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

Wasser, Joseph G.; Vasilopoulos, Terrie; Zdziarski, Laura Ann; Vincent, Heather K.

doi:10.1016/j.pmrj.2016.06.019

Cited by 42 publications

(34 citation statements)

References 62 publications

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“…In fact, in the study by Monteiro‐Junior et al., the reduction of pain in the exergame group was 74%, but the reduction in the exercise group was 79%. This is consistent with previous studies which reported that physical exercise is a useful tool to reduce pain in different populations …”

Section: Discussionsupporting

confidence: 93%

Effect of exergames on musculoskeletal pain: A systematic review and meta‐analysis

Collado-Mateo

Merellano-Navarro

Olivares

et al. 2017

Scandinavian Med Sci Sports

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The main objective was to systematically review the scientific literature about the effects of exergame-based interventions on musculoskeletal pain, as well as to provide directions for the clinical practice. A systematic search was conducted in four electronic databases following PRISMA guidelines. The inclusion criteria were as follows: (a) the subjects were suffering musculoskeletal pain, (b) the study was randomized controlled trial (RCT), (c) intervention was based on exergames, (d) the article was written in English, and (e) the article was not an abstract or summary presented in a congress or conference. Risk of bias and quality of evidence were evaluated using the PEDro Scale and GRADE approach, respectively. A meta-analysis was carried out to determine effect sizes. Seven studies were selected in the systematic review. The meta-analysis included those six articles which reported means and SD before and after treatment and used a visual analog scale or a Numeric Pain Rating Scale. Four of the seven articles reported significant reduction in pain while the rest did not found any significant change in pain after the intervention. The overall effect size for pain was -0.51 (95% CI from -1.25 to 0.23) with large heterogeneity. Although four of the seven articles reported significant within-group differences, zero was included in the CI of the overall effect size. Therefore, up-to-date there is not enough evidence to conclude that exergames improve musculoskeletal pain.

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Section: Discussionsupporting

confidence: 93%

Effect of exergames on musculoskeletal pain: A systematic review and meta‐analysis

Collado-Mateo

Merellano-Navarro

Olivares

et al. 2017

Scandinavian Med Sci Sports

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“…Moreover, quantitative secondary data, which was initially collected for power analysis purposes only, already showed significant improvements in back pain and quality of life. This is in line with previous literature [24], which showed beneficial effects of exercise on trunk flexibility [25,26], perceived disability and functionality [27,28], and back pain symptoms [24,27]. The post hoc power analysis even showed that the SF-36 subscale "bodily pain" was sufficiently powered with the current sample size which means that the pain-related quality of life improved significantly over the exercise period.…”

Section: Discussionsupporting

confidence: 90%

Prescription of individual therapeutic exercises via smartphone app for patients suffering from non-specific back pain

Hasenöhrl

Windschnurer

Dorotka³

et al. 2020

Wien Klin Wochenschr

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Background The purpose of this qualitative study was the assessment of the feasibility and acceptance of orthopedists prescribing individualized therapeutic exercises via a smartphone app to patients suffering from non-specific back pain. Methods A total of 27 patients (mean age 44.8 ± 13.2 years) diagnosed with acute non-specific back pain were prescribed individually chosen therapy exercises via a smartphone app. Before the patients started and after 4 weeks of exercising all participants went through an assessment protocol consisting of questionnaires (Oswestry Disability Index [ODI], Short Form-36 [SF-36], International Physical Activity Questionnaire [IPAQ], Work Ability Index [WAI], Visual Analogue Scale [VAS] back pain, sociodemographic parameters), assessment of functional parameters (handgrip strength, timed up and go test). With 16 randomly chosen patients semi-structured interviews were undertaken at the end of the intervention period. Interview transcripts were analyzed using thematic analysis. Power analysis and a priori sample size calculations were undertaken with the quantitative data. Results From the interviews four thematic categories emerged: prior exercise experience, evaluation of exercise intensity, communication with physician via smartphone app, and variability of exercise location.

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“…Eight exercises will initially be performed 2 days per week for the first phase to familiarize subjects to the exercises and provide instruction on proper form. Exercises were chosen to emphasize core strength [ 31 ], dynamic hip and pelvis stability, and lumbar endurance and strength [ 32 ]. These exercises include plank, seated resisted back extension, trunk rotary stabilization, leg extensions, monster walks, posture reset, abductor resistance, and prone arm and leg extensions (Supermans) [ 6 ].…”

Section: Methodsmentioning

confidence: 99%

Exercise intervention for unilateral amputees with low back pain: study protocol for a randomised, controlled trial

Wasser

Herman

Horodyski

et al. 2017

Trials

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BackgroundAtraumatic lower limb amputation is a life-changing event for approximately 185,000 persons in the United States each year. A unilateral amputation is associated with rapid changes to the musculoskeletal system including leg and back muscle atrophy, strength loss, gait asymmetries, differential mechanical joint loading and leg length discrepancies. Even with high-quality medical care and prostheses, amputees still develop secondary musculoskeletal conditions such as chronic low back pain (LBP). Resistance training interventions that focus on core stabilization, lumbar strength and dynamic stability during loading have strong potential to reduce LBP and address amputation-related changes to the musculoskeletal system. Home-based resistance exercise programs may be attractive to patients to minimize travel and financial burdens.Methods/designThis study will be a single-assessor-blinded, pre-post-test randomised controlled trial involving 40 men and women aged 18–60 years with traumatic, unilateral transtibial amputation. Participants will be randomised to a home-based, resistance exercise group (HBRX) or a wait-list control group (CON). The HBRX will consist of 12 weeks of elastic resistance band and bodyweight training to improve core and lumbopelvic strength. Participants will be monitored via Skype or Facetime on a weekly basis. The primary outcome will be pain severity (11-point Numerical Pain Rating Scale; NRSpain). Secondary outcomes will include pain impact on quality of life (Medical Outcomes Short Form 36, Oswestry Disability Index and Roland Morris Disability Questionnaire), kinematics and kinetics of walking gait on an instrumented treadmill, muscle morphology (muscle thickness of multifidus, transversus abdominis, internal oblique), maximal muscle strength of key lumbar and core muscles, and daily step count.DiscussionThe study findings will determine whether a HBRX program can decrease pain severity and positively impact several physiological and mechanical factors that contribute to back pain in unilateral transtibial amputees with chronic LBP. We will determine the relative contribution of the exercise-induced changes in these factors on pain responsiveness in this population.Trial registrationClinicalTrials.gov, ID: NCT03300375. Registered on 2 October 2017.Electronic supplementary materialThe online version of this article (doi:10.1186/s13063-017-2362-0) contains supplementary material, which is available to authorized users.

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

Abstract: 2016-11-03T14:11:40

Cited by 42 publications

References 62 publications

Effect of exergames on musculoskeletal pain: A systematic review and meta‐analysis

Effect of exergames on musculoskeletal pain: A systematic review and meta‐analysis

Prescription of individual therapeutic exercises via smartphone app for patients suffering from non-specific back pain

Exercise intervention for unilateral amputees with low back pain: study protocol for a randomised, controlled trial

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