This meta-analysis compared progressive aerobic training (PAT) to progressive resistance training (PRT) for pain, disability and quality of life (QoL) in people with chronic non-specific low back pain (CNSLBP).
METHODS:
Five electronic databases were systematically searched up to 1 March 2016. Randomised controlled trials included land-based PAT, PRT or combined PRT and PAT, versus usual care for CNSLBP. Exercise interventions were supervised a minimum of once per week and performed 2 days/week for 6 weeks. Outcome measurements were pain intensity, disability, and QoL. Standardised mean difference (SMD) and mean difference (MD) were calculated using Review Manager 5.3.
RESULTS:
Six studies were included, comprising 333 participants (94 PRT, 93 PAT, 146 usual care; 66% female; age 44 6 years; duration of pain 7 6 years). Exercise significantly reduced pain intensity (SMD 0.42 [0.80, 0.03]; 0.03) although neither mode proved superior. PRT significantly improved the Short Form Health Survey-Mental Component Score (SF-MCS) (MD 5.74 [2.02, 9.47]; 0.002).
CONCLUSIONS:
PAT and PRT decreased pain intensity in individuals with CNSLBP although neither mode was superior. Resistance exercise improved psychological wellbeing. High-quality RCTs comparing PAT, PRT, and PAT PRT, are required.
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