685 - Pain, Functionality and Quality of Life: A Meta-Analysis Exploring Exercise Interventions for Chronic Low Back Pain

Chronic Low Back Pain (CLBP) imposes a significant global health burden, representing a leading cause of disability and economic strain. The complexity of CLBP diagnosis and treatment underscores the need for effective management strategies, particularly exercise interventions. This study aims to systematically review and meta-analyze the effectiveness of exercise interventions on pain, disability, and quality of life in individuals with CLBP, emphasizing the different types of exercise regimens.

Design:

Adhering to PRISMA guidelines, we conducted a comprehensive search across several databases, including PubMed, Cochrane Library, Embase, CINAHL, and PEDRO. The analysis focused on randomized controlled trials examining the impact of exercise dose and intensity on CLBP rehabilitation. Quality assessment was performed using the Cochrane Collaboration's tool.

Results:

Fourteen studies were included, with a total of 973 participants analyzed for disability outcomes and 650 for pain intensity. Meta-analysis revealed that exercise interventions significantly reduced disability (standardized mean difference [SMD] = -0.29; 95% CI: -0.48 to -0.10; P = 0.003) and total pain (SMD = -11.15; 95% CI: -17.04 to -5.26; P = 0.0002), with Pilates and functional exercises showing superior effectiveness. Quality of life improvements were also significant, particularly in role physical functioning and bodily pain dimensions of the SF-36 scale.

Conclusions:

The findings affirm the efficacy of exercise interventions, notably Pilates and functional exercises, in mitigating disability, pain, and enhancing the quality of life in individuals with CLBP. These results support the inclusion of tailored exercise programs in CLBP management strategies, highlighting the need for further research to optimize exercise parameters for CLBP rehabilitation.