Effects of 6 Weeks Classification-guided Exercise on Pain and Functionality in Subgroups of Nonspecific Chronic Low Back Pain

Abstract

The European guidelines recommend supervised exercise therapy as a first-line treatment in the management of nonspecific chronic low back pain (NCLBP).1 Exercise therapy is effective at improving function and decreasing pain in adults with NCLBP.2 In a systemic review, Middelkoop et al. found 37 studies on the topic of exercise therapy.3 Exercise therapy improved post-treatment pain intensity, disability, and long-term function. There is still no consensus as to what kind of exercise should be used.1 In the European guidelines, recommendations are not given on the specificexercise to be set about populations with NCLBP.2 Hayden et al. reported no evidence to support the effectiveness of specific-exercise over others in patients with NCLBP. The lack of consistent evidence to support exercise interventions may be due to the heterogeneous study populations for comparison.4,5 Over several years, the custom has been to divide people with NCLBP into homogeneous populations of similar Effects of 6 Weeks Classification-guided Exercise on Pain and Functionality in Subgroups of Nonspecific Chronic Low Back Pain