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Article type: Review Article
Authors: Hernandez-Lucas, Pabloa; * | Leirós-Rodríguez, Raquelb | Lopez-Barreiro, Juanc | García-Soidán, José L.d
Affiliations: [a] Department of Functional Biology and Health Sciences, Faculty of Physiotherapy, University of Vigo, Pontevedra, Spain | [b] SALBIS Research Group, Nursing and Physical Therapy Department, University of León, Ponferrada, Spain | [c] Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain | [d] Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain
Correspondence: [*] Corresponding author: Pablo Hernandez-Lucas, Department of Functional Biology and Health Sciences, Faculty of Physiotherapy, University of Vigo, Campus A Xunqueira, 36005 Pontevedra, Spain. E-mail: phernandez@uvigo.es.
Abstract: BACKGROUND: Clinical practice guidelines stress the importance of prevention and treatment of non-specific back pain through exercise therapy. However, it has not yet been confirmed whether the combination of exercise plus education is more effective than such interventions taken separately. OBJECTIVE: To determine if the combination of exercise plus education is more effective for the prevention of non-specific back pain than exercise or education alone. METHOD: A systematic search of studies whose sample consisted of participants without non-specific back pain (primary prevention) and participants with non-specific back pain (secondary and tertiary prevention) was conducted in the following databases in March 2023: PubMed, Scopus, Web of Science and Medline. RESULTS: A total of 16 articles were selected. Statistically significant results were found in the pain variable with SMD =-2.02 (95% CI =-2.71 to -1.33; p< 0.001), the disability variable with SMD =-1.14 (95% CI =-1.63 to -0.65; p< 0.001), and the kinesiophobia variable with SMD =-1.8 (95% CI =-2.54 to -1.05; p< 0.001). CONCLUSION: Interventions that combine exercise and education seem to have a greater preventive effect on non-specific back pain, disability and kinesiophobia than those that include exercise or education in an isolated manner.
Keywords: Exercise therapy, health education, primary prevention, secondary prevention, tertiary prevention
DOI: 10.3233/BMR-230252
Journal: Journal of Back and Musculoskeletal Rehabilitation, vol. Pre-press, no. Pre-press, pp. 1-14, 2023
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