Prevention of Low Back Pain in Sedentary Healthy Workers: A Pilot Study

Moore, Condict; Ceridan, Evangelina; Schonard, C.; Marasa, Mary; Shaib, Fidaa; Holland, Jon

doi:10.1097/maj.0b013e3182364942

Cited by 21 publications

(11 citation statements)

References 12 publications

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“…A total of 40 studies were finally included in this network meta-analysis. Of these, 38 studies28–65 reporting 46 RCTs (accounting individually for multiple study arms within trials) were included in the Episode of LBP network (see online supplementary appendix tables B1 and B2 for descriptions and baseline data of included studies, respectively). Four of these 38 studies included three study arms 36 44 59 60.…”

Section: Resultsmentioning

confidence: 99%

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Exercise alone and exercise combined with education both prevent episodes of low back pain and related absenteeism: systematic review and network meta-analysis of randomised controlled trials (RCTs) aimed at preventing back pain

et al. 2019

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ObjectivesWe aimed to investigate which prevention strategies for low back pain (LBP) are most effective.DesignWe completed a Bayesian network meta-analysis to summarise the comparative effectiveness of LBP prevention strategies. The primary outcomes were an episode of LBP and LBP-associated work absenteeism represented as ORs with associated 95% credibility intervals (CrIs). We ranked all prevention strategies with surface under the cumulative ranking curve (SUCRA) analysis.Data sourcesPubMed, EMBASE and CENTRAL databases were searched along with manual searches of retrieved articles. We only included randomised controlled trials (RCTs) that reported an episode of LBP and/or LBP-associated work absenteeism evaluating LBP prevention strategies were included.Eligibility criteria for selecting studiesData were independently extracted by two investigators, and RCT quality was assessed using the Cochrane Risk of Bias tool.Results and summaryForty RCTs were included. Exercise combined with education (OR: 0.59, CrI: 0.41 to 0.82) and exercise alone (OR: 0.59, CrI: 0.36 to 0.92) both prevented LBP episodes; exercise combined with education and education alone both had large areas under the curve (SUCRA: 81.3 and 79.4, respectively). Additionally, exercise (OR: 0.04, CrI: 0.00 to 0.34) prevented LBP-associated work absenteeism, with exercise and the combination of exercise and education ranking highest (SUCRA: 99.0 and 60.2, respectively).ConclusionsExercise alone and exercise combined with education can prevent episodes of LBP and LBP-related absenteeism.Trial registration numberPROSPERO 42017056884.

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Section: Resultsmentioning

confidence: 99%

“…We have presented the Risk of Bias assessment in online supplementary appendix table B3. Of the 40 total studies, 3 studies (7.5%) were considered to have a low risk of bias (>9 bias score) 52 53 55. Twenty studies (50%) were considered to present a moderate risk of bias 28 31 32 34 39–42 46 49 50 57–59 61–65 68.…”

Section: Resultsmentioning

confidence: 99%

Exercise alone and exercise combined with education both prevent episodes of low back pain and related absenteeism: systematic review and network meta-analysis of randomised controlled trials (RCTs) aimed at preventing back pain

et al. 2019

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“…Four trials reporting data on 898 participants were included in the meta-analysis to estimate the short-term (ie, ≤12 months) efficacy of exercise on incident cases of LBP (presented as RR [95% CI]). 21,25,26,42 The pooled results provide low-quality evidence of a protective effect of exercise (0.65 [0.50-0.86]). In the long-term (ie, >12 months), the pooled results of 2 trials (334 participants) provide very low-quality evidence of no effect of exercise (1.04 [0.73-1.49]) ( Figure 2).…”

Section: Exercise Vs Control Minimal Intervention or Supplementmentioning

confidence: 99%

Prevention of Low Back Pain

et al. 2016

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“…28,35,[37][38][39][40] It has been postulated that the abdominal musculature of most people is atrophied due to the effects of the sedentary modern lifestyle. [41][42][43] The RA and lateral abdominal wall (LAW) muscles (external oblique, IO, and TrA) play an important role, not only in appearance, muscle strength, and endurance, but also in LC. Although various electrical stimulation devices for the abdominal muscles are being marketed to the general public, there is still a lack of research on whether ST alone, EMS alone, or both in combination is mosteffective for improving abdominal functions.…”

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confidence: 99%

Effect of Abdominal Electrical Muscle Stimulation Training With and Without Superimposed Voluntary Muscular Contraction on Lumbopelvic Control

Hwang¹,

Jung²,

Kim³

et al. 2020

Journal of Sport Rehabilitation

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Context: Electrical muscle stimulation (EMS) was designed for artificial muscle activation or superimposed training. Objectives: To compare the effects of 8 weeks of superimposed technique (ST; application of electrical stimulation during a voluntary muscle action) and EMS on the cross-sectional area of the rectus abdominis, lateral abdominal wall, and on lumbopelvic control. Setting: University research laboratory. Design: Randomized controlled trial. Participants: Fifty healthy subjects were recruited and randomly assigned to either the ST or EMS group. Intervention: The participants engaged with the electrical stimulation techniques (ST or EMS) for 8 weeks. Main Outcome Measures: In all participants, the cross-sectional area of the rectus abdominis and lateral abdominal wall was measured by magnetic resonance imaging and lumbopelvic control, quantified using the single-leg and double-leg lowering tests. Results: There were no significant differences in the cross-sectional area of the rectus abdominis (right: P = .70, left: P = .99) or lateral abdominal wall (right: P = .07, left: P = .69) between groups. There was a significant difference between groups in the double-leg lowering test (P = .03), but not in the single-leg lowering test (P = .88). There were significant differences between the preintervention and postintervention in the single-leg (P < .001) and double-leg lowering tests (P < .001). Conclusions: ST could improve lumbopelvic control in the context of athletic training and fitness.

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Prevention of Low Back Pain in Sedentary Healthy Workers: A Pilot Study

Cited by 21 publications

References 12 publications

Exercise alone and exercise combined with education both prevent episodes of low back pain and related absenteeism: systematic review and network meta-analysis of randomised controlled trials (RCTs) aimed at preventing back pain

Exercise alone and exercise combined with education both prevent episodes of low back pain and related absenteeism: systematic review and network meta-analysis of randomised controlled trials (RCTs) aimed at preventing back pain

Prevention of Low Back Pain

Effect of Abdominal Electrical Muscle Stimulation Training With and Without Superimposed Voluntary Muscular Contraction on Lumbopelvic Control

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