- Preface
- List of Contributors
- List of abbreviations
- Chapter 1 Epidemiology of Back Pain, from the Laboratory to the Bus Stop: Psychosocial Risk Factors, Biological Mechanisms, and Interventions in Population-Based Research
- Chapter 2 Defining Chronic Pain by Prognosis
- Chapter 3 Genetic Factors Modulating Chronic Back Pain
- Chapter 4 Peripheral and Central Sensitization as Risk Factors of Low Back Pain
- Chapter 5 Dysfunction of the Hypothalamic–Pituitary–Adrenal Axis and Associated Stress Axes in the Development of Chronic Low Back Pain
- Chapter 6 Central Imaging of Pain and the Process of Chronicity
- Chapter 7 Structural Brain Changes in Patients with Chronic Back Pain
- Chapter 8 The Psychophysiology of Chronic Back Pain Patients
- Chapter 9 Electromyographically-Determined Muscular Fatigue in Low Back Pain
- Chapter 10 Unmasking the Deconditioning Paradigm for Chronic Low Back Pain Patients
- Chapter 11 Screening of Psychosocial Risk Factors (Yellow Flags) for Chronic Back Pain and Disability
- Chapter 12 Dispositional Fear, Anxiety Sensitivity, and Hypervigilance
- Chapter 13 Processes Underlying the Relation between Catastrophizing and Chronic Pain: Implications for Intervention
- Chapter 14 Fear-Avoidance as a Risk Factor for the Development of Chronic Back Pain and Disability
- Chapter 15 Endurance-Related Pain Responses in the Development of Chronic Back Pain
- Chapter 16 Cognitive Processing and Self-Pain Enmeshment in Chronic Back Pain
- Chapter 17 Significant Others in the Chronicity of Pain and Disability
- Chapter 18 Effects of Workers’ Compensation Systems on Recovery from Disabling Injuries
- Chapter 19 Work-Related Risk Factors for Transition to Chronic Back Pain and Disability
- Chapter 20 The Physician as Disability Advisor for Back Pain Patients
- Chapter 21 The Attitudes and Beliefs of Clinicians Treating Back Pain: Do They Affect Patients’ Outcome?
- Chapter 22 International Guidelines for the Diagnostics and Treatment of Acute, Subacute, and Chronic Back Pain
- Chapter 23 Engaging Patients in their Own Care for Back Care: The Role of Education and Advice in the Prevention of Chronic Pain and Disability
- Chapter 24 Motivational Issues in Pain Management
- Chapter 25 Pharmacotherapy of Low Back Pain
- Chapter 26 Reviewing the Concept of Subgroups in Subacute and Chronic Pain and the Potential of Customizing Treatments
- Chapter 27 Risk Factor-Based Cognitive-Behavioural Therapy for Acute and Subacute Back Pain
- Chapter 28 Physical Exercise Interventions and Low Back Pain
- Chapter 29 Contextual Cognitive-Behavioural Therapy for Chronic Pain (Including Back Pain)
- Chapter 30 Rehabilitation Programmes to Prevent Severely Disabling Chronic Back Pain
- Index
(p. 531) Physical Exercise Interventions and Low Back Pain
- Chapter:
- (p. 531) Physical Exercise Interventions and Low Back Pain
- Author(s):
J. Bart Staal
, Chris G. Maher
, and William S. Shaw
- DOI:
- 10.1093/med/9780199558902.003.0157
In this chapter, we review the effects of physical exercise in subacute and chronic LBP. Although the Cochrane systematic literature review by Hayden et al. (2005) has provided a reasonable summary of the effects of physical exercise interventions, the present chapter will place more emphasis on the context of daily clinical practice, and how that may influence exercise outcomes. To accomplish this, we explored the PubMed and Embase databases for publications in the last 5 years with particular interest in relevant systematic reviews and additional randomized controlled trials. Based on this literature search, the most common types of exercise therapy will be described according to concept and content of treatment. For the purpose, we subdivide physical exercise interventions into the following types of exercise interventions:
Although it should be noted that there may be some overlap, we believe this classification corresponds with the current literature and with clinical practice as common in many countries around the world. In addition, the effects of these subgroups of exercise therapies as reported in the literature will be summarized and their clinical implications will be discussed.
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- Preface
- List of Contributors
- List of abbreviations
- Chapter 1 Epidemiology of Back Pain, from the Laboratory to the Bus Stop: Psychosocial Risk Factors, Biological Mechanisms, and Interventions in Population-Based Research
- Chapter 2 Defining Chronic Pain by Prognosis
- Chapter 3 Genetic Factors Modulating Chronic Back Pain
- Chapter 4 Peripheral and Central Sensitization as Risk Factors of Low Back Pain
- Chapter 5 Dysfunction of the Hypothalamic–Pituitary–Adrenal Axis and Associated Stress Axes in the Development of Chronic Low Back Pain
- Chapter 6 Central Imaging of Pain and the Process of Chronicity
- Chapter 7 Structural Brain Changes in Patients with Chronic Back Pain
- Chapter 8 The Psychophysiology of Chronic Back Pain Patients
- Chapter 9 Electromyographically-Determined Muscular Fatigue in Low Back Pain
- Chapter 10 Unmasking the Deconditioning Paradigm for Chronic Low Back Pain Patients
- Chapter 11 Screening of Psychosocial Risk Factors (Yellow Flags) for Chronic Back Pain and Disability
- Chapter 12 Dispositional Fear, Anxiety Sensitivity, and Hypervigilance
- Chapter 13 Processes Underlying the Relation between Catastrophizing and Chronic Pain: Implications for Intervention
- Chapter 14 Fear-Avoidance as a Risk Factor for the Development of Chronic Back Pain and Disability
- Chapter 15 Endurance-Related Pain Responses in the Development of Chronic Back Pain
- Chapter 16 Cognitive Processing and Self-Pain Enmeshment in Chronic Back Pain
- Chapter 17 Significant Others in the Chronicity of Pain and Disability
- Chapter 18 Effects of Workers’ Compensation Systems on Recovery from Disabling Injuries
- Chapter 19 Work-Related Risk Factors for Transition to Chronic Back Pain and Disability
- Chapter 20 The Physician as Disability Advisor for Back Pain Patients
- Chapter 21 The Attitudes and Beliefs of Clinicians Treating Back Pain: Do They Affect Patients’ Outcome?
- Chapter 22 International Guidelines for the Diagnostics and Treatment of Acute, Subacute, and Chronic Back Pain
- Chapter 23 Engaging Patients in their Own Care for Back Care: The Role of Education and Advice in the Prevention of Chronic Pain and Disability
- Chapter 24 Motivational Issues in Pain Management
- Chapter 25 Pharmacotherapy of Low Back Pain
- Chapter 26 Reviewing the Concept of Subgroups in Subacute and Chronic Pain and the Potential of Customizing Treatments
- Chapter 27 Risk Factor-Based Cognitive-Behavioural Therapy for Acute and Subacute Back Pain
- Chapter 28 Physical Exercise Interventions and Low Back Pain
- Chapter 29 Contextual Cognitive-Behavioural Therapy for Chronic Pain (Including Back Pain)
- Chapter 30 Rehabilitation Programmes to Prevent Severely Disabling Chronic Back Pain
- Index