Walking vs. exercise in CLBP
Although walking is frequently suggested in the management of chronic low back pain (CLBP), current research does not provide evidence to support a greater effect, when walking is compared to or added to other physical exercise.
This review found a trend on all outcomes toward reduction of pain, disability and fear-avoidance and an improvement of perceived quality of life with walking and other exercise in CLBP. However, no statistically significant difference was found between groups. Adding walking to exercise does not induce greater improvement in the short-term.
This systematic review included 5 RCT's. Different modalities of walking were accepted for inclusion into the study: walking outdoors, with or without supervision, treadmill, and Nordic. Other exercise included active movements and strengthening exercises, group-based circuit training and exercises to relieve back pain as part of a booklet.
This study reinforces the current evidence that no particular type of exercise is clearly more effective than others in the management of CLBP.
Walking induces positive metabolic and psychological changes, it may be more simple yet less-expensive alternative to physical exercise with similar patient satisfaction and at least suggested for these purposes.
Further studies are required to address different forms of walking, dosages, velocities and individual programs to allow for future clinical recommendations.
> From: Vanti et al., Disabil Rehabil (2018-02-05 10:56:52) (Epub ahead of print). All rights reserved to Taylor & Francis Group. Click here for the online summary.