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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Physical activity programme

A series of five online courses that comprehensively explore physical activity and the related role of physiotherapy / physical therapy