A Meta-analysis. Chinese Journal of Evidence-Based Medicine, 2015, 15(11): 1317-1321. doi: 10.7507/1672-2531.20150216 Copy

1.	Airaksinen O, Brox JI, Cedraschi C, et al. European guidelines for the management of chronic nonspecific low back pain. Eur Spine, 2006, 15(Suppl 2):192-300.
2.	Gunnar BJA. Epidemiological features of chronic low-back pain. Lancet, 1999, 14, 354(9178):581-585.
3.	李善華, 屈紅林. 運動醫學與運動療法. 中國組織工程研究與臨床康復, 2007, 11(45):9194-9197.
4.	勵建安. 臨床運動療法學. 北京:華夏出版社, 2005:14.
5.	Chou R, Qaseem A, Snow V, et al. Diagnosis and Treatment of Low Back Pain:A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society. Ann Intern Med, 2007, 147(7):478-491.
6.	Mannion AF, Balague F, Pellise F, et al. Pain measurement in patients with low back pain. Nat Clin Pract Rheumatol, 2007, 3(11): 610-830.
7.	Roland M, Morris R. A study of the natural history of back pain: part I development of a reliable and sensitive measure of disability in low back pain. Spine, 1983, 8(2):141-144.
8.	何高, 張建湘, 申才良, 等. 漢譯Roland-Morris功能障礙調查表評估下腰痛患者的可靠性. 中國脊柱脊髓雜志, 2005, 15(4):242-244.
9.	Higgins JP, Green S. Cochrane Handbook for Systematic Reviews of Interventions (Version 5.1.0). Available at:http://www.cochranehandbook.org.
10.	劉鳴. 系統評價Meta分析設計與實施方法. 第1版. 北京:人民衛生出版社, 2011:98-99.
11.	Wajswelner H, Metcalf B, Bennell K. Clinical Pilates versus General Exercise for Chronic Low Back Pain:Randomized Trial. Med Sci Sports Exerc, 2011, 44(7):1197-1205.
12.	Garcia AN, Costa L, da Silva TM, et al. Effectiveness of Back School Versus McKenzie Exercises in Patients With Chronic Nonspecific Low Back Pain:A Randomized Controlled Trial. Physical Therapy, 2013, 93(6):729-747.
13.	Miyamoto G, Costa L, Galvanin T, et al. Efficacy of the Addition of Modified Pilates Exercises to a Minimal Intervention in Patients With ChronicLow Back Pain:A Randomized Controlled Trial. Physical Therapy, 2013, 9(3):310-320.
14.	Rydeard R, Leger A, Smith D. Pilates-Based Therapeutic Exercise: Effect on Subjects With Nonspecific Chronic Low Back Pain and Functional Disability:A Randomized Controlled Trial. J Orthop Sports Phys Ther, 2006, 36(7):472-484.
15.	Tekur P, Nagarathna R, Chametcha S, et al. A comprehensive yoga programs improves pain, anxiety and depression in chronic low back pain patients more than exercise:An RCT. Complement Ther Med, 2012, 20(3):107-118.
16.	胡永善. 下腰痛的生物力學特點及康復. 頸腰痛雜志, 2004, 25(2): 73-75.
17.	陳麗霞, 華桂茹. 下腰痛的評定及運動療法. 中華物理醫學與康復雜志, 2001, 23(3):177-178.
18.	仇瑤琴, 李樹貞, 成鵬, 等. 運動療法在下腰痛康復中的應用. 中國康復醫學雜志, 2003, 18(1):55-57.
19.	紀樹榮. 運動療法技術學. 第2版. 北京:華夏出版社, 2011:1.
20.	周濤, 邱宗忠, 楊希軍. 下腰痛運動療法的應用進展. 體育科技文獻通報, 2012, 20(4):125-128.
21.	Hayden JA, van Tulder MW, Malmivaara A, et al. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev, 2005, 20(3):D335.
22.	Lizier DT, Perez MV, Sakata RK. Exercises for treatment of nonspecific low back pain. Rev Bras Anestesiol, 2012, 62(6):838-846.

1. Airaksinen O, Brox JI, Cedraschi C, et al. European guidelines for the management of chronic nonspecific low back pain. Eur Spine, 2006, 15(Suppl 2):192-300.
2. Gunnar BJA. Epidemiological features of chronic low-back pain. Lancet, 1999, 14, 354(9178):581-585.
3. 李善華, 屈紅林. 運動醫學與運動療法. 中國組織工程研究與臨床康復, 2007, 11(45):9194-9197.
4. 勵建安. 臨床運動療法學. 北京:華夏出版社, 2005:14.
5. Chou R, Qaseem A, Snow V, et al. Diagnosis and Treatment of Low Back Pain:A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society. Ann Intern Med, 2007, 147(7):478-491.
6. Mannion AF, Balague F, Pellise F, et al. Pain measurement in patients with low back pain. Nat Clin Pract Rheumatol, 2007, 3(11): 610-830.
7. Roland M, Morris R. A study of the natural history of back pain: part I development of a reliable and sensitive measure of disability in low back pain. Spine, 1983, 8(2):141-144.
8. 何高, 張建湘, 申才良, 等. 漢譯Roland-Morris功能障礙調查表評估下腰痛患者的可靠性. 中國脊柱脊髓雜志, 2005, 15(4):242-244.
9. Higgins JP, Green S. Cochrane Handbook for Systematic Reviews of Interventions (Version 5.1.0). Available at:http://www.cochranehandbook.org.
10. 劉鳴. 系統評價Meta分析設計與實施方法. 第1版. 北京:人民衛生出版社, 2011:98-99.
11. Wajswelner H, Metcalf B, Bennell K. Clinical Pilates versus General Exercise for Chronic Low Back Pain:Randomized Trial. Med Sci Sports Exerc, 2011, 44(7):1197-1205.
12. Garcia AN, Costa L, da Silva TM, et al. Effectiveness of Back School Versus McKenzie Exercises in Patients With Chronic Nonspecific Low Back Pain:A Randomized Controlled Trial. Physical Therapy, 2013, 93(6):729-747.
13. Miyamoto G, Costa L, Galvanin T, et al. Efficacy of the Addition of Modified Pilates Exercises to a Minimal Intervention in Patients With ChronicLow Back Pain:A Randomized Controlled Trial. Physical Therapy, 2013, 9(3):310-320.
14. Rydeard R, Leger A, Smith D. Pilates-Based Therapeutic Exercise: Effect on Subjects With Nonspecific Chronic Low Back Pain and Functional Disability:A Randomized Controlled Trial. J Orthop Sports Phys Ther, 2006, 36(7):472-484.
15. Tekur P, Nagarathna R, Chametcha S, et al. A comprehensive yoga programs improves pain, anxiety and depression in chronic low back pain patients more than exercise:An RCT. Complement Ther Med, 2012, 20(3):107-118.
16. 胡永善. 下腰痛的生物力學特點及康復. 頸腰痛雜志, 2004, 25(2): 73-75.
17. 陳麗霞, 華桂茹. 下腰痛的評定及運動療法. 中華物理醫學與康復雜志, 2001, 23(3):177-178.
18. 仇瑤琴, 李樹貞, 成鵬, 等. 運動療法在下腰痛康復中的應用. 中國康復醫學雜志, 2003, 18(1):55-57.
19. 紀樹榮. 運動療法技術學. 第2版. 北京:華夏出版社, 2011:1.
20. 周濤, 邱宗忠, 楊希軍. 下腰痛運動療法的應用進展. 體育科技文獻通報, 2012, 20(4):125-128.
21. Hayden JA, van Tulder MW, Malmivaara A, et al. Exercise therapy for treatment of non-specific low back pain. Cochrane Database Syst Rev, 2005, 20(3):D335.
22. Lizier DT, Perez MV, Sakata RK. Exercises for treatment of nonspecific low back pain. Rev Bras Anestesiol, 2012, 62(6):838-846.

Previous Article
Efficacy and Safety of Hemocoagulase on Surgical Incision: A Systematic Review
Next Article
Aminophylline combined with Traditional Chinese Medicine for Asthma: A Meta-analysis

Chinese Journal of Evidence-Based Medicine

Effects of Exercise Therapy on Patients with Low Back Pain: A Meta-analysis

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content