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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Veröffentlicht in:	Journal of clinical medicine Jg. 9; H. 4; S. 1023
Hauptverfasser:	Vadalà, Gianluca, Russo, Fabrizio, De Salvatore, Sergio, Cortina, Gabriele, Albo, Erika, Papalia, Rocco, Denaro, Vincenzo
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Switzerland MDPI AG 05.04.2020 MDPI
Schlagworte:	Age Back pain Bias Chronic illnesses Clinical trials Diabetes Exercise Hydrotherapy Older people Patients Pilates Quality of life Questionnaires Review Systematic review old aged patients elderly global postural rehabilitation hydrotherapy walking chronic low back pain yoga cycling physical therapy physical activity
ISSN:	2077-0383, 2077-0383
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Abstract	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.
AbstractList	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. 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.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.
Author	De Salvatore, Sergio Cortina, Gabriele Russo, Fabrizio Papalia, Rocco Denaro, Vincenzo Vadalà, Gianluca Albo, Erika
AuthorAffiliation	Department of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, 00128 Rome, Italy; g.vadala@unicampus.it (G.V.); s.desalvatore@unicampus.it (S.D.S.); g.cortina@unicampus.it (G.C.); e.albo@unicampus.it (E.A.); r.papalia@unicampus.it (R.P.); denaro@unicampus.it (V.D.)
AuthorAffiliation_xml	– name: Department of Orthopaedic and Trauma Surgery, University Campus Bio-Medico of Rome, 00128 Rome, Italy; g.vadala@unicampus.it (G.V.); s.desalvatore@unicampus.it (S.D.S.); g.cortina@unicampus.it (G.C.); e.albo@unicampus.it (E.A.); r.papalia@unicampus.it (R.P.); denaro@unicampus.it (V.D.)
Author_xml	– sequence: 1 givenname: Gianluca orcidid: 0000-0001-7142-1660 surname: Vadalà fullname: Vadalà, Gianluca – sequence: 2 givenname: Fabrizio orcidid: 0000-0002-8566-8952 surname: Russo fullname: Russo, Fabrizio – sequence: 3 givenname: Sergio orcidid: 0000-0002-9111-3638 surname: De Salvatore fullname: De Salvatore, Sergio – sequence: 4 givenname: Gabriele surname: Cortina fullname: Cortina, Gabriele – sequence: 5 givenname: Erika surname: Albo fullname: Albo, Erika – sequence: 6 givenname: Rocco surname: Papalia fullname: Papalia, Rocco – sequence: 7 givenname: Vincenzo surname: Denaro fullname: Denaro, Vincenzo
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/32260488$$D View this record in MEDLINE/PubMed
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Keywords	old aged patients elderly global postural rehabilitation hydrotherapy walking chronic low back pain yoga cycling physical therapy physical activity
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Snippet	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... 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...
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SubjectTerms	Age Back pain Bias Chronic illnesses Clinical trials Diabetes Exercise Hydrotherapy Older people Patients Pilates Quality of life Questionnaires Review Systematic review
Title	Physical Activity for the Treatment of Chronic Low Back Pain in Elderly Patients: A Systematic Review
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