What Is The Effectiveness Of Exercise And Educational Interventions For Reducing Pain And Improving Function In Adolescence With Non-Specific Low Back Pain? A Systematic Review Of the Literature.
(2013) What Is The Effectiveness Of Exercise And Educational Interventions For Reducing Pain And Improving Function In Adolescence With Non-Specific Low Back Pain? A Systematic Review Of the Literature., no. 83.
Purpose: Identify whether exercise and educational interventions are effective in reducing pain and improving function in adolescents with non-specific low back pain (NSLBP). Background: The research has shown a significant increase in the incidence and prevalence of adolescent NSLBP. It has been reported that 80-85% of all low back pain is non- specific in nature and adolescents who develop NSLBP are more likely to have back pain again in the future. Currently the fundamental justification for treatments/interventions carried out on adolescents with NSLBP is based on adult and pediatric research. Recent reviews and meta-analysis have highlighted that there is limited research available for treatment in adolescent NSLBP with confusion over which interventions are the most beneficial. Methods: The studies evaluated in this systematic review are Randomised Control Trials (RCT's) and clinical control trials, printed in the English language, full text available and published before April 2013. The studies selected have to include participants aged ten to nineteen years (adolescents) with NSLBP. Databases searched were Cochrane Library, MEDLINE, PUBMED, CINAL, SportDiscus and SCOPUS. Studies from these databases were selected depending on whether they met the defined inclusion/exclusion criteria and were evaluated using the Physiotherapy Evidence Database Scale (PEDro scale 1999). Results: Five studies were reviewed in this systematic review, three RCT's and two clinical control trials. The methodological quality of these studies fluctuated as illustrated by the (PEDro scale 1999) scores varied in strength from 4/10 to 8/10 for the five studies selected. Statistically significant results were found for a reduction in pain intensity and an improvement in function. Conclusion: This systematic review revealed exercise and educational interventions have positive effects on reducing pain intensity and improving function in adolescents with NSLBP. However too few studies with varying levels of strength existed to draw definitive conclusions from this systematic review alone, thus more research is needed with a longer follow up period.