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Is exercise therapy effective treatment for low back pain?
Christine Broszko1, Krystyna Golden1, Cody R Holmes1
1Eglin Air Force Base Family Medicine Residency, FL.
The Journal of Family Practice
|November 24, 2021
Summary
Exercise therapy offers modest pain relief for chronic low back pain (LBP), improving function and reducing disability. However, it shows no benefit for acute LBP.
Area of Science:
- Physical therapy and rehabilitation
- Musculoskeletal health
- Pain management
Background:
- Chronic low back pain (LBP) is a prevalent condition with significant impact on function and disability.
- Exercise therapy is a common non-pharmacological approach for LBP management.
Purpose of the Study:
- To evaluate the effectiveness of exercise therapy for different stages of low back pain.
- To assess the impact of exercise on pain, function, and work disability.
Main Methods:
- Systematic review of randomized controlled trials (RCTs).
- Meta-analysis of RCTs.
Main Results:
- Exercise therapy demonstrated a modest decrease in pain for chronic LBP, with 4%-15% improvement in short- and long-term follow-up (SOR A).
- Exercise therapy improved function in subacute LBP and decreased work disability in chronic LBP (SOR A).
- No significant improvement in acute LBP was associated with exercise therapy (SOR A).
Conclusions:
- Exercise therapy is a recommended intervention for chronic low back pain, offering moderate benefits for pain and function.
- Exercise therapy may be beneficial for subacute LBP regarding function and chronic LBP regarding work disability.
- Exercise therapy is not recommended for acute low back pain based on current evidence.
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