The effectiveness of walking versus exercise on pain and function in chronic low back pain: a systematic review and meta-analysis of randomized trials

@article{Vanti2019TheEO,
  title={The effectiveness of walking versus exercise on pain and function in chronic low back pain: a systematic review and meta-analysis of randomized trials},
  author={Carla Vanti and Simone Andreatta and Silvia Borghi and Andrew A. Guccione and Paolo Pillastrini and Lucia Bertozzi},
  journal={Disability and Rehabilitation},
  year={2019},
  volume={41},
  pages={622 - 632}
}
Abstract Objective: Walking is commonly recommended to relieve pain and improve function in chronic low back pain. The purpose of this study was to conduct a systematic review and meta-analysis of randomized controlled trials concerning the effectiveness of walking interventions compared to other physical exercise on pain, disability, quality of life and fear-avoidance, in chronic low back pain. Methods: Randomized controlled trials investigating the effects of walking alone compared to… 
Effectiveness of walking versus mind-body therapies in chronic low back pain
TLDR
A combination of walking and MBTs fits the biopsychosocial model and might be valuable therapy for CLBP throughout follow-up due to combined effects.
The effectiveness of different aerobic exercises to improve pain intensity and disability in chronic low back pain patients: a systematic review
TLDR
Pain intensity and functional disability in CLBP patients can be minimized by prescribing aerobic exercise, however, to get better improvements, aerobic exercise should be done in combination with other interventions and at optimum frequency and duration.
A randomized controlled trial investigating effects of an individualized pedometer driven walking program on chronic low back pain
TLDR
ODI responses to a walking program for those with moderate levels of baseline disability and those with low baseline step count offer a potential future focus for continued research into the benefit of walking as a management strategy for chronic LBP.
Exercise therapy for chronic low back pain.
TLDR
Moderate-certainty evidence is found that exercise treatment is more effective for treatment of chronic low back pain compared to no treatment, usual care or placebo, and subgroup analysis of pain outcomes suggested that Exercise treatment is probably more effective than education alone.
The effect of exercise on health-related quality of life in persons with musculoskeletal pain: A meta-analysis of randomised control trials.
  • S. Amiri
  • Medicine
    Musculoskeletal care
  • 2022
TLDR
Overall, exercise is associated with improving the health-related quality of life of persons with musculoskeletal pain, and therefore the health implications of this finding are beneficial to the general population and professionals.
Accelerometer-based facilitated walking program in addition to usual care for the management of patients with low back pain at medium or high risk of chronicity: a randomised controlled trial protocol
TLDR
The results of this study will provide empirical evidence on the efficacy of a Fitbit facilitated walking intervention program, when added to usual care, in a clinical setting for improving disability and pain, and other clinical outcomes in people with LBP.
Wearables-based walking program in addition to usual physiotherapy care for the management of patients with low back pain at medium or high risk of chronicity: A pilot randomized controlled trial
TLDR
Usual physiotherapy care plus a wearables-based walking intervention program was safe and moderately feasible, and provided significant reduction in pain at 26 weeks as well as increasing the total volume of light- and moderate-intensity physical activity, and daily walking steps immediately post-intervention.
INTEGRATIVE MEDICINE SECTION Integrated Meditation and Exercise Therapy: A Randomized Controlled Pilot of a Combined Nonpharmacological Intervention Focused on Reducing Disability and Pain in Patients with Chronic Low Back Pain
TLDR
Overall, 4 weeks of MedExT produced suggestive between-group trends for disability, significant between- group differences for measures of pain, and significant within-group increases in mindfulness.
...
...

References

SHOWING 1-10 OF 54 REFERENCES
Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials
TLDR
The results found a beneficial effect for strength/resistance and coordination/stabilisation exercise programs over other interventions in the treatment of chronic low back pain and that cardiorespiratory and combined exercise programs are ineffective.
Walking exercise for chronic musculoskeletal pain: systematic review and meta-analysis.
The effectiveness of walking as an intervention for low back pain: a systematic review
TLDR
There is only low–moderate evidence for walking as an effective intervention strategy for LBP, and further investigation is required to investigate the strength of effect.
Does walking improve disability status, function, or quality of life in adults with chronic low back pain? A systematic review
TLDR
There is low quality evidence to suggest that walking is as effective as other non-pharmacological management methods at improving disability, function, and quality of life in adults with chronic low back pain.
An aerobic walking programme versus muscle strengthening programme for chronic low back pain: a randomized controlled trial
TLDR
A six-week walk training programme was as effective as six weeks of specific strengthening exercises programme for the low back in patients with chronic low back pain.
Exercise therapy for chronic nonspecific low-back pain.
Efficacy of Aerobic Exercise for Treatment of Chronic Low Back Pain: A Meta-Analysis
TLDR
A meta-analysis of relevant cohort studies showed that aerobic exercise had no effects on heart rate, sit-and-reach test, and maximum oxygen consumption of CLBP patients, and aerobic exercise may be a good choice in the treatment for CLBP.
Pedometer-driven Walking for Chronic Low Back Pain: A Feasibility Randomized Controlled Trial
TLDR
This preliminary study demonstrated that a main RCT is feasible and EWP was safe and produced a real increase in walking; CLBP function and pain improved, and participants perceived a greater improvement in their PA levels.
Pedometer-Based Internet-Mediated Intervention For Adults With Chronic Low Back Pain: Randomized Controlled Trial
TLDR
Intervention participants, compared with those receiving usual care, reported a greater decrease in back pain-related disability in the 6 months following study enrollment, and additional support may be needed to ensure continuing improvements.
...
...