Article

Physical exercise is widely prescribed in rehabilitation programmes
for low back pain (LBP). The LBP patient often asks whether this physical
activity should be maintained and, in some cases, whether he/she should resume or
take up a sport. PURPOSE: To answer these two questions by performing a review of
literature on the efficacy and safety of post-rehabilitation physical activities
and sport in LBP. METHOD: A systematic search of computerized databases from 1990
to 2011 was performed using grade 1 to 4 studies articles in English or French.
RESULTS: Of the 2583 initially identified articles, 121 articles were analysed.
Globally, physical activities like swimming, walking and cycling, practiced at
moderate-intensity help to maintain fitness and control pain. Inconsistent
results were found for avoiding recommendations according to the nature of PA.
Sport activities, except ballgames, can be easily resume or take up as tennis,
horse riding, martial arts, gymnastics, golf and running which can be performed
at a lower intensity or lower competitive level. DISCUSSION AND CONCLUSION:
Moderate but regular physical activity helps to improve fitness and does not
increase the risk of acute pain in chronic LBP patients. The resumption of a
sport may require a number of adaptations; dialogue between the therapist and the
sports trainer is therefore recommended.
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Langue : ANGLAIS ; FRANCAIS