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[Therapeutic exercise as treatment for spinal chronic pain: systematic review of randomized clinical trials]
A Hernando-Jorge1, D Pérez-Del-Pozo1, D Sánchez-Martín1
1Departamento de Fisioterapia, Centro Superior de Estudios Universitarios La Salle, Universidad Autónoma de Madrid, España.
Objective:
The objective of the present review was to analyze and compare the effectiveness of different types of therapeutic exercise in people with chronic spinal pain.
Methods:
Data search was conducted using the electronic database MEDLINE. Randomized clinical trials, conducted in patients between 18 and 65 years old with chronic pain in the spine region, were included.
Results:
Two independent reviewers performed the analysis of methodological quality using the PEDro scale, with 13 studies finally selected. The different types of therapeutic exercise had significant effects on pain reduction, decrease of disability and improvement of the quality of life of the patients.
Conclusions:
The results show that there is no modality of therapeutic exercise superior to others. The combination of different therapeutic exercise modalities could be a complete tool for the management of chronic pain in the spine.
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