The Effectiveness of Combined Exercise and Self-Determination Theory Programmes on Chronic Low Back Pain: A Systematic Review and Metanalysis

Alba Navas-Otero; Andrés Calvache-Mateo; Javier Martín-Núñez; Geraldine Valenza-Peña; Sofía Hernández-Hernández; Araceli Ortiz-Rubio; Marie Carmen Valenza

doi:10.3390/healthcare12030382

The Effectiveness of Combined Exercise and Self-Determination Theory Programmes on Chronic Low Back Pain: A Systematic Review and Metanalysis

Healthcare (Basel). 2024 Feb 1;12(3):382. doi: 10.3390/healthcare12030382.

Authors

Alba Navas-Otero¹, Andrés Calvache-Mateo¹, Javier Martín-Núñez¹, Geraldine Valenza-Peña¹, Sofía Hernández-Hernández¹, Araceli Ortiz-Rubio¹, Marie Carmen Valenza¹

Affiliation

¹ Department of Physiotherapy, Faculty of Health Sciences, University of Granada, Av. de la Ilustración 60, 18016 Granada, Spain.

Abstract

Low back pain is a pervasive issue worldwide, having considerable prevalence and a significant impact on disability. As low back pain is a complicated condition with many potential contributors, the use of therapeutic exercise, combined with other techniques such as self-determination theory programmes, has the potential to improve several outcomes. The aim of this systematic review was to explore the effectiveness of combined exercise and self-determination theory programmes on chronic low back pain. This study was designed according to Preferred Reporting Items for Systematic Reviews and Meta-analysis guidelines. A systematic search in three databases (PubMed/MEDLINE, Web of Science, and Scopus) was conducted from September to November 2023. After screening, a total of five random control trials with patients with chronic low back pain were included in this systematic review and meta-analysis. The results showed significant differences in disability (SMD = -0.98; 95% CI = -1.86, -0.09; p = 0.03) and in quality of life (SMD = 0.23; 95% CI = 0.02, 0.44; p = 0.03) in favour of the intervention group versus the control group.

Keywords: chronic; disability; exercise; low back pain; quality of life; self-determination theory.

Publication types

Review

Grants and funding

Author A.N.-O has received financial support through an FPU (“Formación Profesorado Universitario”) grant (FPU: 22/01543) from the training of university faculty in the University of Granada. This work was part of a Ph.D. thesis conducted in the Clinical Medicine and Public Health Doctoral Studies of the University of Granada, Spain. Author J.M.-N. has received financial support through an FPU (“Formación Profesorado Universitario”) grant (FPU: 21/00451) from the training of university faculty in the University of Granada.