Prevention of non-specific back pain through exercise and education: A systematic review and meta-analysis

  1. Hernandez-Lucas, Pablo 3
  2. Leirós-Rodríguez, Raquel 2
  3. Lopez-Barreiro, Juan 1
  4. García-Soidán, José L. 1
  1. 1 Faculty of Education and Sport Sciences, University of Vigo, Pontevedra. Spain
  2. 2 SALBIS Research Group, Nursing and Physical Therapy Department, University of León, Ponferrada. Spain
  3. 3 Department of Functional Biology and Health Sciences, Faculty of Physiotherapy, University of Vigo, Pontevedra. Spain
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Revista:
Journal of Back and Musculoskeletal Rehabilitation

ISSN: 1053-8127,  1878-6324

Ano de publicación: 2023

Páxinas: 1-14

Tipo: Artigo

DOI: 10.3233/BMR-230252 GOOGLE SCHOLAR lock_openAcceso aberto editor

Outras publicacións en: Journal of Back and Musculoskeletal Rehabilitation

Resumo

BACKGROUND: Clinical practice guidelines stress the importance of prevention and treatment of non-specific back pain through exercise therapy. However, it has not yet been confirmed whether the combination of exercise plus education is more effective than such interventions taken separately. OBJECTIVE: To determine if the combination of exercise plus education is more effective for the prevention of non-specific back pain than exercise or education alone. METHOD: A systematic search of studies whose sample consisted of participants without non-specific back pain (primary prevention) and participants with non-specific back pain (secondary and tertiary prevention) was conducted in the following databases in March 2023: PubMed, Scopus, Web of Science and Medline. RESULTS: A total of 16 articles were selected. Statistically significant results were found in the pain variable with SMD =-2.02 (95% CI =-2.71 to -1.33; p< 0.001), the disability variable with SMD =-1.14 (95% CI =-1.63 to -0.65; p< 0.001), and the kinesiophobia variable with SMD =-1.8 (95% CI =-2.54 to -1.05; p< 0.001). CONCLUSION: Interventions that combine exercise and education seem to have a greater preventive effect on non-specific back pain, disability and kinesiophobia than those that include exercise or education in an isolated manner.