Exercise as an intervention in the treatment of chronic low back pain

Authors

  • Rafael Zepeda Mora Médico Residente en Medi- cina de Rehabilitación.
  • Eva Cruz Medina Rehabilitación de Columna del Instituto Nacional de Rehabilitación. Calzada México-Xochimilco Núm. 289, Col. Arenal de Guadalupe, Del. Tlalpan, 14389, México, D.F. Tel: 50991000, ext. 13130

Keywords:

Lumbar back pain, excercise, intervention

Abstract

Chronic low-back pain (CLBP) is defined as an uncomfortable and painful sensation, between
posterior ribs and the lower limit of buttocks. It can be extended to lower limbs, stressing in
any case the resistance of ligament and muscle structures for more than 12 weeks. CLBP is
a frequent cause of impairment of daily activities and absenteeism in labor. CLBP is often
described as a disastrous health problem from XX and XXI Centuries. Categorizing of patients
who have CLBP obligates to focusing on the wide spectrum of specific and non-specific causes,
to achieve a reliable schedule of treatment. Effectiveness of conservative management based
overall upon exercise programs, depends among other facts, on compromising of patients to
be attached enough to the permanent and long-lasting conservative treatment.

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References

Guía clínica para el diagnóstico, tratamiento y preven-

ción de lumbalgia aguda, crónica en el primer nivel de

atención. México: Secretaría de Salud; 2009.

López-Roldan VM, Oviedo-Mota MA, Guzmán-González

JM, Ayala-García Z, Ricardez-Santos G, Burillo-Bauret

E et al. Guía clínica para la atención del síndrome do-

loroso lumbar. Rev Med IMSS. 2003; 41 (supl): S123-

S130.

Grabois M. Management of chronic low back pain. Am

J Phys Med Rehabil. 2005; 84 (suppl): S29-S41.

Hayden JA, Cartwright J, Riley R, Tulder M. Exercise

therapy for chronic low back pain: protocol for an indi-

vidual participant data meta-analysis. Syst Rev. 2012;

: 64.

Steele J, Bruce-Low S, Smith D, Jessop D, Osborne N.

A randomized controlled trial of limited range of motion

lumbar extension exercise in chronic low back pain.

Spine. 2013; 38 (15): 1245-1252.

Wang XQ, Zheng JJ, Yu ZW, Bi X, Lou SJ, Liu J et al. A

meta-analysis of core stability exercise versus general

exercise for chronic low back pain. PLoS ONE. 2012; 7

(12): e52082.

Kisner C, Colby LA. La columna: alteraciones, diag-

nóstico y pautas de manejo. Ejercicio terapéutico. 5a

edición. Buenos Aires, Argentina: Editorial Médica

Panamericana; 2012. pp. 408-435.

Organización Mundial de la Salud. Estrategia mundial

sobre régimen alimentario, actividad física y salud.

Marco para el seguimiento y evaluación de la aplicación.

Ginebra: OMS; 2006.

Liebenson C. Orientación para el tratamiento efectivo y

económico del dolor de columna lumbar. En: Liebenson

C. Manual de rehabilitación de la columna vertebral.

Barcelona, España: Editorial Paidotribo; pp. 19-30.

Olivier N, Thevenon A, Berthoin S, Prieur F. An exercise

therapy program can increase oxygenation and blood

volume of the erector spine muscle during exercise in

chronic low back pain patients. Arch Phys Med Rehabil.

; 94 (3): 536-542.

van Tulder MW, Malmivaara A, Esmail R, Koes B.

Exercise therapy for low back pain. Spine. 2000; 25

(21): 2784-2796.

Panjabi MM. The stabilizing system of the spine. Part II.

Neutral zone and instability hypothesis. J Spinal Disord.

; 5 (4): 390-397.

Hoogenboom BJ, Kiesel K. Entrenamiento de estabi-

lización central. En: Brotzman SB, Manske RC. Re-

habilitación ortopédica clínica: un enfoque basado en

la evidencia. 3a edición. Barcelona, España: Editorial

Elsevier; 2012. pp. 467-482.

Kavcic N, Grenier S, McGill S. Determining the stabili-

zing role of individual torso muscles during rehabilitation

exercises. Spine. 2004; 29 (2): 1254-1265.

Hyman J, Liebenson C. Manual de rehabilitación de la

columna vertebral. Programa de ejercicios de estabi-

lización de la columna vertebral. Barcelona, España:

Editorial Paidotribo; pp. 365-395.

Rodríguez B, Rodríguez A, Carballo L, Senín F, Paseiro

G et al. Evidencia en el manejo del dolor de espalda cró-

nico con el método McKenzie. Revista Iberoamericana

de Fisioterapia y Kinesiología. 2009; 12 (2): 73-83.

Hoogenboom BJ, Bennett J. Método McKenzie para la

lumbalgia. En: Brotzman SB, Manske RC. Rehabilitación

ortopédica clínica: un enfoque basado en la evidencia.

a edición. Barcelona, España: Editorial Elsevier; 2012.

pp. 482-491.

McKenzie R, May S. The lumbar spine mechanical

diagnosis and therapy. 2nd edition. Waikanae, New

Zealand: Spinal Publications; 2004.

Da Luz MA, Costa LO, Fuhro FF, Manzoni AC, Oliveira

NT, Cabral CM. Effectiveness of mat Pilates or equip-

ment-based Pilates exercises in patients with chronic

nonspecific low back pain: a randomized controlled trial.

Phys Ther. 2014; 94 (5): 623-631.

Wells C, Kolt G, Marshall P, Hill B, Bialocerkowski A.

Effectiveness of Pilates exercise in treating people with

chronic low back pain: a systematic review of systematic

reviews. BMC Medical Research Methodology. 2013;

: 7.

Lim EC, Poh RL, Low AY, Wong WP. Effects of Pilates-

based exercises on pain and disability in individuals

with persistent non specific low back pain: a systematic

review with meta-analysis. J Orthop Sports Phys Ther.

; 41 (2): 70-80.

Pereira LM, Obara K, Dias JM, Menacho MO, Guariglia

DA, Schiavoni D et al. Comparing the Pilates method

with no exercise or lumbar stabilization for pain and

functionality in patients with chronic low back pain: Sys-

tematic review and meta-analysis. Clin Rehabil. 2012;

(1): 10-20.

Sherman KJ, Wellman RD, Cook AJ, Cherkin DC, Ce-

ballos RM. Mediators of yoga and stretching for chronic

low back pain. Evid Based Complement Alternat Med.

; 2013: 130818.

Bronfort G, Maiers M, Evans R, Schulz C, Bracha Y,

Svendsen KH et al. Supervised exercise, spinal mani-

pulation, and home exercise for chronic low back pain: a

randomized clinical trial. Spine J. 2011; 11 (7): 585-598.

Hayden JA, van Tulder MW, Tomlinson G. Systematic

review: strategies for using exercise therapy to improve

outcomes in chronic low back pain. Ann Intern Med.

; 142 (9): 776-785.

Shnayderman I, Katz-Leurer M. An aerobic walking

programme versus muscle strengthening programme

for chronic low back pain. A randomized controlled trial.

Clin Rehabil. 2012; 27 (3): 207-214.

Sung P. Disability and back muscle fatigability changes

following two therapeutic exercise interventions in par-

ticipants with recurrent low back pain. Med Sci Monit.

; 19: 40-48.

Published

2026-03-13

How to Cite

1.
Zepeda Mora R, Cruz Medina E. Exercise as an intervention in the treatment of chronic low back pain. Invest. Discapacidad [Internet]. 2026 Mar. 13 [cited 2026 Mar. 15];4(1):16-21. Available from: https://dsm.inr.gob.mx/indiscap/index.php/INDISCAP/article/view/886

Issue

Section

Evidence synthesis and meta-research

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