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The effect of trunk strengthening on chronic low back pain: a systematic review of the literature
Howard PD, Hudicka K, Keating C, Neidig N, Quiros S
Orthopaedic Physical Therapy Practice 2010;22(1):19-22
systematic review

BACKGROUND: Chronic low back pain (CLBP) is a significant problem that produces quality of life issues and financial implications. Strengthening exercises are one of many interventions currently used to treat CLBP. However, it is unclear what specific types of strengthening exercises are most effective to address this condition. PURPOSE: To investigate the effect of various trunk strengthening techniques in treating CLBP. METHODS: A systematic literature review was conducted. All selected papers were assessed and given a grade for the level of evidence and the strength of the recommendation. CLINICAL RELEVANCE: Incorporating trunk strengthening into the plan of care for patients with CLBP appears effective in decreasing pain and improving functional levels. General and specific trunk strengthening exercises appeared to be equally effective. The best advice for patients with CLBP is likely to stay active and include some type of trunk exercise as part of a regular fitness program.

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