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Exercise Benefits for Chronic Low Back Pain in Overweight and Obese Individuals

WASSER JG; VASILOPOULOS T; ZDZIARSKI LA; VINCENT HK
PM & R , 2017, vol. 9, n° 2, p. 181-192
Doc n°: 181624
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.pmrj.2016.06.019
Descripteurs : CE51 - LOMBALGIE, GB - OBESITE

Overweight and obese individuals with chronic low back pain (LBP) struggle with
the combined physical challenges of physical activity and pain interference
during daily life; perceived disability increases, pain symptoms worsen, and
performance of functional tasks and quality of life (QOL) decline. Consistent
participation in exercise programs positively affects several factors including
musculoskeletal pain, perceptions of disability due to pain, functional ability, QOL, and body composition. It is not yet clear, however, what differential
effects occur among different easily accessible exercise modalities in the
overweight-obese population with chronic LBP. This narrative review synopsizes
available randomized and controlled, or controlled and comparative, studies of
easily accessible exercise programs on pain severity,
QOL, and other outcomes,
such as physical function or body composition change, in overweight-obese persons
with chronic LBP. We identified 16 studies (N = 1,351) of various exercise
programs (aerobic exercise [AX], resistance exercise [RX], aquatic exercise
[AQU], and yoga-Pilates) that measured efficacy on LBP symptoms, and at least one
other outcome such as perceived disability, QOL, physical function, and body
composition. RX, AQU, and Pilates exercise programs demonstrated the greatest
effects on pain reduction, perceived disability, QOL, and other health
components. The highest adherence rate occurred with RX and AQU exercise
programs, indicating that these types of programs may provide a greater overall
impact on relevant outcomes for overweight-obese LBP patients. LEVEL OF EVIDENCE: V.
CI - Copyright (c) 2017 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS

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