- Title
- Exercise Increases Pain Self-efficacy in Adults With Nonspecific Chronic Low Back Pain: A Systematic Review and Meta-analysis
- Creator
- Gilanyi, Yannick L.; Wewege, Michael A.; Shah, Brishna; Cashin, Aidan G.; Williams, Christopher M.; Davidson, Simon R. E.; McAuley, James H.; Jones, Matthew D.
- Relation
- The Journal of Orthopaedic and Sports Physical Therapy Vol. 53, Issue 6, p. 325-374
- Publisher Link
- http://dx.doi.org/10.2519/jospt.2023.11622
- Publisher
- Journal of Orthopaedic & Sports Physical Therapy, Inc.
- Resource Type
- journal article
- Date
- 2023
- Description
- OBJECTIVE: To determine the effect of exercise on pain self-efficacy in adults with nonspecific chronic low back pain (NSCLBP). DESIGN: Intervention systematic review with meta-analysis LITERATURE SEARCH: We searched the Cochrane Central Register of Controlled Trials (CENTRAL), PubMed, Embase, PsycINFO, and CINAHL databases from October 20, 2018, to March 23, 2022. SELECTION CRITERIA: We included randomized controlled trials that compared the effect of exercise on pain self-efficacy to control, in adults with NSCLBP. DATA SYNTHESIS: We conducted a meta-analysis using a random-effects model. We evaluated the risk of bias using the Cochrane risk-of-bias tool (RoB 2) and judged the certainty of evidence using the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) framework. RESULTS: Seventeen trials were included, of which eight (n = 1121 participants; 60.6% female; mean age: 49.6 years) were included in the meta-analysis. Exercise increased pain self-efficacy by 3.02 points (95% confidence interval: 1.72, 4.32) on the 60-point Pain Self-Efficacy Questionnaire. The certainty of evidence was moderate; all trials were at high risk of bias. CONCLUSION: There was moderate-certainty evidence that exercise increased pain self-efficacy in adults with NSCLBP. Future research should investigate if this effect is meaningful, whether it increases with more targeted treatments to enhance pain self-efficacy, and the effects on outcomes for adults with NSCLBP. J Orthop Sports Phys Ther 2023;53(6):1-8. Epub: 10 May 2023. doi:10.2519/jospt.2023.11622.
- Subject
- back pain; exercise; review; self-efficacy
- Identifier
- http://hdl.handle.net/1959.13/1484267
- Identifier
- uon:51295
- Identifier
- ISSN:1938-1344
- Language
- eng
- Reviewed
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