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Does walking improve disability status, function, or quality of life in adults with chronic low back pain? A systematic review.

Clinical rehabilitation
June 1, 2016
Belinda J Lawford et al. (3 authors)
Journal ArticleReviewSystematic ReviewHuman Study
Study Details

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

Extracted Claims (5)
InterventionDirectionEndpointPopulationDosageImpactClaim #
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
Abstract

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.

Medical Subject Headings (MeSH)
AdultChronic PainDisability EvaluationHumansLow Back PainQuality of LifeRecovery of FunctionWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy60/10
Quality75/10
Citation Metrics
Total Citations24
Citations/Year2.7
Relative Citation Ratio1.55
NIH Percentile66.3%
Research Impact Scores
APT Score0.75
Weight Score1.81
Normalized Score0.59
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