Abstract
Background: Physical activity, including aerobic exercise, is highly recommended for chronic low back pain (CLBP) patients to improve pain intensity and functional disability. Objectives: To assess the effectiveness of different aerobic exercises to reduce pain intensity and functional disability in patients with CLBP. Methods: A computer-aided search was performed to find Randomised controlled Trials (RCTs) that evaluated the effectiveness of different aerobic exercises in CLBP. Articles published between January 2007 to December 2020 were included in the review. Quality assessment using the PEDro scale, extraction of relevant information, and evaluation of outcomes were done by two reviewers independently. Results: A total of 17 studies were included that involved 1146 participants. Outcomes suggested that aerobic exercise combined with other interventions was more effective than aerobic exercise alone. Aerobic exercise with higher frequency (≥ 5 days/week) and longer duration (≥ 12 weeks) were effective to gain clinically significant (≥ 30%) improvements. Environment and using pedometer did not seem to influence the outcomes. Conclusions: Pain intensity and functional disability in CLBP patients can be minimized by prescribing aerobic exercise. However, to get better improvements, aerobic exercise should be done in combination with other interventions and at optimum frequency and duration. Further studies should emphasize examining the optimal doses and period of different aerobic exercises.
Highlights
Low back pain (LBP) is one of the leading causes of disability-related musculoskeletal conditions globally.[1,2] It is reported that 70-80% of the population suffer from LBP at some point in their lifetime.2,3 80-90% of those patients recover spontaneously from the acute phase of LBP within six weeks without taking any specific treatment.[4,5,6] the remaining 10-20% of patients develop chronic low back pain (CLBP), which is very difficult to treat and may lead to significant disability.[5,6,7] The National Health Service (NHS) spends more than £9 billion to provide CLBP patients treatment.[8]
The patients suffering from CLBP are encouraged to do regular exercise, and research showed that exercise was effective in preventing LBP by 35-45%
1135 articles were screened by title and content of the abstract
Summary
Low back pain (LBP) is one of the leading causes of disability-related musculoskeletal conditions globally.[1,2] It is reported that 70-80% of the population suffer from LBP at some point in their lifetime.2,3 80-90% of those patients recover spontaneously from the acute phase of LBP within six weeks without taking any specific treatment.[4,5,6] the remaining 10-20% of patients develop chronic low back pain (CLBP), which is very difficult to treat and may lead to significant disability.[5,6,7] The National Health Service (NHS) spends more than £9 billion to provide CLBP patients treatment.[8]. Different clinical practice guidelines recommended exercise as the first-choice treatment of CLBP.[13,14,15,16] Short-term and long-term improvements in pain and disability in CLBP patients can be achieved by doing exercises including aerobic exercise, flexibility training, stretching exercise, and resistance training.[17,18,19,20] there is still insufficient evidence regarding the best approach, intensity, and form of exercise program or physical activity that produces optimal outcomes for people with CLBP.[19,21]. Physical activity, including aerobic exercise, is highly recommended for chronic low back pain (CLBP) patients to improve pain intensity and functional disability. Objectives: To assess the effectiveness of different aerobic exercises to reduce pain intensity and functional disability in patients with CLBP. Environment and using pedometer did not seem to influence the outcomes
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