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Several evidence-based guidelines address acute care of patients with low back pain, but evidence for preventive strategies is less clear. In this meta-analysis, researchers identified 21 randomized controlled trials (≈31,000 participants) in which investigators assessed short-term (≤12 months) or long-term benefits of preventive strategies in people with no back pain at baseline.
No study was judged to be better than moderate in quality. Durations of interventions ranged from a single session or episode to as long as 28 months. Key findings of the meta-analysis were as follows:
Low-quality evidence that exercise alone (back, abdominal, or core strengthening) was effective in preventing low back pain on a short-term basis
Moderate-quality evid…