Does walking improve disability status, function, or quality of life in adults with chronic low back pain? A systematic review.
Study Goal
The researchers aimed to determine whether walking alone or compared to other non-pharmacological methods improves disability, quality of life, or function in adults with chronic low back pain.
Results Summary
The study found no evidence that walking was more effective than other management methods like usual care or supervised exercise classes, though one study noted over-ground walking was superior to treadmill walking, and another found internet-mediated walking more beneficial short-term. Overall, low-quality evidence suggests walking is as effective as other non-pharmacological methods.
Population
Adults with chronic low back pain (duration >3 months).
Effective Dosage
Not specified
Duration
Not specified
Interactions
None mentioned
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
walking | no change | disability, quality of life, or function | adults with chronic low back pain | - | no evidence that walking was more effective | #1 |
walking | no change | disability, quality of life, or function | adults with chronic low back pain | - | no evidence that walking was more effective | #2 |
over-ground walking | increase | - | adults with chronic low back pain | - | superior to | #3 |
internet-mediated walking | increase | - | adults with chronic low back pain | - | more beneficial than | #4 |
walking | no change | disability, function, and quality of life | adults with chronic low back pain | - | as effective as | #5 |
OBJECTIVE: To establish the effectiveness of walking alone and walking compared to other non-pharmacological management methods to improve disability, quality of life, or function in adults with chronic low back pain. DATA SOURCES: A systematic search of the following databases was undertaken: Medline, Embase, CINAHL, Scopus, Pedro, SportDiscus, Cochrane Central Register of Controlled Trials. The following keywords were used: 'back pain' or 'low back pain' or 'chronic low back pain' and 'walk*' or 'ambulation' or 'treadmill*' or 'pedometer*' or 'acceleromet*' or 'recreational' and 'disability' or 'quality of life' or 'function*'. REVIEW METHODS: Primary research studies with an intervention focus that investigated walking as the primary intervention compared to no intervention or any other non-pharmacological method in adults with chronic low back pain (duration >3 months). RESULTS: Seven randomised controlled trials involving 869 participants were included in the review. There was no evidence that walking was more effective than other management methods such as usual care, specific strength exercises, medical exercise therapy, or supervised exercise classes. One study found over-ground walking to be superior to treadmill walking, and another found internet-mediated walking to be more beneficial than non-internet-mediated walking in the short term. CONCLUSION: 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.