000162467 001__ 162467
000162467 005__ 20251017144653.0
000162467 0247_ $$2doi$$a10.3390/healthcare13172094
000162467 0248_ $$2sideral$$a145018
000162467 037__ $$aART-2025-145018
000162467 041__ $$aeng
000162467 100__ $$0(orcid)0000-0002-6506-6081$$aLapuente-Hernández, Diego$$uUniversidad de Zaragoza
000162467 245__ $$aHome Physical Exercise Interventions in Chronic Non-Specific Low Back Pain: Systematic Review and Multivariate Meta-Analysis
000162467 260__ $$c2025
000162467 5060_ $$aAccess copy available to the general public$$fUnrestricted
000162467 5203_ $$aBackground/Objectives: Low back pain is considered one of the leading causes of disability. Up to 90% of cases are classified as non-specific, which, if prolonged for at least 12 weeks, is considered non-specific chronic low back pain (NSCLBP). Physical exercise is one of the selected treatments for NSCLBP. Interest in the use of remote interventions has recently emerged. The main objective was to analyze the effect of home exercise interventions to reduce pain intensity and functional disability in individuals with NSCLBP. Methods: A systematic review was conducted in April 2024. Both multivariate and univariate meta-analysis was performed with the difference before and after treatment, adjusting both models with a meta-regression that included the covariates age and body mass index (BMI). Heterogeneity was analyzed with Cochran’s Q test as well as with the I2 estimator, and effect size was calculated with Hedges’G. Results: A total of six studies, with moderate–high methodological quality and a heterogeneous risk of bias, were included. There was a statistically significant pre-/post-treatment effect on functional disability (moderate effect: Hedge’s g = 0.69, p = 0.018) and pain intensity (large effect: Hedge’s g = 1.11, p = 0.007) in both univariate and multivariate (moderate effect: Hedge’s g = 0.77) meta-analyses when comparing unsupervised home exercise with supervised in-person exercise, in favor of the latter. This effect was significantly moderated by BMI (p = 0.003 for both outcomes) negatively. Conclusions: Unsupervised home exercise appears to be less effective than supervised in-person exercise in effectively reducing pain intensity and functional disability in the short term in individuals with NSCLBP.
000162467 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000162467 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000162467 700__ $$0(orcid)0000-0003-4792-1782$$aGil-Calvo, Marina
000162467 700__ $$aCuenca-Zaldívar, Juan Nicolás
000162467 700__ $$aCarcasona-Otal, Alberto$$uUniversidad de Zaragoza
000162467 700__ $$0(orcid)0000-0002-9201-0120$$aHerrero, Pablo$$uUniversidad de Zaragoza
000162467 700__ $$0(orcid)0000-0001-8500-1667$$aMatute-Llorente, Ángel$$uUniversidad de Zaragoza
000162467 7102_ $$11006$$2245$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Educación Física y Depor.
000162467 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000162467 773__ $$g13, 17 (2025), 2094 [20 pp.]$$pHealthcare (Basel)$$tHealthcare (Switzerland)$$x2227-9032
000162467 8564_ $$s1005856$$uhttps://zaguan.unizar.es/record/162467/files/texto_completo.pdf$$yVersión publicada
000162467 8564_ $$s2498174$$uhttps://zaguan.unizar.es/record/162467/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000162467 909CO $$ooai:zaguan.unizar.es:162467$$particulos$$pdriver
000162467 951__ $$a2025-10-17-14:37:08
000162467 980__ $$aARTICLE