Effects of exercise therapy on disability, mobility, and quality of life in the elderly with chronic low back pain: a systematic review and meta-analysis of randomized controlled trials

Exercise is an effective treatment in chronic low back pain (CLBP), but there are few studies on CLBP in the elderly, and the intervention effect is controversial. We aimed to compare the efficacy of different exercises therapy on CLBP, dysfunction, quality of life, and mobility in the elderly. We s...

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Bibliographic Details
Published in:Journal of orthopaedic surgery and research 2023-07, Vol.18 (1), p.513-513, Article 513
Main Authors: Zhang, Shi-Kun, Gu, Mei-Ling, Zhang, Ting, Xu, Hong, Mao, Su-Jie, Zhou, Wen-Sheng
Format: Article
Language:English
Subjects:
Aged
Analysis
Back pain
Backache
Care and treatment
Chronic low back pain
Chronic Pain - therapy
Clinical trials
Elderly
Exercise
Exercise therapy
Exercise Therapy - methods
Humans
Intervention
Low back pain
Low Back Pain - therapy
Meta-analysis
Middle age
Mobility
Orthopedics
Pain
Physical activity
Physical fitness
Physical therapy
Quality of Life
Randomized Controlled Trials as Topic
Rehabilitation
Statistical analysis
Surveys
Vertebrae
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Summary:Exercise is an effective treatment in chronic low back pain (CLBP), but there are few studies on CLBP in the elderly, and the intervention effect is controversial. We aimed to compare the efficacy of different exercises therapy on CLBP, dysfunction, quality of life, and mobility in the elderly. We searched Web of Science, MEDLINE, Cochrane Library, Chinese National Knowledge Infrastructure, EMBASE, and PubMed from the database inception till December 31, 2022. The publication languages were Chinese and English. Randomized controlled trials (RCTs) of exercise intervention in the elderly (≥ 60 years) with CLBP were included. Two reviewers independently extracted the data and evaluated them using the Revised Cochrane Risk of Bias Tool for Randomized Trials 2 (RoB2). The pooled effect sizes on different aspects of outcome measures were calculated. Sixteen articles (18 RCTs) were included, comprising a total of 989 participants. The quality of included studies was relatively high. Meta-analysis results indicated that exercise therapy could improve visual analog scale (VAS) (WMD = - 1.75, 95% CI - 2.59, - 0.92, p 
ISSN:1749-799X
1749-799X
DOI:10.1186/s13018-023-03988-y