The Effect of Seated Elliptical Exercise on Chronic Low Back Pain: A Randomized Controlled Trial
Alireza Ebrahimi1, Atta Taseh1, Hannah McLeod1
1Department of Orthopaedic Surgery, Foot and Ankle Research and Innovation Laboratory (FARIL), Mass General Brigham, Harvard Medical School, Boston, USA.
Cureus
|January 14, 2026
Summary
Daily seated elliptical exercise significantly reduced pain intensity and interference in individuals with chronic low back pain (LBP). This exercise may be a beneficial intervention for managing LBP, particularly for those with sedentary lifestyles.
Area of Science:
- Exercise Science
- Rehabilitation Medicine
- Pain Management
Background:
- Low back pain (LBP) is a widespread issue linked to sedentary behavior, causing disability and high healthcare expenses.
- Chronic LBP significantly impacts daily life, necessitating effective management strategies.
Purpose of the Study:
- To assess the effectiveness of a six-week seated elliptical exercise program on chronic LBP.
- To evaluate improvements in pain levels and functional health using Patient-Reported Outcomes Measurement Information System (PROMIS) scores.
Main Methods:
- A randomized controlled trial was conducted with 54 participants diagnosed with chronic LBP.
- The study compared a six-week seated elliptical exercise regimen plus standard care against standard care alone.
- PROMIS Pain Intensity, Pain Interference, and Global Physical and Mental Health scores were the primary outcome measures.
Main Results:
- The intervention group demonstrated statistically significant reductions in Pain Intensity and Pain Interference scores from the first week.
- Significant improvements were observed in the seated elliptical exercise group compared to the control group.
- No significant changes were noted in Global Physical and Mental Health scores between the groups.
Conclusions:
- Seated elliptical exercise shows potential as an effective intervention for reducing pain in chronic low back pain.
- This exercise modality may offer a promising approach for pain relief and prevention of LBP, especially in sedentary populations.


