Unloaded Movement Facilitation Exercise Compared to No Exercise or Alternative Therapy on Outcomes for People with Nonspecific Chronic Low Back Pain: A Systematic Review

Susan C. Slade  and Jennifer L. Keating

The purpose of this systematic review was to determine the effect of unloaded movement facilitation exercises on outcomes for people with nonspecific chronic low back pain (NSCLBP).  Six high-quality randomized controlled trials were included which studied McKenzie therapy, intensive trunk strengthening, specific spinal stabilization exercises and Yoga.   The authors concluded that for NSCLBP, there is strong evidence that unloaded movement facilitation exercise, compared to no exercise, improves pain and function. Compared to other types of exercise, including effort-intensive strengthening and time-intensive stabilization exercise, the effects are comparable. This challenges the role of strengthening for NSCLBP.

Journal of Manipulative and Physiological Therapeutics, 2007, 30, 4, 301-311

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Neck Pain

Out of all 291 conditions studied in the Global Burden of Disease 2010 Study, neck pain ranked 4th highest in terms of disability and 21st in terms of overall burden.

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