Do patients with chronic low back pain have an altered level and/or pattern of physical activity compared to healthy individuals? A systematic review of the literature

Abstract Background It is commonly assumed that patients with chronic low back pain are less active than healthy individuals. There has been a recent increase in the number of studies published comparing the physical activity levels of patients with chronic low back pain and healthy individuals. Obj...

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Bibliographic Details
Published in:Physiotherapy 2012-03, Vol.98 (1), p.13-23
Main Authors: Griffin, D.W, Harmon, D.C, Kennedy, N.M
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Adult
Aged
Aging - physiology
Chronic Disease
Chronic low back pain
Elderly people
Exercise - physiology
Humans
Low back pain
Low Back Pain - epidemiology
Low Back Pain - etiology
Measurement
Middle Aged
Physical activity
Physical Medicine and Rehabilitation
Sports
Young Adult
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Summary:Abstract Background It is commonly assumed that patients with chronic low back pain are less active than healthy individuals. There has been a recent increase in the number of studies published comparing the physical activity levels of patients with chronic low back pain and healthy individuals. Objectives The aim of this systematic review was to determine, based on the current body of evidence, if patients with chronic low back pain have a lower level and/or altered pattern of physical activity compared with asymptomatic, healthy individuals. Data sources The electronic databases Embase, Medline, ISI Web of Knowledge, Cinahl, Sport Discus and Nursing and Allied Health were searched from the beginning of each database until the end of December 2009. Review methods Studies which compared the level and/or pattern of physical activity of patients with chronic low back pain and healthy controls were included. The quality of the included studies was assessed using an assessment tool based on the Newcastle-Ottawa Scale. The scale was modified for the purposes of this study. Results Seven studies were included in the final review. Four studies recruited adult patients (18–65 years), two studies examined older adults (≥65 years) and one study recruited adolescents (
ISSN:0031-9406
1873-1465
DOI:10.1016/j.physio.2011.04.350