Effectiveness of Neuromuscular Exercise in Individuals with Low Back Pain: A Narrative Review

Aim: Low back pain (LBP) is one of the leading causes of disability worldwide, with a huge economic burden on public health. Neuromuscular (NMS) exercises may reduce LBP recurrence, but the most effective program has not been established. This narrative review aimed to collect evidence on the effec...

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Main Authors: Ehsan Alvani, Alireza Shamsoddini, Amir Letafatkar, Shahnaz Shahrbanian, Jorge Hugo Villafañe, Giacomo Rossettini
Format: Article
Language:English
Published: FEADEF 2024-05-01
Series:Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación
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Online Access:https://recyt.fecyt.es/index.php/retos/article/view/102993
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author Ehsan Alvani
Alireza Shamsoddini
Amir Letafatkar
Shahnaz Shahrbanian
Jorge Hugo Villafañe
Giacomo Rossettini
author_facet Ehsan Alvani
Alireza Shamsoddini
Amir Letafatkar
Shahnaz Shahrbanian
Jorge Hugo Villafañe
Giacomo Rossettini
author_sort Ehsan Alvani
collection DOAJ
description Aim: Low back pain (LBP) is one of the leading causes of disability worldwide, with a huge economic burden on public health. Neuromuscular (NMS) exercises may reduce LBP recurrence, but the most effective program has not been established. This narrative review aimed to collect evidence on the effect of NMS exercises in patients with LBP. Methods: A narrative review of the electronic literature from April 2000 to July 2023 was conducted. The electronic search was performed on five databases (PubMed, Scopus, Web of Science, Google Scholar, and Science Direct). All articles analysed in this study were randomized controlled trials (RCTs). The PEDro scale was used to assess the methodological quality of the articles. Results: Five RCTs were selected and included.The RCTs showed that NMS exercises reduce pain intensity, improve lumbar movement control and physical function, and prevent LBP. Studies also showed that NMS exercises are targeted to improve the control, flexibility, and strength of lumbar muscles. The PEDro score ranges from 5 to 7, highlighting several methodological issues. Conclusion: The findings of this narrative review indicate that NMS exercises can reduce pain intensity in LBP. However, the research on NMS exercises’ effects on LBP is very limited and should be interpreted with caution due to the methodological limitations. Keywords: Neuromuscular exercises, Low back pain, Lumbar posture, Stabilization, Rehabilitation, Core stability, Motor control.
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spelling doaj-art-ee09f8aeedeb45f5bb5a1ee78db5860f2024-12-25T17:18:15ZengFEADEFRetos: Nuevas Tendencias en Educación Física, Deportes y Recreación1579-17261988-20412024-05-015410.47197/retos.v54.102993Effectiveness of Neuromuscular Exercise in Individuals with Low Back Pain: A Narrative ReviewEhsan Alvani0Alireza Shamsoddini1Amir Letafatkar2Shahnaz Shahrbanian3Jorge Hugo Villafañe4Giacomo Rossettini5Faculty of Physical Education and Sport sciences, Department of Biomechanics and Sport injuries, Kharazmi University, Tehran-Republic of IranDepartment of Exercise Physiology Research Center, Baqiyatallah University of Medical Sciences, Tehran, IranFaculty of Physical Education and Sport sciences, Department of Biomechanics and Sport injuries, Kharazmi University, Tehran-Republic of Iran. Tehran, IranDepartment of Sport Science, Faculty of Humanities, Tarbiat Modares University, Tehran, IranIRCCS Fondazione Don Carlo Gnocchi, Piazzale Morandi 6, 20148 Milan, ItalySchool of Physiotherapy, University of Verona Aim: Low back pain (LBP) is one of the leading causes of disability worldwide, with a huge economic burden on public health. Neuromuscular (NMS) exercises may reduce LBP recurrence, but the most effective program has not been established. This narrative review aimed to collect evidence on the effect of NMS exercises in patients with LBP. Methods: A narrative review of the electronic literature from April 2000 to July 2023 was conducted. The electronic search was performed on five databases (PubMed, Scopus, Web of Science, Google Scholar, and Science Direct). All articles analysed in this study were randomized controlled trials (RCTs). The PEDro scale was used to assess the methodological quality of the articles. Results: Five RCTs were selected and included.The RCTs showed that NMS exercises reduce pain intensity, improve lumbar movement control and physical function, and prevent LBP. Studies also showed that NMS exercises are targeted to improve the control, flexibility, and strength of lumbar muscles. The PEDro score ranges from 5 to 7, highlighting several methodological issues. Conclusion: The findings of this narrative review indicate that NMS exercises can reduce pain intensity in LBP. However, the research on NMS exercises’ effects on LBP is very limited and should be interpreted with caution due to the methodological limitations. Keywords: Neuromuscular exercises, Low back pain, Lumbar posture, Stabilization, Rehabilitation, Core stability, Motor control. https://recyt.fecyt.es/index.php/retos/article/view/102993Keywords: Neuromuscular exercises, Low back pain, Lumbar posture, Stabilization, Rehabilitation, Core stability, Motor control
spellingShingle Ehsan Alvani
Alireza Shamsoddini
Amir Letafatkar
Shahnaz Shahrbanian
Jorge Hugo Villafañe
Giacomo Rossettini
Effectiveness of Neuromuscular Exercise in Individuals with Low Back Pain: A Narrative Review
Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación
Keywords: Neuromuscular exercises, Low back pain, Lumbar posture, Stabilization, Rehabilitation, Core stability, Motor control
title Effectiveness of Neuromuscular Exercise in Individuals with Low Back Pain: A Narrative Review
title_full Effectiveness of Neuromuscular Exercise in Individuals with Low Back Pain: A Narrative Review
title_fullStr Effectiveness of Neuromuscular Exercise in Individuals with Low Back Pain: A Narrative Review
title_full_unstemmed Effectiveness of Neuromuscular Exercise in Individuals with Low Back Pain: A Narrative Review
title_short Effectiveness of Neuromuscular Exercise in Individuals with Low Back Pain: A Narrative Review
title_sort effectiveness of neuromuscular exercise in individuals with low back pain a narrative review
topic Keywords: Neuromuscular exercises, Low back pain, Lumbar posture, Stabilization, Rehabilitation, Core stability, Motor control
url https://recyt.fecyt.es/index.php/retos/article/view/102993
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