Evidence map›Paper›PMID 10796344›Full record

SynthesisThe Cochrane database of systematic reviews2000

Exercise therapy for low back pain.

M W van Tulder, A Malmivaara, R Esmail, B W Koes

Registry-linked trialAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04555668 (Effect of Global Postural Reeducation Program With Hamstring Stretch for Patients With Low Back Pain), which is not on this map. Cited by 28 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04555668 nacompletednot on this mapstarted 2020, after this paper: background citation

Effect of Global Postural Reeducation Program With Hamstring Stretch for Patients With Low Back Pain

TypeinterventionalSponsorRiphah International UniversityRan2020 to 2020Enrolled78ConditionsBack PainArmsGlobal Postural Reeducation Program, Hamstring Stretch Program
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 4 syntheses or guidelines pooled it, 240 citations in OpenAlex.

  1. Exercise therapy for treatment of acute non-specific low back pain.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Exercise therapy for treatment of non-specific low back pain.The Cochrane database of systematic reviews · 2005
    Pooled it
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Review
  12. Efficacy of a Lower Back Intensive Rehabilitation Program in Occupational Injury Patients and Characteristics of Care: A Retrospective Cohort Study.Medical science monitor : international medical journal of experimental and clinical research · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Review
  20. An exploration of chronic pain patients' perceptions of home telerehabilitation services.Health expectations : an international journal of public participation in health care and health policy · 2012
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

M W van TulderInstitute for Research in Extramural Medicine, Vrije Universiteit, van der Boechorststraat 7, Amsterdam, NETHERLANDS, 1081 BT. mw.van_tulder.emgo@med.vu.nl
A Malmivaara
R Esmail
B W Koes
Vrije Universiteit Amsterdam · NLErasmus University Rotterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExercise therapy is a widely used treatment for low back pain.

objectivesThe objective of this review was to assess the effectiveness of exercise therapy for low back pain with regard to pain intensity, functional status, overall improvement and return to work. SEARCH STRATEGY: We searched the Cochrane Controlled Trials Register (1999, issue 1), MEDLINE (1966 - April 1999), EMBASE (1988 - September 1998), PsycLIT (from 1984 to April 1999) and reference lists of articles. SELECTION CRITERIA: Randomised trials of all types of exercise therapy for subjects with non-specific low back pain with or without radiation into the legs. DATA COLLECTION AND ANALYSIS: Two reviewers independently extracted data and assessed trial quality. Because trials were considered heterogeneous with regard to study populations, interventions and outcomes, we decided not to perform a meta-analysis but to summarise the results using a rating system of four levels of evidence (strong, moderate, limited or no evidence). MAIN

results39 RCTs were identified. There is strong evidence that exercise therapy is not more effective than inactive or other active treatments it has been compared with for acute low back pain. There is conflicting evidence on the effectiveness of exercise therapy compared with inactive treatments for chronic low back pain. Exercise therapy was more effective than usual care by the general practitioner and equally effective as conventional physiotherapy for chronic low back pain. REVIEWER'S

conclusionsThe evidence summarised in this systematic review does not indicate that specific exercises are effective for the treatment of acute low back pain. Exercises may be helpful for chronic low back pain patients to increase return to normal daily activities and work.

Indexed as

Exercise TherapyHumansLow Back Pain

Identifiers

PMID10796344
OpenAlexW1545332584

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.