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See Latest ArticlesReview: back exercise interventions prevent self-reported episodes of back problems in adults but ergonomic education does not
Evidence-Based Medicine, 08/13/09
Margo M – Back exercise interventions prevent self–reported back problems in adults; stress management, shoe inserts, lumbar supports, ergonomic education, and reduced–lifting programmes do not.
Methods- Medline and EMBASE/Excerpta Medica (to May 2007), Cochrane Back Review Group Specialised Trial Registry (to Aug 2008), and reference lists were searched for randomised controlled trials (RCTs) or other controlled trials (OCTs). Included studies evaluated any intervention for preventing episodes of back problems (back symptoms or limited activity because of back pain or sciatica) in people 18–65 years of age. Studies that reported changes in anatomy or physiology or knowledge outcomes, or evaluated patient treatment to reduce disability were excluded.
- Outcomes included self–reported back problems.
- 17 high–quality RCTs and 3 OCTs met the selection criteria.
- Meta–analysis was not done because of study heterogeneity.
- Various back exercise interventions, ranging from 45 minutes to 6.7 hours of education time, reduced self–reported back problems compared with education alone or no intervention in 7 out of 8 RCTs.
- Trials of other interventions including ergonomic education (4 trials), stress management (1 trial), lumbar supports (4 trials), shoe inserts (2 trials), and programmes that reduced lifting (4 trials) did not show prevention of episodes of back problems.
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