Physical therapy management of older adults with chronic low back pain

Katja Ehrenbrusthoff, Cormac G. Ryan, Patricia A. Schofield, Denis J. Martin

    Research output: Chapter in Book/Report/Conference proceedingChapter

    Abstract

    Chronic low back pain (CLBP) is common in older adults. Findings from younger patients may not be generalizable to older adults with this condition. Objective: To investigate the evidence from RCTs for the effectiveness of physiotherapeutic interventions on pain and function in older adults with non-specific CLBP. Study group: Studies including older adults (>65years) with non-specific CLBP of >3 month's duration were included. Methods: The Cochrane Back Research Groups' guidelines were used as a methodological template for this systematic review. A literature search of EMBASE, CENTRAL, Medline, AMED, CINAHL and PEDro was performed up to November 2010. Two reviewers assessed the quality of included articles and the evidence for interventions was qualified using the GRADE system. Results: Three moderate quality RCTs were included. They investigated the following: mindfulness meditation, Percutaneous Electrical Nerve Stimulation [PENS], Exercise, and PENS and Exercise combined. Outcome measures for pain and function were reported for the short and medium-term only. There was limited evidence that compared to control/placebo interventions mindfulness meditation, exercise, and PENS combined with exercise have no effect on pain or function in older adults with non-specific CLBP. There was conflicting evidence that PENS compared to placebo is effective for pain and function. Conclusions: This systematic review identified only three studies that have investigated the effect of physiotherapeutic interventions on older adults with CLBP. There was insufficient research upon which to make firm clinical recommendations. Further research is needed on this severely under investigated and growing clinical population, to guide clinical practice.

    Original languageEnglish
    Title of host publicationPain
    Subtitle of host publicationInternational Research in Pain Management
    PublisherNova Science Publishers, Inc.
    Pages173-188
    Number of pages16
    ISBN (Electronic)9781629484358
    ISBN (Print)9781629484235
    Publication statusPublished - 1 Jan 2013

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    Ehrenbrusthoff, K., Ryan, C. G., Schofield, P. A., & Martin, D. J. (2013). Physical therapy management of older adults with chronic low back pain. In Pain: International Research in Pain Management (pp. 173-188). Nova Science Publishers, Inc..