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    Exercise for the primary, secondary and tertiary prevention of low back pain in the workplace: a systematic review

    119379_Exercise%20for%20the%20primary%20low%20back%20painpdf.pdf (296.0Kb)
    Access Status
    Open access
    Authors
    Bell, Julie
    Burnett, Angus
    Date
    2009
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Bell, Julie and Burnett, Angus. 2009. Exercise for the primary, secondary and tertiary prevention of low back pain in the workplace: a systematic review. Journal of Occupational Rehabilitation. 19 (1): pp. 8-24.
    Source Title
    Journal of Occupational Rehabilitation
    DOI
    10.1007/s10926-009-9164-5
    ISSN
    10530487
    Faculty
    Faculty of Health Sciences
    Centre for Research into Disability and Society
    School of Occupational Therapy and Social Work
    School
    Centre for Research into Disability and Society (Curtin Research Centre)
    Remarks

    The original publication is available at: http://www.springerlink.com

    URI
    http://hdl.handle.net/20.500.11937/22538
    Collection
    • Curtin Research Publications
    Abstract

    Introduction Low back pain (LBP) is one of the most costly conditions to manage in occupational health. Individuals with chronic or recurring LBP experience difficulties returning to work due to disability. Given the personal and financial cost of LBP, there is a need for effective interventions aimed at preventing LBP in the workplace. The aim of this systematic review was to examine the effectiveness of exercises in decreasing LBP incidence, LBP intensity and the impact of LBP and disability. Methods A comprehensive literature search of controlled trials published between 1978 and 2007 was conducted and a total of 15 studies were subsequently reviewed and analyzed. Results There was strong evidence that exercise was effective in reducing the severity and activity interference from LBP. However, due to the poor methodological quality of studies and conflicting results, there was only limited evidence supporting the use of exercise to prevent LBP episodes in the workplace. Other methodological limitations such as differing combinations of exercise, study populations, participant presentation, workloads and outcome measures; levels of exercise adherence and a lack of reporting on effect sizes, adverse effects, and types of sub-groups, make it difficult to draw definitive conclusions on the efficacy of workplace exercise in preventing LBP. Conclusions Only two out of the 15 studies reviewed were high in methodological quality and showed significant reductions in LBP intensity with exercise. Future research is needed to clarify which exercises are effective and the dose-response relationships regarding exercise and outcomes.

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