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Volume 18
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10.3390/ijerph18168430
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Systematic Review

Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis

by
Chloé Quentin
1,
Reza Bagheri
2,
Ukadike C. Ugbolue
3,
Emmanuel Coudeyre
4,
Carole Pélissier
5,6,
Alexis Descatha
7,8,
Thibault Menini
9,
Jean-Baptiste Bouillon-Minois
10,* and
Frédéric Dutheil
11
1
CHU Clermont-Ferrand, Department of Family Medicine, Faculty of Medicine, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
2
Department of Exercise Physiology, University of Isfahan, Isfahan 81746-73441, Iran
3
School of Health and Life Sciences, Institute for Clinical Exercise & Health Science, University of the West of Scotland, Glasgow G720LH, UK
4
Physical Medicine and Rehabilitation, INRAE, UNH, CHU Clermont-Ferrand, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
5
UMRESTTE, IFSTTAR, Université Lyon, 42100 Saint Etienne, France
6
UMRESTTE, IFSTTAR, Université St Etienne, 42100 Saint Etienne, France
7
Inserm, EHESP, Irset (Institut de Recherche en santé, Environnement et Travail), CAPTV-CDC, Université Angers, CHU Angers, F-49000 Angers, France
8
Inserm, EHESP, Irset (Institut de Recherche en santé, Environnement et Travail), CAPTV-CDC, Université Rennes, F-49000 Angers, France
9
Department of Family Medicine, Faculty of Medicine, CHU Clermont-Ferrand, ACCePPT, Université Clermont Auvergne, F-63000 Clermont Ferrand, France
10
Department of Emergency, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
11
Occupational and Environmental Medicine, CNRS, LaPSCo, Physiological and Psychosocial Stress, CHU Clermont-Ferrand, WittyFit, Université Clermont Auvergne, F-63000 Clermont-Ferrand, France
 
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*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(16), 8430; https://doi.org/10.3390/ijerph18168430
Submission received: 28 June 2021 / Revised: 26 July 2021 / Accepted: 5 August 2021 / Published: 10 August 2021
(This article belongs to the Special Issue Low Back Pain (LBP))
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Abstract

Background: Exercise therapy is recommended to treat non-specific low back pain (LBP). Home-based exercises are promising way to mitigate the lack of availability of exercise centers. In this paper, we conducted a systemic review and meta-analysis on the effects of home-based exercise on pain and functional limitation in LBP. Method: PubMed, Cochrane, Embase and ScienceDirect were searched until April 20th, 2021. In order to be selected, studies needed to report the pain and functional limitation of patients before and after home-based exercise or after exercise both in a center and at-home. Random-effect meta-analyses and meta-regressions were conducted. Results: We included 33 studies and 9588 patients. We found that pain intensity decreased in the exclusive home exercise group (Effect size = −0.89. 95% CI −0.99 to −0.80) and in the group which conducted exercise both at-home and at another setting (−0.73. −0.86 to −0.59). Similarly, functional limitation also decreased in both groups (−0.75. −0.91 to −0.60, and −0.70, −0.92 to −0.48, respectively). Relaxation and postural exercise seemed to be ineffective in decreasing pain intensity, whereas trunk, pelvic or leg stretching decreased pain intensity. Yoga improved functional limitation. Supervised training was the most effective method to improve pain intensity. Insufficient data precluded robust conclusions around the duration and frequency of the sessions and program. Conclusion: Home-based exercise training improved pain intensity and functional limitation parameters in LBP.
Keywords: musculoskeletal disorders; lumbalgia; physical activity; prevention; public health musculoskeletal disorders; lumbalgia; physical activity; prevention; public health

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MDPI and ACS Style

Quentin, C.; Bagheri, R.; Ugbolue, U.C.; Coudeyre, E.; Pélissier, C.; Descatha, A.; Menini, T.; Bouillon-Minois, J.-B.; Dutheil, F. Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health 2021, 18, 8430. https://doi.org/10.3390/ijerph18168430

AMA Style

Quentin C, Bagheri R, Ugbolue UC, Coudeyre E, Pélissier C, Descatha A, Menini T, Bouillon-Minois J-B, Dutheil F. Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health. 2021; 18(16):8430. https://doi.org/10.3390/ijerph18168430

Chicago/Turabian Style

Quentin, Chloé, Reza Bagheri, Ukadike C. Ugbolue, Emmanuel Coudeyre, Carole Pélissier, Alexis Descatha, Thibault Menini, Jean-Baptiste Bouillon-Minois, and Frédéric Dutheil. 2021. "Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis" International Journal of Environmental Research and Public Health 18, no. 16: 8430. https://doi.org/10.3390/ijerph18168430

APA Style

Quentin, C., Bagheri, R., Ugbolue, U. C., Coudeyre, E., Pélissier, C., Descatha, A., Menini, T., Bouillon-Minois, J.-B., & Dutheil, F. (2021). Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis. International Journal of Environmental Research and Public Health, 18(16), 8430. https://doi.org/10.3390/ijerph18168430

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