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

Chloé Quentin, Reza Bagheri, Ukadike C. Ugbolue, Emmanuel Coudeyre, Carole Pélissier, Alexis Descatha, Thibault Menini, Jean-Baptiste Bouillon-Minois and Frédéric Dutheil
Additional contact information
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
Alexis Descatha: Inserm, EHESP, Irset (Institut de Recherche en santé, Environnement et Travail), CAPTV-CDC, Université Angers, CHU Angers, 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

IJERPH, 2021, vol. 18, issue 16, 1-24

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.

Keywords: musculoskeletal disorders; lumbalgia; physical activity; prevention; public health (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (2)

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