Exercise management in patients with chronic nonspecific low back pain:a summary of best evidence
10.3969/j.issn.1671-8283.2025.01.012
- VernacularTitle:慢性非特异性腰背痛患者运动管理的最佳证据总结
- Author:
Liqing WANG
1
;
Guiyun MA
;
Bokun SHANG
;
Jieling LUO
Author Information
1. 承德医学院护理学院,河北 承德,067000
- Publication Type:Journal Article
- Keywords:
chronic non-specific low back pain;
exercise;
management;
evidence summary;
evidence-based care
- From:
Modern Clinical Nursing
2025;24(1):77-84
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrieve,evaluate and summarise the best evidence for exercise management in patients with chronic non-specific low back pain,and to provide an evidence-based knowledges for healthcare professionals in clinical practice.Methods According to"6S"model systematic searches on BMJ Best Practice,UpToDate,Joanna Briggs Institute evidence-based Healthcare Centre Database,Cochrane library,World Health Organization,National Institute for Health and Care Excellence,Registered Nurses'Association of Ontario,Guideline International Network,Canadian Medical Association Clinical Practice Guidelines Infobase,Scottish Intercollegiate Guidelines Network,New Zealand Guidelines Group,Agency for Healthcare Research and Quality,Medlive,the North American Spine Society,Chinese Association for the Study of Pain,American Society of Pain and Neuroscience,PubMed,CINAHL,Embase,Web of Science,China National Knowledge Infrastructure,Wanfang Data,VIP,SinoMed in exercise management for patients with chronic nonspecific low back pain,expert consensus,systematic reviews,clinical decisions and evidence summaries were conducted,with a search timeframe of the inception of databases to 29 th February 2024.Two graduate nursing students trained in systematic evidence-based methodology independently conducted literature quality assessment,evidence review and extraction using literature quality assessment tools such as the JBI Centre for Evidence-Based Healthcare,and consolidated the evidence after discussion by the evidence-based research team.Results A total of 15 papers were included in the literature,including 5 guidelines,3 expert consensus,1 systematic review,4 evidence summaries and 2 clinical decisions,and 31 pieces of evidence were summarised,including 6 aspects of exercise assessment,the type,frequency and intensity of exercise,precautions and health awareness.Conclusion This study summarises the best evidence for exercise management in patients with chronic nonspecific low back pain,and provides an evidence-based knowledges for the care of patients in hospital,community or at home.