The impact of modified exercise and relaxation therapy on chronic lower back pain in office workers: a randomized clinical trial

Shariat, Ardalan; Alizadeh, Reza; Moradi, Vahideh; Hakakzadeh, Azadeh; Ansari, Noureddin Nakhsotin; Ingle, Lee; Shaw, Brandon S.; Shaw, Ina

doi:10.12965/jer.1938490.245

Cited by 33 publications

(31 citation statements)

References 40 publications

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“…Against our expectations, the perception of pain (BPI) and the pain-related disabilities in performing activities of daily living (ODI) have remained unchanged for both groups in our pilot study. Other studies applying a belly dance program ( 46 ), exercise therapy ( 47 ), or a videogame-based exercise program ( 48 ) were able to demonstrate reduced pain perception in chronic LBP patients.…”

Section: Discussionmentioning

confidence: 99%

Effect of a Multimodal Movement Intervention in Patients With Neurogenic Claudication Based on Lumbar Spinal Stenosis and/or Degenerative Spondylolisthesis—A Pilot Study

et al. 2020

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Chronic low-back pain is a major individual, social, and economic burden. The impairment ranges from deterioration of gait, limited mobility, to psychosocial distress. Due to this complexity, the demand for multimodal treatments is huge. Our purpose is to compare the effects of a multimodal movement intervention (MI) (coordinative–cognitive exercises and dancing program) with standard physical therapy (PT) on gait, physical function, and quality of life in patients with lumbar spinal stenosis (LSS). The study design is based on a 6-week intervention with a two (group: MI/PT) by two (measurement time points: pre-/post-test) parallel group design with random assignment. Twenty-four subjects (18 female/6 male, 70.8 ± 10.6 years old) diagnosed with LSS were included and randomly allocated to the MI or PT group. The primary outcomes are minimum toe clearance (MTC) and double step length (DSL) variability and the Timed “Up & Go” test (TUG). Secondary outcomes are the Brief Pain Inventory, the short Fall Efficacy Scale–International (sFES-I), and the Oswestry Disability Index. Nine subjects for each group could be analyzed. The MTC variability revealed a significant between-group difference in the posttest (p = 0.008) showing a lower MTC variability for the MI compared to the PT group. The MI group displayed an improved TUG (p = 0.031) and a reduced sFES-I (p = 0.044). The decreased MTC variability and fear of falling as well as the improved functional mobility may contribute to a reduced risk of falling. For the subsequent study, further kinematic and cognitive parameters should be analyzed, and the number of participants has to be increased.Clinical Trial Registration: German Clinical Trial Register (ID: DRKS00021026/URL: https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00021026).

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Section: Discussionmentioning

confidence: 99%

Effect of a Multimodal Movement Intervention in Patients With Neurogenic Claudication Based on Lumbar Spinal Stenosis and/or Degenerative Spondylolisthesis—A Pilot Study

et al. 2020

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“…Table 1 summarizes the characteristics of the 26 selected studies, which were conducted in the USA [41], Europe [33,36,37,39,41,[47][48][49][50][51][52]56], Australia [46,54], and Asia [34,35,38,40,42,44,45,53,55,57,58]. While one quasi-experimental study [55] and two observational studies [33,58] were conducted from 1998 to 2000, the 23 remaining studies 56,57] were conducted between 2010 and 2020.…”

Section: Characteristics Of Selected Studiesmentioning

confidence: 99%

“…While one quasi-experimental study [55] and two observational studies [33,58] were conducted from 1998 to 2000, the 23 remaining studies 56,57] were conducted between 2010 and 2020. A total of 4653 office workers from 17 RCTs (45.5%) [34][35][36][37][38][39][40][41][42][43][44][45][46][47][48][49][50], five quasi-experiments (13.0%) [51][52][53][54][55], and three observational studies (41.5%) [56][57][58] were pooled in the metaanalyses. Sample sizes of the included RCTs, quasi-experimental, and observational studies varied from 20 to 853, from 11 to 313, and from 109 to 1017 participants, respectively.…”

Section: Characteristics Of Selected Studiesmentioning

confidence: 99%

Physical Exercise and Health-Related Quality of Life in Office Workers: A Systematic Review and Meta-Analysis

Nguyen

Kim

2021

IJERPH

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Office workers are at high risk for many chronic diseases, lowering their health-related quality of life (HRQOL). This systematic review and meta-analysis aimed to summarize the effects of physical exercise on HRQOL in office workers with and without health problems using data obtained from randomized controlled trials (RCTs), quasi-experimental, and observational studies. We searched PubMed, Web of Science, Scopus, Cochrane Library, and several grey literature databases, and identified 26 relevant studies for the synthesis. Overall, physical exercise significantly improved general (standardized mean difference (SMD) = 1.05; 95% confidence interval (CI): 0.66 to 1.44) and mental (SMD = 0.42; 95% CI: 0.19 to 0.66) HRQOL in office workers. Compared with healthy office workers, unhealthy office workers experienced greater improvements in general (unhealthy, SMD = 2.76; 95% CI: 1.63 to 3.89; healthy, SMD = 0.23; 95% CI: −0.09 to 0.56) and physical (unhealthy, SMD = 0.38; 95% CI: 0.17 to 0.58; healthy, SMD = −0.20; 95% CI: −0.51 to 0.11) HRQOL. Unsupervised physical exercise significantly improved general and mental HRQOL, while directly supervised physical exercise significantly improved only general HRQOL. Although physical exercise, especially unsupervised physical exercise, should be encouraged to improve HRQOL in office workers, detailed recommendations could not be made because of the diverse exercise types with different intensities. Therefore, further studies are needed to determine the optimal exercise for office workers with different health conditions.

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“…Furthermore, obese people who had further limitation on bearing weight and joint stress (Gordon and Bloxham, 2016) can perform exercise in water without high pressure, and expend higher energy effortlessly during a favorable exercise (Hossein Abadi et al, 2017). Although, these findings showed a significant improvement in pain intensity, personal care, and the ability of sitting, standing, sleeping and employment/homemaking, if individuals do not care their LBP seriously, the pain may continue, intensify could ultimately lead to disability (Shariat et al, 2019). In that, the effectiveness of this type of intervention also warrants investigation in future studies.…”

Section: Discussionmentioning

confidence: 91%

The effect of aquatic exercise program on low-back pain disability in obese women

Abadi¹,

Sankaravel²,

Zainudin³

et al. 2019

J Exerc Rehabil

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Low-back pain (LBP) is one of the most current causes to reduce work performance, limit daily activities and raising health cost, and it is increasing as obesity growing as a public health concern. While obese LBP people cannot avoid weight load on the spine in any exercise, they can easily carry out exercise in water. This study aimed to investigate the effect of aquatic exercise on LBP disability among obese women. In this study, a total of 39 women with body mass index (BMI)≥ 27 kg/m 2 who suffering from nonspecific chronic LBP were purposively selected. They randomly assigned in two groups; aquatic and control. The aquatic group carried out aquatic exercise, twice per week, 60 min per session, for 12 weeks. LBP disability was measured using modified Oswestry questionnaire with ten sections; pain intensity, personal care, lifting, walking, sitting, standing, sleeping, social life, traveling, and employment. Results showed no significant difference in age, weight, BMI, waist to hip ratio, and percentage of body fat in both groups. An analyzing of multivariate analysis of covariance revealed that there was significant improvement on pain intensity, personal care, sitting, standing, sleeping, employment and total disability score in aquatic group, while there was no significant difference in lifting, walking, social life, and traveling abilities after 12 weeks between the groups. As a conclusion, this progressive aquatic exercise was a convenience and effective intervention program to reduce pain intensity, and improve personal care, sitting, standing, sleeping, and employment abilities in obese LBP women.

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The impact of modified exercise and relaxation therapy on chronic lower back pain in office workers: a randomized clinical trial

Cited by 33 publications

References 40 publications

Effect of a Multimodal Movement Intervention in Patients With Neurogenic Claudication Based on Lumbar Spinal Stenosis and/or Degenerative Spondylolisthesis—A Pilot Study

Effect of a Multimodal Movement Intervention in Patients With Neurogenic Claudication Based on Lumbar Spinal Stenosis and/or Degenerative Spondylolisthesis—A Pilot Study

Physical Exercise and Health-Related Quality of Life in Office Workers: A Systematic Review and Meta-Analysis

The effect of aquatic exercise program on low-back pain disability in obese women

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