Journal of Manipulative and Physiological Therapeutics
Volume 29, Issue 2 , Pages 163-173 , February 2006

Trunk-Strengthening Exercises for Chronic Low Back Pain: A Systematic Review

  • Susan C. Slade, M Manip Ther, PT

      Affiliations

    • Corresponding Author InformationSubmit requests for reprints to: Susan Slade, P.O. Box 1241, Box Hill, Victoria, Australia 3128.
    • ,
  • Jennifer L. Keating, PhD, PT

      Affiliations

    • Professor, Head of Physiotherapy, School of Primary Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Australia

Received 30 March 2005

References 

  1. Hestbaeck L, LeBoeuf-Yde C, Engberg M, Lauritzen T, Bruun NH, Manniche C. The course of low back pain in a general population. Results from a 5-year prospective study. J Manipulative Physiol Ther. 2003;26:213–220
  2. Pengel LHM, Herbert RD, Maher CG, Refshauge KM. Acute low back pain: systematic review of its prognosis. BMJ. 2003;327:323
  3. van Tulder MW, Malmivaara A, Esmail R, Koes BW. Exercise therapy for low back pain (Cochrane Review). In: The Cochrane Library, Issue 3. Chichester (UK): John Wiley & Sons, Ltd; 2004;p. 1–26
  4. Ostello RWJG, deVet HCW, Waddell G, Kerckhoffs MR, Leffers P, van Tulder MW. Rehabilitation after lumbar disc surgery (Cochrane Review). In: The Cochrane Library, Issue 3. Chichester (UK): John Wiley & Sons, Ltd; 2004;p. 1–16
  5. Schonstein E, Kenny DT, Keating J, Koes B. Work conditioning, work hardening and functional restoration for workers with back and neck pain (Cochrane Review). In: The Cochrane Library, Issue 3. Chichester (UK): John Wiley & Sons, Ltd; 2004;p. 1–48
  6. Maher CG, Sherrington C, Herbert RD, Moseley AM, Elkins M. Reliability of the PEDro scale for rating methodological quality of randomized controlled trials. Phys Ther. 2003;83:713–727
  7. van Tulder M, Furlan A, Bombadier C, Bouter L. Updated method guidelines for systematic reviews in the Cochrane Collaboration Back Review Group. Spine. 2003;28:1290–1299
  8. Altman DG, Schulz KF, Moher D, Egger M, Davidoff F, Elbourne D. The Revised CONSORT Statement for reporting randomized trials: explanation and elaboration. Ann Intern Med. 2001;134:663–684
  9. Cohen J. Statistical power analysis for the behavioural sciences. Hillsdale (New Jersey): L. Erlbaum Associates; 1988;
  10. Hedges L, Olkin I. Statistical methods for meta-analysis. USA: Academic Press; 1985;
  11. Cochrane Handbook In:  Alderson P,  Green S,  Higgins J editor. Cochrane Reviewers' Handbook 4.2.2 [updated March 2004]; Section 8. The Cochrane Library, Issue 1. Chichester (UK): John Wiley & Sons, Ltd; 2004;p. 68–139
  12. Glass GV. Primary, secondary, and meta-analysis of research. Educ Res. 1976;5:3–8
  13. In:  Glass GV,  McGraw B,  Smith ML editor. Meta-analysis in social research. Beverly Hills (Calif): Sage Publications; 1981;p. 93–152Chapter 5
  14. Norman GR, Sloan JA, Wyrwich KW. Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Med Care. 2003;41:582–592
  15. Herbert RD. How to estimate treatment effects from reports of clinical trials. 1: continuous outcomes. Aust J Physiother. 2000;46:229–235
  16. Ferreira ML, Ferreira PH, Latimer J, Herbert RD, Maher CG. Does spinal manipulative therapy help people with chronic low back pain?. Aust J Physiother. 2002;48:277–284
  17. Christensen FB, Laurberg I, Bunger CE. The importance of the back-cafe concept to rehabilitation after lumbar spinal fusion: a randomized clinical study with a 2-year follow-up. Spine. 2003;28:2561–2569
  18. Danielsen JM, Johnsen R, Kibsgaard SK, Helevik E. Early aggressive exercise for post-operative rehabilitation after discectomy. Spine. 2000;25:1015–1020
  19. Dolan PK, Greenfield K, Nelson RJ, Nelson IW. Can exercise therapy improve the outcome of microdiscectomy?. Spine. 2000;25:1523–1532
  20. Friedrich M, Gittler G, Halberstadt Y, Cermak T, Heiller I. Combined exercise and motivation program: effect on the compliance and level of disability of patients with chronic low back pain: a randomized controlled trial. Arch Phys Med Rehabil. 1998;79:475–487
  21. Johannsen F, Remvig L, Kkryger P, Beck P, Warming S, Lybeck K, et al. Exercises for chronic low back pain: a clinical trial. J Orthop Sports Phys Ther. 1995;22:52–59
  22. Kankaanpaa MS, Taimela S, Airaksinen O, Hanninen O. The efficacy of active rehabilitation in chronic low back pain. Effect on pain intensity, self-experienced disability, and lumbar fatigability. Spine. 1999;24:1034–1042
  23. Manniche C, Lundberg E, Christensen I, Bentzen L, Hesselsoe G. Intensive dynamic back exercises for chronic low back pain: a clinical trial. Pain. 1991;47:53–63
  24. Manniche C, Asmussen K, Lauritsen BK, Vinterberg H, Karbo H, Abildstrup S, et al. Intensive dynamic back exercises with or without hyperextension in chronic back pain after surgery for lumbar disc protrusion. A clinical trial. Spine. 1993;18:560–567
  25. Mannion AF, Muntener M, Taimela S, Dvorak J. Comparison of three active therapies for chronic low back pain: results of a randomized clinical trial with one-year follow-up. Rheumatology. 2001;40:77–778
  26. Moller H, Hedlund R. Surgery versus conservative management in adult isthmic spondylolisthesis—a prospective randomized study: part 1. Spine. 2000;25:1711–1715
  27. Petersen TP, Kryger P, Ekdahl C, Olsen S, Jacobsen S. The effect of McKenzie therapy as compared with that of intensive strengthening training for the treatment of patients with subacute or chronic low back pain. Spine. 2002;27:1702–1709
  28. Rittweger J, Just K, Kautzsch K, Reeg P, Felsenberg D. Treatment of chronic low back pain with lumbar extension and whole-body vibration exercise: a randomized controlled trial. Spine. 2002;27:1829–1834
  29. Risch SV, Norvell N, Pollock K, Risch ED, Langer H, Fulton M, et al. Lumbar strengthening in chronic low back pain patients: physiologic and psychological benefits. Spine. 1993;18:232–238
  30. Timm KE. A randomized-control study of active and passive treatments for chronic low back pain following L5 laminectomy. J Orthop Sports Phys Ther. 1994;20:276–286
  31. Yilmaz F, Yilmaz A, Merdol F, Parlar D, Sahin F, Kuran B. Efficacy of dynamic lumbar stabilization exercise in lumbar micro-diskectomy. J Rehabil Med. 2003;35:163–167
  32. Lindgren KA, Sihvonen T, Leino E, Pitkanen M, Manninen H. Exercise therapy effects on functional radiographic findings and segmental electromyographic activity in lumbar spine instability. Arch Phys Med Rehabil. 1993;74:933–939
  33. Evyenth O, Hamberg J. Autostretching. Alfta Rehabil Forlag. 1989;88–89
  34. Peel C, Alland MJ. Cardiovascular responses to isokinetic trunk exercise. Phys Ther. 1990;70:503–510
  35. Timm KE. Case studies: use of the cybex trunk extension flexion unit in the rehabilitation of back patients. J Orthop Sports Phys Ther. 1987;578–581
  36. Saal JA, Saal JS. Non-operative treatment of herniated lumbar intervertebral disc with radiculopathy. Spine. 1989;14:431–437
  37. Assendelft WJJ, Morton SC, Yu EI, Suttorp MJ, Shekelle PG. Spinal manipulative therapy for the low back: a meta-analysis of effectiveness relative to other therapies. Ann Intern Med. 2003;138:871–906
  38. Glass GV, McGraw B, Smith ML. In: Meta-analysis in social research; chapter 5. Beverly Hills: Sage Publications; 1981;p. 93–152
  39. McKenzie RA. The lumbar spine: mechanical diagnosis and treatment. Waikane (New Zealand): Spinal Publications Ltd; 1981;
  40. Farrar JT, Young JP, LaMoreau L, Werth JL, Poole RM. Clinical important changes in chronic pain intensity measured on an 11-point numerical pain rating scale. Pain. 2001;94:149–158
  41. Davidson M, Keating JL. A comparison of five low back disability questionnaires: reliability and responsiveness. Phys Ther. 2002;82:8–24
  42. Fritz JM, Irgang JJ. A comparison of a modified Oswestry low back pain disability questionnaire and the quebec back pain disability scale. Phys Ther. 2001;81:776–788

 Sources of support: No funds were received in support of this work.

PII: S0161-4754(05)00376-3

doi: 10.1016/j.jmpt.2005.12.011

Journal of Manipulative and Physiological Therapeutics
Volume 29, Issue 2 , Pages 163-173 , February 2006

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