To move or not to move? The effect of physical activity and exercise on pain perception for people with non-specific low back pain, a review of the literature
(2024) FYPK58 20241Human Movement: health and rehabilitation
- Abstract
- Objective: This review aims to consolidate contemporary literature examining the impact of physical activity (PA) and exercise on sensitisation and pain perception in individuals with chronic non-specific low back pain (cLBP).
Methods: A semi-systematic approach was employed, utilising Pubmed and PEDro databases for the period between 2013-2023. Eligibility criteria included randomised control trials (RCTs) in English including patients with non-specific lower back pain. The study selection process involved defined criteria, a comprehensive search strategy, screening, and quality control assessments.
Results: Of the 21 included RCTs, 11 incorporated resistance training, revealing significant improvements in pain perception within groups... (More) - Objective: This review aims to consolidate contemporary literature examining the impact of physical activity (PA) and exercise on sensitisation and pain perception in individuals with chronic non-specific low back pain (cLBP).
Methods: A semi-systematic approach was employed, utilising Pubmed and PEDro databases for the period between 2013-2023. Eligibility criteria included randomised control trials (RCTs) in English including patients with non-specific lower back pain. The study selection process involved defined criteria, a comprehensive search strategy, screening, and quality control assessments.
Results: Of the 21 included RCTs, 11 incorporated resistance training, revealing significant improvements in pain perception within groups but no difference between other active control groups. One study comparing cycling (aerobic exercise) with trunk exercises (resistance training) demonstrated no significant between-group improvements. Eight studies utilised a combined approach of resistance training and aerobic exercise, indicating significant within-group enhancements in central sensitization and pain-related disability. Seven studies employed PA as an intervention, with two showing significant between-group improvements in pain compared to controls. One being an individualised pedometer walking program and the other being
pedometer-based internet-mediated intervention. Thirteen studies explored various interventions, with notable outcomes, including task-oriented exercises and pain neuroscience education coupled with motor control exercises.
Conclusion: This review underscores the complex landscape of interventions for cLBP, with resistance training showing consistent significant within group improvements on pain perception. However, PA interventions, while occasionally effective, did not consistently surpass control groups. Notably, successful interventions often involved a combination of physical and psychological modalities. The findings offer a contemporary overview of the evidence, contributing to the refinement of clinical guidelines and recommendations for evidence-based treatments for cLBP. (Less)
Please use this url to cite or link to this publication:
http://lup.lub.lu.se/student-papers/record/9156006
- author
- Bengtsson, Albin LU and Faraj, Ali LU
- supervisor
-
- Frida Eek LU
- organization
- course
- FYPK58 20241
- year
- 2024
- type
- M2 - Bachelor Degree
- subject
- keywords
- Chronic non-specific low back pain, Physical activity, cLBP, Exercise, Sensitization, Pain perception, Randomised control trials, Semi-systematic review.
- language
- English
- id
- 9156006
- date added to LUP
- 2025-04-25 17:39:01
- date last changed
- 2025-04-25 17:39:01
@misc{9156006,
abstract = {{Objective: This review aims to consolidate contemporary literature examining the impact of physical activity (PA) and exercise on sensitisation and pain perception in individuals with chronic non-specific low back pain (cLBP).
Methods: A semi-systematic approach was employed, utilising Pubmed and PEDro databases for the period between 2013-2023. Eligibility criteria included randomised control trials (RCTs) in English including patients with non-specific lower back pain. The study selection process involved defined criteria, a comprehensive search strategy, screening, and quality control assessments.
Results: Of the 21 included RCTs, 11 incorporated resistance training, revealing significant improvements in pain perception within groups but no difference between other active control groups. One study comparing cycling (aerobic exercise) with trunk exercises (resistance training) demonstrated no significant between-group improvements. Eight studies utilised a combined approach of resistance training and aerobic exercise, indicating significant within-group enhancements in central sensitization and pain-related disability. Seven studies employed PA as an intervention, with two showing significant between-group improvements in pain compared to controls. One being an individualised pedometer walking program and the other being
pedometer-based internet-mediated intervention. Thirteen studies explored various interventions, with notable outcomes, including task-oriented exercises and pain neuroscience education coupled with motor control exercises.
Conclusion: This review underscores the complex landscape of interventions for cLBP, with resistance training showing consistent significant within group improvements on pain perception. However, PA interventions, while occasionally effective, did not consistently surpass control groups. Notably, successful interventions often involved a combination of physical and psychological modalities. The findings offer a contemporary overview of the evidence, contributing to the refinement of clinical guidelines and recommendations for evidence-based treatments for cLBP.}},
author = {{Bengtsson, Albin and Faraj, Ali}},
language = {{eng}},
note = {{Student Paper}},
title = {{To move or not to move? The effect of physical activity and exercise on pain perception for people with non-specific low back pain, a review of the literature}},
year = {{2024}},
}