Is Exercise Beneficial in Patients with Low Back Pain? - A Cochrane Review Summary with Commentary


  • Frane Grubišić Department of Rheumatology, Physical Medicine and Rehabilitation, School of Medicine University of Zagreb, Referral Center for Spondyloarthropathies, Ministry of Health of the Republic of Croatia University Hospital Center Sestre Milosrdnice, Zagreb, Croatia



back pain, exercise, benefits, Cochrane Review Summary


The aim of this commentary is to discuss from a rehabilitation perspective the Cochrane Review "Exercise therapy for chronic low back pain" (1) by Hayden JA, Ellis J, Ogilvie R, Malmivaara A and van Tulder MW [1] published by Cochrane Musculoskeletal Group. This Cochrane Corner is produced in agreement with Journal of Rehabilitation Medicine by Cochrane Rehabilitation with views* of the review summary authors in the "implications for practice" section.

This summary is based on a Cochrane Review previously published in the Cochrane Database of Systematic Reviews 2021, Issue 9, Art. No.:CD009790, DOI: 10.1002/14651858.CD009790.pub2 (see for information). Cochrane Reviews are regularly updated as new evidence emerges and in response to feedback, and Cochrane Database of Systematic Reviews should be consulted for the most recent version of the review.

* The views expressed in the summary with commentary are those of the Cochrane Corner author (different than the original Cochrane Review authors) and do not represent the Cochrane Library or Journal of Rehabilitation Medicine.


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Hayden JA, Ellis J, Ogilvie R, Malmivaara A and van Tulder MW. Exercise therapy for chronic low back pain. Cochrane Database of Systematic Reviews 2021, Issue 9. Art. No.: CD009790. DOI: 10.1002/14651858.CD009790.pub2. DOI:

Hoy D, Bain C, Williams G et al. A systematic review of the global prevalence of low back pain. Arthritis Rheum 2012; 64: 2028-37. DOI:

Maher C, Underwood M, Buchbinder R. Non-specific low back pain. Lancet 2017; 389: 736-47. DOI:

Hartvigsen J, Hancock MJ, Kongsted A et al. Lancet Low Back Pain Series Working Group. What low back pain is and why we need to pay attention. Lancet. 2018; 391(10137): 2356-67. DOI:

GBD 2019 Diseases and Injuries Collaborators. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019. Lancet. 2020 Oct 17;396(10258):1204-22.

Searle A, Spink M, Ho A, et al.. Exercise interventions for the treatment of chronic low back pain: a systematic review and meta-analysis of randomised controlled trials. Clin Rehabil 2015;29:1155-67 DOI:

Owen PJ, Miller CT, Mundell NL et al. Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. Br J Sports Med. 2020; 54 (21): 1279-87. DOI:

Corp N, Mansell G, Stynes S, Wynne-Jones G, Morsø L, Hill JC, van der Windt DA. Evidence-based treatment recommendations for neck and low back pain across Europe: A systematic review of guidelines. Eur J Pain. 2021; 25(2):275-95. DOI:

National Institute for Health Care Excellence (NICE) (2016). Low back pain and sciatica in over 16s: Assessment and management (NG59), London: National Institute for Health Care Excellence.

Bird ML, Mortenson WB, Eng JJ. Evaluation and facilitation of intervention fidelity in community exercise programs through an adaptation of the TIDier framework. BMC Health Services Research 2020; 20(1):68-75. DOI:

Wood L, Ogilvie R, Hayden JA. Specifying the treatment targets of exercise interventions: do we? British Journal of Sports Medicine 2020; 54:1235-36. DOI:

Chiarotto A, Boers M, Deyo RA, Buchbinder R, Corbin TP, Costa LO, et al. Core outcome measurement instruments for clinical trials in nonspecific low back pain. Pain 2018; 159(3):481-95. DOI:



How to Cite

Grubišić, F. (2022). Is Exercise Beneficial in Patients with Low Back Pain? - A Cochrane Review Summary with Commentary. Journal of Rehabilitation Medicine, 54, jrm00341.



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