Article

OBJECTIVE: To establish the effectiveness of walking alone and walking compared
to other non-pharmacological management methods to improve disability, quality of
life, or function in adults with chronic low back pain.
DATA SOURCES: A
systematic search of the following databases was undertaken: Medline, Embase,
CINAHL, Scopus, Pedro, SportDiscus, Cochrane Central Register of Controlled
Trials. The following keywords were used: 'back pain' or 'low back pain' or
'chronic low back pain' and 'walk*' or 'ambulation' or 'treadmill*' or
'pedometer*' or 'acceleromet*' or 'recreational' and 'disability' or 'quality of
life' or 'function*'. REVIEW METHODS: Primary research studies with an
intervention focus that investigated walking as the primary intervention compared
to no intervention or any other non-pharmacological method in adults with chronic
low back pain (duration >3 months). RESULTS: Seven randomised controlled trials
involving 869 participants were included in the review. There was no evidence
that walking was more effective than other management methods such as usual care,
specific strength exercises, medical exercise therapy, or supervised exercise
classes. One study found over-ground walking to be superior to treadmill walking,
and another found internet-mediated walking to be more beneficial than
non-internet-mediated walking in the short term. CONCLUSION: There is low quality
evidence to suggest that walking is as effective as other non-pharmacological
management methods at improving disability, function, and quality of life in
adults with chronic low back pain.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS