Physical activity and low back pain: A critical narrative review - 04/04/23
, Camille Daste a, b, Marvin Coleman a, e, François Rannou a, b, d, f, Damien Freyssenet g, Cedric Moro h, Marie-Martine Lefèvre-Colau a, b, c, d, Christelle Nguyen a, b, f
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Highlights |
• | The physical treatment of low back pain includes a wide range of non-specific and specific physical activity. |
• | The value of physical activity in acute or subacute low back pain has not been demonstrated. |
• | General exercise, more specific interventions and multidisciplinary functional restoration programs reduce pain and improve physical function in patients with chronic low back pain. |
• | The optimal delivery of physical activity in terms of modalities, quantity and intensity of the intervention, supervision, and setting is not well defined. |
Abstract |
Background |
Non-specific low back pain (LBP) is the leading cause of years lived with disability worldwide. Physical activity is an integral part of LBP treatment.
Objective |
To critically review available evidence regarding the efficacy of physical activity for people with LBP.
Methods |
Up to date critical narrative review of the efficacy of physical activity for the managment LBP. The process of article selection was unsystematic; articles were selected based on authors’ expertise, self-knowledge and reflective practice.
Results |
Therapeutic physical activity for LBP includes a wide range of non-specific and specific activities. The efficacy of physical activity on pain and activity limitations has been widely assessed. In acute and subacute LBP, exercise did not reduce pain compared to no exercise. In chronic low back pain (CLBP), exercise reduced pain at the earliest follow-up compared with no exercise. In a recent systematic review, exercise improved function both at the end of treatment and in the long-term compared with usual care. Exercice also reduced work disability in the long-term. We were unable to establish a clear hierarchy between different exercise modalities. Multidisciplinary functional programs consistently improved pain and function in the short- and long-term compared with usual care and physiotherapy and improved the long-term likelihood of returning to work compared to non-multidisciplinary programs.
Conclusion |
Physical activity of all types is an effective treatment for CLBP.
Le texte complet de cet article est disponible en PDF.Keywords : Narrative review, Low back pain, Physical activity, Exercise, Efficacy
Plan
Vol 66 - N° 2
Article 101650- mars 2023 Retour au numéro
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