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Exercise Associated With Prevention Of Low Back Pain

Last updated Feb. 7, 2016

Approved by: Maulik P. Purohit MD, MPH

CDC/ Amanda Mills

A review of medical literature suggests that exercise, alone or in combination with education, may reduce the risk of low back pain.


A review of medical literature suggests that exercise, alone or in combination with education, may reduce the risk of low back pain, according to an article published online by JAMA Internal Medicine.

Daniel Steffens, Ph.D., of the University of Sydney, Australia, and coauthors identified 23 published reports (on 21 different randomized clinical trials including 30,850 participants) that met their inclusion criteria.

The authors report that moderate-quality evidence suggests exercise combined with education reduces the risk of an episode of low back pain and low- to very low-quality evidence suggests exercise alone may reduce the risk of both a low back pain episode and the use of sick leave. Other interventions, including education alone, back belts and shoe inserts do not appear to be associated with the prevention of low back pain.

"Although our review found evidence for both exercise alone (35 percent risk reduction for an LBP [low back pain] episode and 78 percent risk reduction for sick leave) and for exercise and education (45 percent risk reduction for an LBP episode) for the prevention of LBP up to one year, we also found the effect size reduced (exercise and education) or disappeared (exercise alone) in the longer term (> 1 year). This finding raises the important issue that, for exercise to remain protective against future LBP, it is likely that ongoing exercise is required," the study concludes.


The above post is reprinted from materials provided by The JAMA Network JournalsNote: Materials may be edited for content and length.

Disclaimer: DoveMed is not responsible for the adapted accuracy of news releases posted to DoveMed by contributing universities and institutions.

Primary Resource:

Steffens, D., Maher, C. G., Pereira, L. S., Stevens, M. L., Oliveira, V. C., Chapple, M., ... & Hancock, M. J. (2016). Prevention of Low Back Pain: A Systematic Review and Meta-analysis. JAMA internal medicine, 1-10.

Reviewed and Approved by a member of the DoveMed Editorial Board
First uploaded: Feb. 7, 2016
Last updated: Feb. 7, 2016