Author (year) Study quality | Outcome measures | Results pain | Results disability | Original review authors conclusions |
---|---|---|---|---|
Kristensen & Franklyn-Miller (2012) [13] AMSTAR-2 Critically low | Pain: NR Disability: NR Follow-up: Post-intervention | Pain scores decreased in 8 trials at post-intervention | Functional ability increased in 7 trials at post-intervention | Evidence suggests that RT can increase muscle strength, reduce pain and improve functional ability in patients suffering from CLBP, RT can be used successfully as a therapeutic modality in several musculoskeletal conditions, especially those of a chronic variety. Although the exact application of training intensity and volume for maximal therapeutic effects is still unclear, it appears that RT guidelines, which have proven effective in a healthy population, can also be successfully applied in a rehabilitation context. |
Scharrer et al. (2012) [64] AMSTAR-2 Moderate | Pain: NR Disability: NR Follow-up: Short term: < 3 mo after randomization Intermediate term: 4–12 mo after randomization Long term: > 12 mo | Resistance training > control Resistance training = CBI Both trials, one was of high quality, found MTT to decrease pain better that therapy of uncertain effectiveness, but equal to a cognitive behavioral intervention | Resistance training > control Resistance training = CBI Both trials, one was of high quality, found MTT to improve function significantly better that therapy of uncertain effectiveness, but equal to a cognitive behavioral intervention | There is moderate evidence that a combination of endurance training and progressive resistance training of the back muscles is more effective than no intervention, but equal effective as a cognitive behavioral intervention. Future high quality RCT’s will have to clarify whether MTT is effective and would be superior to other forms of therapeutic exercise. |
Weinhardt et al. (2001) [39] AMSTAR-2 low | Pain: NR Disability: NR Follow-up: NR | Resistance training > passive treatment Resistance training = fitness Compared to passive treatment or no treatment, significant improvement in pain. No difference in effects between fitness and strength training | Resistance training > passive treatment Resistance training = fitness Compared to passive treatment or no treatment, significant increase in function. No difference in effects between fitness and strength training | In comparison with passive treatment or no treatment, there is strong evidence for the benefit of resistance training, but non-specific fitness training is comparable effective in rehabilitation. |