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Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review

Chronic low back pain (CLBP) affects nearly 20–25% of the population older than 65 years, and it is currently the main cause of disability both in the developed and developing countries. It is crucial to reach an optimal management of this condition in older patients to improve their quality of life...

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Autores principales: Vadalà, Gianluca, Russo, Fabrizio, De Salvatore, Sergio, Cortina, Gabriele, Albo, Erika, Papalia, Rocco, Denaro, Vincenzo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230826/
https://www.ncbi.nlm.nih.gov/pubmed/32260488
http://dx.doi.org/10.3390/jcm9041023
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author Vadalà, Gianluca
Russo, Fabrizio
De Salvatore, Sergio
Cortina, Gabriele
Albo, Erika
Papalia, Rocco
Denaro, Vincenzo
author_facet Vadalà, Gianluca
Russo, Fabrizio
De Salvatore, Sergio
Cortina, Gabriele
Albo, Erika
Papalia, Rocco
Denaro, Vincenzo
author_sort Vadalà, Gianluca
collection PubMed
description Chronic low back pain (CLBP) affects nearly 20–25% of the population older than 65 years, and it is currently the main cause of disability both in the developed and developing countries. It is crucial to reach an optimal management of this condition in older patients to improve their quality of life. This review evaluates the effectiveness of physical activity (PA) to improve disability and pain in older people with non-specific CLBP. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to improve the reporting of the review. Individual risk of bias of single studies was assessed using Rob 2 tool and ROBINS-I tool. The quality of evidence assessment was performed using GRADE analysis only in articles that presents full data. The articles were searched in different web portals (Medline, Scopus, CINAHL, EMBASE, and CENTRAL). All the articles reported respect the following inclusion criteria: patients > 65 years old who underwent physical activities for the treatment of CLBP. A total of 12 studies were included: 7 randomized controlled trials (RCT), 3 non-randomized controlled trials (NRCT), 1 pre and post intervention study (PPIS), and 1 case series (CS). The studies showed high heterogeneity in terms of study design, interventions, and outcome variables. In general, post-treatment data showed a trend in the improvement for disability and pain. However, considering the low quality of evidence of the studies, the high risk of bias, the languages limitations, the lack of significant results of some studies, and the lack of literature on this argument, further studies are necessary to improve the evidences on the topic.
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spelling pubmed-72308262020-05-22 Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review Vadalà, Gianluca Russo, Fabrizio De Salvatore, Sergio Cortina, Gabriele Albo, Erika Papalia, Rocco Denaro, Vincenzo J Clin Med Review Chronic low back pain (CLBP) affects nearly 20–25% of the population older than 65 years, and it is currently the main cause of disability both in the developed and developing countries. It is crucial to reach an optimal management of this condition in older patients to improve their quality of life. This review evaluates the effectiveness of physical activity (PA) to improve disability and pain in older people with non-specific CLBP. The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines were used to improve the reporting of the review. Individual risk of bias of single studies was assessed using Rob 2 tool and ROBINS-I tool. The quality of evidence assessment was performed using GRADE analysis only in articles that presents full data. The articles were searched in different web portals (Medline, Scopus, CINAHL, EMBASE, and CENTRAL). All the articles reported respect the following inclusion criteria: patients > 65 years old who underwent physical activities for the treatment of CLBP. A total of 12 studies were included: 7 randomized controlled trials (RCT), 3 non-randomized controlled trials (NRCT), 1 pre and post intervention study (PPIS), and 1 case series (CS). The studies showed high heterogeneity in terms of study design, interventions, and outcome variables. In general, post-treatment data showed a trend in the improvement for disability and pain. However, considering the low quality of evidence of the studies, the high risk of bias, the languages limitations, the lack of significant results of some studies, and the lack of literature on this argument, further studies are necessary to improve the evidences on the topic. MDPI 2020-04-05 /pmc/articles/PMC7230826/ /pubmed/32260488 http://dx.doi.org/10.3390/jcm9041023 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Vadalà, Gianluca
Russo, Fabrizio
De Salvatore, Sergio
Cortina, Gabriele
Albo, Erika
Papalia, Rocco
Denaro, Vincenzo
Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review
title Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review
title_full Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review
title_fullStr Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review
title_full_unstemmed Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review
title_short Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review
title_sort physical activity for the treatment of chronic low back pain in elderly patients: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7230826/
https://www.ncbi.nlm.nih.gov/pubmed/32260488
http://dx.doi.org/10.3390/jcm9041023
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