Impact of Physical Exercise Program on Quality of Life and Pain Reduction in People with Chronic Low Back Pain: A Pilot Study
by Carla Gonçalves1,2*, Susana Rafaela Martins1,2, Marisa Cubal3, Bruno Silva1,2, Sara Moreira4,5,6, Daniela Tavares1
1Escola Superior Desporto e Lazer, Instituto Politécnico de Viana do Castelo, Portugal
2Sports Physical activity and health Research & Innovation center (SPRINT), Portugal
3Clinimano, Rua Vasco da Gama R/C Nº22 3730-263 Vale de Cambra, Portugal
4ESS|IPVC, Escola Superior de Saúde, Instituto Politécnico de Viana do Castelo, Portugal
5ICBAS, Abel Salazar Institute of Biomedical Sciences, University of Porto, Porto, Portugal
6CBSin-Center of BioSciences in Integrative Health, Portugal
*Corresponding author: Carla Gonçalves, CBSin - Centre of Biosciences in Integrative Health, Sports Physical activity and health Research & Innovation centre (SPRINT), Melgaço, Portugal
Received Date: 10 December, 2024
Accepted Date: 20 December, 2024
Published Date: 22 December, 2024
Citation: Gonçalves C, Martins SR, Cubal M, Silva B, Moreira S, Tavares D (2024) Impact of Physical Exercise Program on Quality of Life and Pain Reduction in People with Chronic Low Back Pain: A Pilot Study. J Orthop Res Ther 9: 1371. https://doi.org/10.29011/2575-8241.001371
Abstract
The purpose of this study was to verify the impact of a physical exercise program on low back pain and quality of life in people with chronic low back pain. Sixteen active women (45±9.2 years; 157.5±3.6 cm; 61.9±9.3 kg) with chronic low back pain were randomly assigned to a control group (CG; n=8) or an experimental group (EG; n=8) in a 12-week parallel design. The EG continued their regular exercise and added the training program twice weekly, while the CG followed only their routines. Assessments at baseline (M1) and post-intervention (M2) included anthropometrics, a visual analog scale, the International Physical Activity Questionnaire, the Health Survey Questionnaire, and the Oswestry Disability Index. Mann-Whitney, Wilcoxon, and Friedman tests were conducted. Between M1-M2, the EG showed significant improvements in pain (p=0.017), physical disability (p=0.027), and quality of life (physical performance, body pain, social function; p=0.027, p=0.018, and p=0.014, respectively). The CG showed improvement in general health status (p=0.028). Post-intervention, the EG significantly outperformed the CG in reducing low back pain (p=0.024) and in quality-of-life areas of physical performance, body pain, and social function (p=0.031, p=0.013, p=0.020, respectively). The CG improved in general health (p=0.045). Overall, the training program yielded positive effects, with the EG showing marked pain reduction and enhancements in physical performance and body pain quality-of-life parameters compared to the CG.
Keywords: Chronic low back pain, physical exercise, quality of life, pain.
Abbreviations: LBP: Low back pain; CLD: Chronic low back pain; ODI: Oswestry Disability Index; IPAQ: International Physical Activity Questionnaire; SF-36: Medical Outcomes Study - Short Form 36 items; FMS- Functional Movement Screen; VAS: Visual Analog Scale; M1: Moment 1; M2: Moment 2; CG: Control Group; EG: Experimental Group