Evaluation of a specific home exercise program for low back pain

Descarreaux, Martin; Normand, Martin; Laurencelle, Louis; Dugas, Claude

doi:10.1067/mmt.2002.127078

Cited by 65 publications

(35 citation statements)

References 24 publications

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“…Four papers were excluded from the review: two because the stabilizing exercises described failed to be segmental stabilizing exercises, 25,26 one because the exercise intervention was not described in the paper and therefore it could not be identified whether segmental stabilizing exercises were applied, 27 and one because it was published in Turkish language. 28 In Cochrane and PEDro no additional studies were found.…”

Section: Study Selectionmentioning

confidence: 99%

Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials

Rackwitz

Bie

Limm³

et al. 2006

Clin Rehabil

128

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Study design: A systematic review of randomized controlled trials. Objectives: To evaluate the effectiveness of segmental stabilizing exercises for acute, subacute and chronic low back pain with regard to pain, recurrence of pain, disability and return to work. Methods: MEDLINE, EMBASE, CINAHL, Cochrane Controlled Trials Register, PEDro and article reference lists were searched from 1988 onward. Randomized controlled trials with segmental stabilizing exercises for adult low back pain patients were included. Four comparisons were foreseen: (1) effectiveness of segmental stabilizing exercises versus treatment by general practitioner (GP); (2) effectiveness of segmental stabilizing exercises versus other physiotherapy treatment; (3) effectiveness of segmental stabilizing exercises combined with other physiotherapy treatment versus treatment by GP and (4) effectiveness of segmental stabilizing exercises combined with other physiotherapy treatment versus other physiotherapy treatment. Results: Seven trials were included. For acute low back pain, segmental stabilizing exercises are equally effective in reducing short-term disability and pain and more effective in reducing long-term recurrence of low back pain than treatment by GP. For chronic low back pain, segmental stabilizing exercises are, in the short and long term, more effective than GP treatment and may be as effective as other physiotherapy treatments in reducing disability and pain. There is limited evidence that segmental stabilizing exercises additional to other physiotherapy treatment are equally effective for pain and more effective concerning disability than other physiotherapy treatments alone. There is no evidence concerning subacute low back pain. Conclusion: For low back pain, segmental stabilizing exercises are more effective than treatment by GP but they are not more effective than other physiotherapy interventions.

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Section: Study Selectionmentioning

confidence: 99%

Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials

Rackwitz

Bie

Limm³

et al. 2006

Clin Rehabil

128

View full text Add to dashboard Cite

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“…Nevertheless, the considerable curative effect of back muscle exercises on low back pain has been established. 15 Shirado 16 and Descarreaux 17 reported that home-based exercise improves patients' lumbago symptoms. A prospective study by Sinaki 18 observed a reduced incidence of vertebral compression fractures in healthy, postmenopausal women who participated in a back extensor strengthening programme before the onset of osteoporosis.…”

Section: Introductionmentioning

confidence: 99%

Systematic back muscle exercise after percutaneous vertebroplasty for spinal osteoporotic compression fracture patients: a randomized controlled trial

et al. 2011

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Objective: To analyze the clinical significance of postoperative back muscle exercises after percutaneous vertebroplasty for spinal osteoporotic compression fracture patients. Design: Clinical randomized controlled trials of parallel group nonpharmacologic study. Setting: Patients practised back muscle exercises in the spinal surgery department, rehabilitation department and at their residences. Subjects: Osteoporotic compression fracture patients who had undergone percutaneous vertebroplasty and processed sufficient muscle strength to participate in the training were studied. Interventions: Patients were randomized into two groups, which were titled A and B. General postoperation therapy, including antiosteoporotic medications and education, was offered to all patients. Group B patients received additional systematic back muscle exercise. Main measures: Both Oswestry Disability Index (ODI) and visual analogue scale (VAS) were recorded preoperatively and postoperatively at three-day, one-month, six-month, one-year and two-year follow-up. Results: From January 2006 to January 2009, a total of 82 patients were assessed for eligibility, 60 patients were enrolled and randomized into two groups. Forty-two (70%) patients (20 of 30 in Group A and 22 of 30 in Group B) were successfully followed-up for two years. Systematic back muscle exercises resulted in a significant advantage in both measurements. The ODI of Group B was significantly better than Group A at the six-month, one-year and two-year follow-ups (P < 0.05). The pain level of Group B was significantly lower than in Group A at the one-and two-year follow-ups (P < 0.05). At the end of our study, the mean (SD) of the ODI in Groups A and B were 39.1 (9.14) and 23.4 (5.62); the mean (SD) of the VAS in Groups A and B were 3.4 (1.15) and 2.1 (0.84), respectively. Conclusions: Our findings suggest that the benefit of the exercises required at least six months to be observed; however, the favourable effects could last for two years. Therefore, systematic back muscle exercise should be recommended as one of the treatment guidelines for postpercutaneous vertebroplasty patients.

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“…No similar studies for neck pain were found. We applied an individualized exercise program to two groups receiving exercise in our study, believing that an individualized exercise program would also be more effective to improve problems related to neck pain [6][7][8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Effects of three different conservative treatments on pain, disability, quality of life, and mood in patients with cervical spondylosis

Telci

Karaduman

2011

Rheumatol Int

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This aim of this study was to determine the effect of different conservative treatment methods on pain intensity, disability, quality of life, and mood in patients with cervical spondylosis during a 6-month period. The patients were randomized into three groups. The 1st group (n = 20) was treated with active and passive physiotherapy methods, the 2nd group (n = 20) with active treatment methods, and the 3rd group (n = 20) with medication, including nonsteroid anti-inflammatory and muscle relaxing medicines. The 1st and 2nd groups received individual exercise treatment according to their current problems as determined by the assessment. Pain recovery was found to be statistically significant after treatment and long-term follow-up for all three groups (P < 0.05). Disability improvement was significant in all groups after treatment and 3rd months and only in 1st group after 6 months (P < 0.05). Quality of life improvement was significant in all groups after treatment, at 3 months, and in the 1st and 2nd groups at 6 months (P < 0.05). Psychological recovery was significant in all groups after treatment and in the 1st and 2nd groups during long-term follow-up (P < 0.05). It was determined that patient satisfaction did not change in the 1st and 2nd group (P > 0.05), but decreased in the 3rd group (P < 0.05) during long-term follow-up. There was more improvement in the two groups receiving exercise treatment than the group receiving medical treatment. In conclusion, exercise treatment has an important role in achieving long-term recovery of problems occurring with cervical spondylosis.

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Evaluation of a specific home exercise program for low back pain

Cited by 65 publications

References 24 publications

Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials

Segmental stabilizing exercises and low back pain. What is the evidence? A systematic review of randomized controlled trials

Systematic back muscle exercise after percutaneous vertebroplasty for spinal osteoporotic compression fracture patients: a randomized controlled trial

Effects of three different conservative treatments on pain, disability, quality of life, and mood in patients with cervical spondylosis

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