SynthesisSports medicine - open2021
Posterior-Chain Resistance Training Compared to General Exercise and Walking Programmes for the Treatment of Chronic Low Back Pain in the General Population: A Systematic Review and Meta-Analysis.
Synthesis in Sports medicine - open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers.
What it found
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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.
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.
Development of a Tele-Physiotherapy Tool for the Early Management of Muskuloskeletal Pain in People With Visual Impairement (TeleEDxPhysio)
Does a Teletherapy-guided Exercise Programme Improve Pain Intensity, Disability, and Quality of Life in Nursing Students With Back and Neck Pain Compared to a Control Group?
Who cites it
16 citing papers in PubMed, 41 citations in OpenAlex.
- Aquatic exercise versus standard care on paraspinal muscle morphology and function in chronic low back pain patients: a randomized controlled trial.Scientific reports · 2025Trial
- Lumbar Decompression is Associated With Changes in Functional Transition Biomechanics and Neuromuscular Control During Sit-to-Stand in Degenerative Lumbar Stenosis.Global spine journal · 2026Article
- Effects of Adding MedX Lumbar Extension or Deadlift Exercises to a Core Stabilization Program on Extensor Strength, Disability, and Pain in Men with Chronic Low Back Pain: A Randomized Pilot Trial.Healthcare (Basel, Switzerland) · 2026Article
- Article
- SPORT: A Novel Biopsychosocial Framework for Chronic Low Back Pain in a Young Athlete - A Case Report.International journal of sports physical therapy · 2026Article
- A Critical Review of Trunk and Hip Exercise Prescription: Applying Evidence for a Modern Approach.International journal of sports physical therapy · 2025Article
- Therapeutic Exercise Progression in Patients with Nonspecific Low Back Pain: A Systematic Review.Journal of pain research · 2025Review
- Trunk muscles' characteristics in adolescent gymnasts with low back pain: a pilot study on the effects of a physiotherapy intervention including a postural reeducation program.The Journal of manual & manipulative therapy · 2024Article
- Comparison of time-matched aerobic, resistance or combined exercise training in women living with obesity: The EXOFFIT study.Obesity science & practice · 2024Article
- Review
- Effect of Hip Muscle Strengthening Exercises on Pain and Disability in Patients with Non-Specific Low Back Pain-A Systematic Review.Sports (Basel, Switzerland) · 2023Review
- Factors affecting chronic low back pain among high school baseball players in Japan: A pilot study.PloS one · 2023Article
- Acute, Non-Specific Low Back Pain Does Not Impair Isometric Deadlift Force or Electromyographic Excitation: A Cross-Sectional Study.Sports (Basel, Switzerland) · 2022Article
- Relation between Physical Fitness Components and the Occurrence and Subjective Intensity of Back Pain in Secondary School Adolescents.Behavioral sciences (Basel, Switzerland) · 2022Article
- "If somebody had told me I'd feel like I do now, I wouldn't have believed them…" older adults' experiences of the BELL trial: a qualitative study.BMC geriatrics · 2022Article
- Is resistance training with external loads superior to unloaded exercise in the management of chronic low back pain? A systematic review and meta-analysis.Archives of physiotherapyReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 1 institution in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWhile chronic exercise training has been demonstrated to be an effective non-pharmacological treatment for chronic low back pain (CLBP), there has been a relative lack of evidence or clinical guidelines for whether a posterior chain resistance training programme provides any benefits over general exercise (GE).
objectivesTo determine if chronic posterior chain resistance training (PCRT), defined as exercise programmes of ≥6 weeks duration focused on the thoracic, lumbar and hip extensor musculature, is more effective than GE in improving pain, level of disability, muscular strength and the number of adverse events in recreationally active and sedentary individuals with CLBP.
methodsFour electronic databases were systematically searched from 25 September 2019 until 30 August 2020. Using the Joanna Briggs Institute (JBI) Critical Appraisal Tools checklist for randomized controlled trials (RCTs), articles were critically appraised and compared against the inclusion/exclusion criteria. Standardized mean difference (SMD), risk difference (RD) and confidence interval (CI) were calculated using Review Manager 5.3.
resultsEight articles were included, with a total of 408 participants (203 PCRT, 205 GE). Both PCRT and GE were effective in improving a number of CLBP-related outcomes, but these effects were often significantly greater in PCRT than GE, especially with greater training durations (i.e. 12-16 weeks compared to 6-8 weeks). Specifically, when compared to GE, PCRT demonstrated a greater reduction in pain (SMD = - 0.61 (95% CI - 1.21 to 0.00), p = 0.05; I
conclusionResults of the meta-analysis indicated that 12-16 weeks of PCRT had a statistically significantly greater effect than GE on pain, level of disability and muscular strength, with no significant difference in the number of adverse events for recreationally active and sedentary patients with CLBP. Clinicians should strongly consider utilizing PCRT interventions for 12-16 weeks with patients with CLBP to maximize their improvements in pain, disability and muscle strength. Future research should focus on comparing the efficacy and adverse events associated with specific PCRT exercise training and movement patterns (i.e. deadlift, hip lift) in treating this population.
trial registrationPROSPERO CRD42020155700 .
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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.