Alonso-Sal Alexandra, Alonso-Perez José Luís, Sosa-Reina María Dolores, García-Noblejas-Fernández Juan Antonio, Balani-Balani Viren Gul, Rossettini Giacomo, Villafañe Jorge Hugo
Department of Physiotherapy, Faculty of Sport Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain.
Musculoskeletal Pain and Motor Control Research Group, Faculty of Sport Sciences, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain.
Medicina (Kaunas). 2024 Dec 16;60(12):2065. doi: 10.3390/medicina60122065.
This systematic review evaluates the effectiveness of exercise interventions for managing nonspecific low back pain (NSLBP) and explores their impact on related biopsychosocial factors, physical health variables, and inflammatory biomarkers. : A comprehensive search of five databases (PubMed, CINAHL, PEDro, SCOPUS, Cochrane Library) was conducted, covering studies from 2019 to 2024. Fifteen randomized controlled trials involving 1338 participants aged 18 to 65 years with NSLBP were included. Data extraction and quality assessment were performed independently by two reviewers using the PEDro scale, and risk of bias was evaluated using the Cochrane Risk-of-Bias tool (RoB 2.0). : Exercise significantly reduced pain intensity and improved biopsychosocial factors such as depression, disability, functionality, quality of life, and kinesiophobia. Additionally, it enhanced physical parameters like proprioception, muscle thickness, and physical performance. However, the review found insufficient evidence regarding the effects of exercise on inflammatory biomarkers in NSLBP patients. : The findings suggest that physical exercise is an effective intervention for pain reduction and the improvement of overall health in NSLBP, though further research is needed to clarify its impact on inflammation.
本系统评价评估了运动干预对非特异性下腰痛（NSLBP）的管理效果，并探讨了其对相关生物心理社会因素、身体健康变量和炎症生物标志物的影响。：对五个数据库（PubMed、CINAHL、PEDro、SCOPUS、Cochrane图书馆）进行了全面检索，涵盖2019年至2024年的研究。纳入了15项随机对照试验，涉及1338名年龄在18至65岁之间患有NSLBP的参与者。两名评价者使用PEDro量表独立进行数据提取和质量评估，并使用Cochrane偏倚风险工具（RoB 2.0）评估偏倚风险。：运动显著降低了疼痛强度，并改善了生物心理社会因素，如抑郁、残疾、功能、生活质量和运动恐惧。此外，它还增强了本体感觉、肌肉厚度和身体表现等身体参数。然而，该评价发现关于运动对NSLBP患者炎症生物标志物影响的证据不足。：研究结果表明，体育锻炼是减轻NSLBP疼痛和改善整体健康的有效干预措施，不过需要进一步研究以阐明其对炎症的影响。
