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Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis

Author

Listed:
  • Chloé Quentin

    (CHU Clermont-Ferrand, Department of Family Medicine, Faculty of Medicine, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France)

  • Reza Bagheri

    (Department of Exercise Physiology, University of Isfahan, Isfahan 81746-73441, Iran)

  • Ukadike C. Ugbolue

    (School of Health and Life Sciences, Institute for Clinical Exercise & Health Science, University of the West of Scotland, Glasgow G720LH, UK)

  • Emmanuel Coudeyre

    (Physical Medicine and Rehabilitation, INRAE, UNH, CHU Clermont-Ferrand, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France)

  • Carole Pélissier

    (UMRESTTE, IFSTTAR, Université Lyon, 42100 Saint Etienne, France
    UMRESTTE, IFSTTAR, Université St Etienne, 42100 Saint Etienne, France)

  • Alexis Descatha

    (Inserm, EHESP, Irset (Institut de Recherche en santé, Environnement et Travail), CAPTV-CDC, Université Angers, CHU Angers, F-49000 Angers, France
    Inserm, EHESP, Irset (Institut de Recherche en santé, Environnement et Travail), CAPTV-CDC, Université Rennes, F-49000 Angers, France)

  • Thibault Menini

    (Department of Family Medicine, Faculty of Medicine, CHU Clermont-Ferrand, ACCePPT, Université Clermont Auvergne, F-63000 Clermont Ferrand, France)

  • Jean-Baptiste Bouillon-Minois

    (Department of Emergency, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France)

  • Frédéric Dutheil

    (Occupational and Environmental Medicine, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, WittyFit, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France)

Abstract

Background: Exercise therapy is recommended to treat non-specific low back pain (LBP). Home-based exercises are promising way to mitigate the lack of availability of exercise centers. In this paper, we conducted a systemic review and meta-analysis on the effects of home-based exercise on pain and functional limitation in LBP. Method: PubMed, Cochrane, Embase and ScienceDirect were searched until April 20th, 2021. In order to be selected, studies needed to report the pain and functional limitation of patients before and after home-based exercise or after exercise both in a center and at-home. Random-effect meta-analyses and meta-regressions were conducted. Results: We included 33 studies and 9588 patients. We found that pain intensity decreased in the exclusive home exercise group (Effect size = −0.89. 95% CI −0.99 to −0.80) and in the group which conducted exercise both at-home and at another setting (−0.73. −0.86 to −0.59). Similarly, functional limitation also decreased in both groups (−0.75. −0.91 to −0.60, and −0.70, −0.92 to −0.48, respectively). Relaxation and postural exercise seemed to be ineffective in decreasing pain intensity, whereas trunk, pelvic or leg stretching decreased pain intensity. Yoga improved functional limitation. Supervised training was the most effective method to improve pain intensity. Insufficient data precluded robust conclusions around the duration and frequency of the sessions and program. Conclusion: Home-based exercise training improved pain intensity and functional limitation parameters in LBP.

Suggested Citation

  • Chloé Quentin & Reza Bagheri & Ukadike C. Ugbolue & Emmanuel Coudeyre & Carole Pélissier & Alexis Descatha & Thibault Menini & Jean-Baptiste Bouillon-Minois & Frédéric Dutheil, 2021. "Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 18(16), pages 1-24, August.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:16:p:8430-:d:611700
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    References listed on IDEAS

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    1. Brownson, R.C. & Baker, E.A. & Housemann, R.A. & Brennan, L.K. & Bacak, S.J., 2001. "Environmental and policy determinants of physical activity in the United States," American Journal of Public Health, American Public Health Association, vol. 91(12), pages 1995-2003.
    2. Sven Haufe & Klaus Wiechmann & Lothar Stein & Momme Kück & Andrea Smith & Stefan Meineke & Yvonne Zirkelbach & Samuel Rodriguez Duarte & Michael Drupp & Uwe Tegtbur, 2017. "Low-dose, non-supervised, health insurance initiated exercise for the treatment and prevention of chronic low back pain in employees. Results from a randomized controlled trial," PLOS ONE, Public Library of Science, vol. 12(6), pages 1-16, June.
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    1. Beatrice Lepri & Daniele Romani & Lorenzo Storari & Valerio Barbari, 2023. "Effectiveness of Pain Neuroscience Education in Patients with Chronic Musculoskeletal Pain and Central Sensitization: A Systematic Review," IJERPH, MDPI, vol. 20(5), pages 1-48, February.
    2. Peter Krkoska & Daniela Vlazna & Michaela Sladeckova & Jitka Minarikova & Tamara Barusova & Ladislav Batalik & Filip Dosbaba & Stanislav Vohanka & Blanka Adamova, 2023. "Adherence and Effect of Home-Based Rehabilitation with Telemonitoring Support in Patients with Chronic Non-Specific Low Back Pain: A Pilot Study," IJERPH, MDPI, vol. 20(2), pages 1-14, January.

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