Is exercise focusing on core stability and pilates based exercises a more effective intervention for lower back pain than manual therapy?
Item
- Title
- Is exercise focusing on core stability and pilates based exercises a more effective intervention for lower back pain than manual therapy?
- Author(s)
- Bacon, L
- Abstract
- Background: Low back pain (LBP) is one of the most common and debilitating musculoskeletal issues in today's society, where recurrence or persistence is extremely high. Manual therapy (MT) and exercise have been shown to be effective for LBP, however there is controversy on which intervention is more effective. There were limited articles researching the comparison of the 2 forms of intervention and also the 2 interventions as a combined treatment approach and this gap within the literature has been explored in this review. Objective: To explore and critically analyse the research currently available since 2010 comparing MT and exercise to reduce LBP, to discover what is the most effective form of treatment for LBP. Design: Structured literature review Method: Articles were found using appropriate search terms via 4 database that matched the inclusion/exclusion criteria. These articles were summarised and scored via Strength of Recommendation Taxonomy (SORT) and the author's bespoke grading system. Results: Ten articles, 6 randomised control trials, 2 single case studies, 1 cohort study and 1 systematic review were retrieved. Five articles found MT to be more effective, 2 found exercise to be more effective, and 3 found combined interventions to be an effective. The mode grade using the SORT grading system was 2B; 6 of the 10 studies were graded 2B, while 4 received the grade of IB. Discussion: Half of the articles reviewed found MT to be a more effective form of treatment for LBP. The 3 articles which use combination intervention and the 2 articles which found exercise to be more effective, together make up the other half of the articles reviewed. Suggesting the importance of exercise and MT as a management process are perhaps more effective together than on their own. Conclusion: This study has been unable to find a definitive answer of what form of intervention is most effective suggesting a combination of interventions could be most effective for treating LBP. Perhaps a further step would be to compare articles that only use MT or exercise interventions and see how they compare to each other to get a more reliable and clearer answer.
- presented at
- European School of Osteopathy
- Date Accepted
- 2016
- Date Submitted
- 2.12.2016 17:29:03
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15932
- Inst-Identifier
- 1229
- Keywords
- Core stability, Pilates Exercise, Lower back pain, Manual therapy.
- Recommended
- 0
- Item sets
- Thesis
Bacon, L, “Is exercise focusing on core stability and pilates based exercises a more effective intervention for lower back pain than manual therapy?”, Osteopathic Research Web, accessed November 10, 2024, https://www.osteopathicresearch.com/s/orw/item/549