Being wheelchair bound, having a specific or an acute LBP injury, having spinal sternness with neurogenic claudication, having a back surgery within previous 2 years, or currently using any pharmacological or lifestyle weight loss intervention
Men and women aged 60–85, waist circumference of 88 (female) and 102 (male) and body mass index of ≥30 kg/m2, who suffer from LBP for ≥6 months and abdominal obesity and who are free from abnormal cardiovascular responses during a graded maximal walk test
Resistance exercise intervention (TOTRX): leg press, leg curl, leg extension, chest press, seated row, overhead press, triceps dips, lumbar extension, biceps curls, calf press, and abdominal curl Lumbar extension intervention (LEXT): lumbar extension Control group: no exercise
Gait speed increased Increase in walking endurance Increase in lumbar extension strength
The TOTRX and LEXT show improvement in patients walking endurance Lumbar extension strength shows moderate gain but is an important contributor to walking endurance in obese older adults with chronic low back pain
Unstable angina, uncontrolled hypertension, orthostatic hypotension, pulmonary disease requiring oxygen therapy, dementia, aphasia, back pain attributable to acute fracture, tumor, cancer, or infection, back or leg pain that worsened with spinal extension, and presence of 2 or more of the following signs of nerve root compression: diminished lower-extremity strength, sensation, or reflexes
Age 50 or greater with presence of back pain (thoracic or lumbar regions) for longer than 4 months, ability to rise from a chair and walk independently (with or without an assistive device), ability to travel to the exercise facility, and limited participation in physical activity at the initiation of the exercise program (<90 minutes of structured physical activity per week)
Exercise: spinal extension exercise, abdominal strengthening, and flexibility exercise
Improved back pain Improved adherence to exercise Improved functional performance Reduced disability
Older adults with back pain were able to safely participate in a community based exercise program with the majority reporting improved back pain status 12 months later
Wheelchair bound, resistance training regularly (participating in resistance exercise 3 or more times per week within the last 6 months), presence of specific low back pain due to an acute back injury such as a lumbar disc herniation or rupture, spinal stenosis with neurogenic claudication, back surgery within the previous two years, and the use of weight loss medication
Men and women 60.85 years of age, suffering from LBP for 6 months and abdominal obesity and free of abnormal cardiovascular responses during electrocardiogram (ECG) screening tests were eligible for the study
TOTRX: whole body resistance exercise + lumbar extension exercise Lumbar extension resistance exercise (LEXT): lumbar extension exercise Control group: (i) normal medical care and no exercise (ii) education on strengthening exercise, healthy nutritional choices, and back pain
Total body resistance exercise (including lumbar extension exercise) was more effective than lumbar extension exercise alone in reducing self-reported disability scores due to back pain
