Article

OBJECTIVE: To determine, for adults with chronic low back pain, which exercise
interventions are the most effective at reducing pain compared to other
treatments. DATA SOURCES:
A search of MEDLINE, CINAHL, EMBASE, SPORTDiscus,
PsycINFO and The Cochrane Library was conducted up to October 2014. REVIEW METHODS: Databases were searched for published reports of randomised trials that
investigated the treatment of chronic low back pain of non-specific origin with
an exercise intervention. Two authors independently reviewed and selected
relevant trials. Methodological quality was evaluated using the Downs and Black
tool. RESULTS: Forty-five trials met the inclusion criteria and thirty-nine were
included in the meta-analysis. Combined meta-analysis revealed significantly
lower chronic low back pain with intervention groups using exercise compared to a
control group or other treatment group (Standard Mean Deviation (SMD) =-0.32, CI
95% -0.44 to -0.19, P<0.01). Separate exploratory subgroup analysis showed a
significant effect for strength/resistance and coordination/stabilisation
programs. CONCLUSIONS: Our results found a beneficial effect for
strength/resistance and coordination/stabilisation exercise programs over other
interventions in the treatment of chronic low back pain and that
cardiorespiratory and combined exercise programs are ineffective.
CI - (c) The Author(s) 2015.

Langue : ANGLAIS