Which type of exercise is best for low back pain? A network meta-analysis investigates...
- RRS Education
Happy New Year! Let’s get our science-geek going in 2020 - starting with this network meta-analysis (explained below) on specific exercise interventions for low back pain (LBP).
Although chronic LBP (lasting 12 weeks or longer) comprises approximately 20% of cases of LBP, it accounts for approximately 80% of the direct costs for treating LBP. Exercise has consistently been found to be more effective than non-exercise-based treatments in adults; however, little research has been done to determine if specific types of exercise is more effective for the treatment of non-specific cLBP.
In a network meta-analysis (NMA), researchers are able to incorporate data from RCTs that do not necessarily have the same comparator group in a network of studies, allowing the authors to include studies that tested two or more kinds of treatment, with or without a control. This allows for direct comparison of treatment and indirect comparisons with the network. Interestingly, this approach allows researchers to rank interventions as comparably more or less effective.
The aim of this study was to conduct a systematic review and NMA on the effectiveness of specific exercises in adults with non-specific, chronic LBP. Additionally, the authors examined treatment effects on subjective physical function, mental health, analgesic use and objective trunk muscle strength and endurance. Finally, this reviewed aimed to compare exercise training with “hands-on” treatment (i.e. manual therapy) and “hands-off” treatment (i.e. education)…LOG IN OR SUBSCRIBE TO ACCESS THIS REVIEW!
THIS WEEK'S RESEARCH REVIEW:
“Specific Modes of Exercise for Treating Low Back Pain”
This paper was published in the British Journal of Sports Medicine (2019) and this Review is posted in Recent Reviews, Low Back Pain, Rehabilitation - Spinal and the 2020 Archive.