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Review
. 2023 Sep 1;11(9):167.
doi: 10.3390/sports11090167.

Effect of Hip Muscle Strengthening Exercises on Pain and Disability in Patients with Non-Specific Low Back Pain-A Systematic Review

Gema Santamaría  1 , Irene Rodríguez  2 , Vicente Rodríguez-Pérez  3 , Raúl Cobreros-Mielgo  4 , Eva Lantarón-Caeiro  5 , Marina Seco-Casares  6 , Diego Fernández-Lázaro  7   8
Affiliations
Review

Effect of Hip Muscle Strengthening Exercises on Pain and Disability in Patients with Non-Specific Low Back Pain-A Systematic Review

Gema Santamaría et al. Sports (Basel). .

Abstract

Low back pain (LBP) is a health problem that affects 70-80% of the population in Western countries. Because of the biomechanical relationship between the lumbar region and the hip, it is thought that strengthening the muscles of this joint could improve the symptoms of people with LBP. The objective of this study is to evaluate the current evidence on the efficacy of hip strengthening exercises to reduce pain and disability in people with LBP. Clinical trials were collected from the PubMed, PEDro, and Scopus databases published up to September 2022. Based on the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines and using CASP and PEDro tools for methodological quality assessment, we selected studies that included hip strengthening exercises as part of LBP treatment and measured pain and/or disability parameters. Among the 966 records identified in the search, a total of 7 studies met the established selection criteria. Overall, participants who performed hip strengthening exercises had significantly improved in pain and disability. The methodological quality of the included studies was assessed as "good". In conclusion, the addition of hip muscle strengthening exercises iterating interacted with LBP, effectively improving pain and disability.

Keywords: disability; hip; low back pain; pain; strengthening; treatment.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Flow chart of study selection for the literature review (PRISMA).
Figure 2
Figure 2
Description of the mechanism for how gluteal weakness increases low back pain.
See this image and copyright information in PMC

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