Intervention Review

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Exercises for prevention of recurrences of low-back pain

  1. Brian KL Choi1,*,
  2. Jos H Verbeek2,
  3. Wilson Wai-San Tam3,
  4. Johnny Y Jiang4

Editorial Group: Cochrane Back Group

Published Online: 17 MAR 2010

Assessed as up-to-date: 23 JUL 2009

DOI: 10.1002/14651858.CD006555.pub2

How to Cite

Choi BKL, Verbeek JH, Tam WWS, Jiang JY. Exercises for prevention of recurrences of low-back pain. Cochrane Database of Systematic Reviews 2010, Issue 1. Art. No.: CD006555. DOI: 10.1002/14651858.CD006555.pub2.

Author Information

  1. 1

    Ministry of Health, Health Services Research and Evaluation Division, Singapore, Singapore

  2. 2

    Finnish Institute of Occupational Health, Occupational Safety and Health Review Group, Kuopio, Finland

  3. 3

    The University of Hong Kong, Department of Community Medicine and School of Public Health, Hong Kong SAR, China

  4. 4

    Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China

*Brian KL Choi, Health Services Research and Evaluation Division, Ministry of Health, College of Medicine Building, 16 College Road, Singapore, 169854, Singapore. brian_choi@moh.gov.sg. kolongchoi@gmail.com.

Publication History

  1. Publication Status: Edited (no change to conclusions)
  2. Published Online: 17 MAR 2010

SEARCH

References

References to studies included in this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
Cherkin 1998 {published data only}
  • Cherkin, DC, R A Deyo, M Battie, J Street, W Barlow. A comparison of physical therapy, chiropractic manipulation, and provision of an educational booklet for the treatment of patients with low back pain. New England Journal of Medicine 1998;339(15):1021-9.
Donchin 1990 {published data only}
Faas 1998 {published data only}
  • Faas, A, A W Chavannes, J T van Eijk, J W Gubbels. A randomized, placebo-controlled trial of exercise therapy in patients with acute low back pain. Spine 1993;18(11):1388-95.
Hagen 2003 {published data only}
  • Hagen EM, Grasdal A, Eriksen HR. Does early intervention with a light mobilization program reduce long-term sick leave for low back pain: A 3-year follow-up study. Spine 2003;28(20):2309-15.
Hides 2001 {published data only}
  • Hides JA, Jull GA, Richardson CA. Long-term effects of specific stabilizing exercises for first-episode low back pain. Spine 2001;26(11):E243-8.
Kellett 1991 {published data only}
Ljunggren 1997 {published data only}
Soukup 1999 {published data only}
  • Glomsrød B, Lønn JH, Soukup MG, Bo K, Larsen S. "Active back school", prophylactic management for low back pain: three-year follow-up of a randomized, controlled trial. Journal of Rehabilitation Medicine 2001;33(1):26-30.
  • Lønn JH, Glømsrod B, Soukup MG, Bo K, Larsen S. Active back school: prophylactic management for low back pain: A randomized, controlled, 1-year follow-up study. Spine 1999;24(9):865-71.
  • Soukup MG, Glømsrod B, Lønn JH, Bo K, Larsen S. The effect of a Mensendieck exercise program as secondary prophylaxis for recurrent low back pain. A randomized, controlled trial with 12-month follow-up. Spine 1999;24(15):1585-91; discussion 1592.
  • Soukup MG, Lønn J, Glømsrod B, Bo K, Larsen S. Exercises and education as secondary prevention for recurrent low back pain. Physiotherapy research international : the journal for researchers and clinicians in physical therapy 2001;6:27-39.
Stankovic 1990 {published data only}
  • Stankovic R, Johnell O. Conservative treatment of acute low back pain. A 5-year follow-up study of two methods of treatment. Spine 1995;20(4):469-72.
  • Stankovic R, Johnell O. Conservative treatment of acute low-back pain. A prospective randomized trial: McKenzie method of treatment versus patient education in "mini back school". Spine 1990;15(2):120-3.

References to studies excluded from this review

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
Alexandre 2001 {published data only}
  • Alexandre NMC, De Moraes MAA, Correa Filho HR, Jorge SA. Evaluation of a program to reduce back pain in nursing personnel. Revista de Saude Publica 2001;35(4):356-61.
Amako 2003 {published data only}
  • Amako M, Oda T, Masuoka K, Yokoi H, Campisi P. Effect of static stretching on prevention of injuries for military recruits. Military Medicine 2003;168(6):442-6.
Buchbinder 2002 {published data only}
  • Buchbinder R, Hoving J. Specific spinal exercise substantially reduces the risk of low back pain recurrence. Australian Journal of Physiotherapy 2002; Vol. 48, issue 1:55.
Cairns 2006 {published data only}
  • Cairns MC, Foster NE, Wright C. Randomized controlled trial of specific spinal stabilization exercises and conventional physiotherapy for recurrent low back pain. Spine 2006;31(19):E670-81.
Gundewall 1993 {published data only}
Helewa 1999 {published data only}
  • Helewa A, Goldsmith CH, Lee P, Smythe HA, Forwell L. Does strengthening the abdominal muscles prevent low back pain - A randomized controlled trial. Journal of Rheumatology 1999;26(8):1808-15.
Hides 1996 {published data only}
Hlobil 2005 {published data only}
  • Hlobil, H, J B Staal, J Twisk, A Koke, G Ariens, T Smid, W van Mechelen. The effects of a graded activity intervention for low back pain in occupational health on sick leave, functional status and pain: 12-month results of a randomized controlled trial. Journal of Occupational Rehabilitation 2005;15(4):569-80.
Kofotolis 2005 {published data only}
  • Kofotolis N, Sambanis M. The influence of exercise on musculoskeletal disorders of the lumbar spine. Journal of Sports Medicine & Physical Fitness 2005;45(1):84-92.
Koumantakis 2005 {published data only}
  • Koumantakis GA, Watson PJ, Oldham JA. Supplementation of general endurance exercise with stabilisation training versus general exercise only. Physiological and functional outcomes of a randomized controlled trial of patients with recurrent low back pain. Clinical Biomechanics, 2005;20(5):474-82.
Koumantakis 2005a {published data only}
  • Koumantakis GA, Watson PJ, Oldham JA. Trunk muscle stabilization training plus general exercise versus general exercise only: randomized controlled trial of patients with recurrent low back pain. Physical Therapy 2005;85(3):209-25.
Kuukkanen 2000 {published data only}
Leclaire 1996 {published data only}
  • Leclaire R, Esdaile JM, Suissa S, Rossignol M, Proulx R, Dupuis M. Back school in a first episode of compensated acute low back pain: a clinical trial to assess efficacy and prevent relapse. Archives of physical medicine and rehabilitation 1996;77:673-9.
Maul 2005 {published data only}
Medina 1995 {published data only}
  • Medina MF, Brotons RJ, Manrique SJ. Comparative study on the influence of health education on perceived recurrences after physiotherapy [Spanish]. Atencion Primaria 1995;16(8):464-8.
Sjogren 2006 {published data only}
  • Sjogren T, Nissinen KJ, Jarvenpaa SK, Ojanen MT, Vanharanta H, Malkia EA. Effects of a workplace physical exercise intervention on the intensity of low back symptoms in office workers: A cluster randomized controlled cross-over design. Journal of Back & Musculoskeletal Rehabilitation 2006;19(1):13-24.
Staal 2004 {published data only}
  • Staal JB, Hlobil H, Twisk JW, Smid T, Koke AJ, van Mechelen W. Graded activity for low back pain in occupational health care. Annals of Internal Medicine 2004;140(2):77-84.
Suni 2006 {published data only}
  • Suni J, Rinne M, Natri A, Statistisian MP, Parkkari J, Alaranta H. Control of the lumbar neutral zone decreases low back pain and improves self-evaluated work ability: a 12-month randomized controlled study. Spine 2006;31(18):E611-20.

Additional references

  1. References to studies included in this review
  2. References to studies excluded from this review
  3. Additional references
ACSM 2006
  • ACSM. Benefits and Risks associated with Physical Activity. In: Whaley MH editor(s). ACSM's guidelines for exercise testing and prescription. 7th Edition. London: Lippincott Williams & Wilkins, 2006.
Andersson 1999
Bergquist 1977
  • Bergquist-Ullman M, Larsson U. Acute low back pain in industry. A controlled prospective study with special reference to therapy and confounding factors. Acta Orthopaedica Scandinavica 1977;170:1-117.
Carey 1999
  • Carey TS, Garrett JM, Jackman A, Hadler N. Recurrence and care seeking after acute back pain: results of a long-term follow-up study. North Carolina back pain project. Medical Care 1999;37(2):157-64.
Cassidy 1998
De Vet 2002
  • De Vet HCW, Heymans MW, Dunn KM, Pope DP, Van der Beek AJ, Macfarlane GJ, et al. Episodes of Low Back Pain: A proposal for Uniform definitions to be used in research. Spine 2002;27:2409-16.
Deyo 2006
Druss 2000
Egger 1997
Furlan 2009
  • Furlan AD, Pennick V, Bombardier C, van Tulder M, Editorial Board, Cochrane Back Review Group. 2009 updated method guidelines for systematic reviews in the Cochrane Back Review Group. Spine 2009; Vol. 34, issue 18:1929-41.
Hagen 2004
  • Hagen KB, Hilde G, Jamtvedt G, Winnem M. Bed rest for acute low-back pain and sciatica. Cochrane Database of Systematic Reviews 2004, Issue 4. [DOI: ]
Harreby 1996
  • Harreby M, Kjer J, Hesselsoe G, Neergaard K. Epidemiological aspects and risk factors for low back pain in 38-year-old men and women: a 25-year prospective cohort study of 640 school children. European Spine Journal 1996;5(5):312-8.
Hayden 2005
  • Hayden JA, van Tulder MW, Malmivaara A, Koes BW. Exercise therapy for treatment of non-specific low back pain. Cochrane Database of Systematic Reviews 2005, Issue 3. [DOI: ]
Higgins 2008
  • Higgins JPT, Green S (editors). Cochrane Handbook for Systematic Reviews of Interventions. Chichester: John Wiley & Sons, 2008.
Ihlebaek 2006
  • Ihlebaek C, Hansson TH, Laerum E, Brage S, Eriksen HR, Holm SH, et al. Prevalence of low back pain and sickness absence: a "borderline" study in Norway and Sweden. Scandinavian Journal of Public health 2006;34(5):555-8.
Lahad 1994
Linton 2001
Maniadakis 2000
McKinnon 1997
RevMan 2003
  • The Nordic Cochrane Centre, The Cochrane Collaboration. Review Manager (RevMan). 4.2 for Windows. Copenhagen: The Nordic Cochrane Centre, The Cochrane Collaboration, 2003.
Stanton 2009
Strauss 1993
  • Strauss S, Guthrie F, Nicolisi F. Prevalence of pain complaints in a general population: an Australian study. Australian Association Musculoskeletal Medicine Bulletin 1993;9:54–61.
Tse 2003
  • Tse LY, Lam TH, Yip HK. Physical Health. Report on Population Health Survey. Department of Health, Hong Kong. 2003/2004:31.
van Tulder 2003
Verbeek 2004
  • Verbeek J, Sengers MJ, Riemens L, Haafkens J. Patient expectations of treatment for back pain: a systematic review of qualitative and quantitative studies. Spine 2004;29(20):2309-18.
Von Korff 1993
Wasiak 2003
Wasiak 2009
  • Wasiak R, Young AE, Dunn KM, Côté P, Gross DP, Heymans MW, et al. Back Pain Recurrence: An Evaluation of Existing Indicators and Direction for Future Research. Spine 2009;34(9):970-7.
Woolf 2003
  • Woolf AD, Hazes JM, Akesson K, Khaltaev N, Cimmino M, Dieppe P, et al. The Burden of Musculoskeletal Conditions at the Start of the New Millennium. Report of a WHO Scientific Group, in WHO Technical Report Series; 919. 2003:102-3.