(English) Episode 140-Less Is More - Why Simple Exercise Trumps Complex Therapies for chronic low back pain

The importance of incorporating lumbo-pelvic stability core and controlling motor exercises in patients with chronic low back pain (CLBP) reinforces the use of strategies to improve biopsychosocial beliefs by reducing biomedical postulations. However, clinical practice guidelines recommend multimodal approaches incorporating exercise and manual therapy (MT), and instead reject the application of kinesiotape (KT) in isolation. Therefore, the objectives of this study were to analyze the effects of 12 weeks of exercises combined with MT or KT on perceived low back pain using the visual analog scale (VAS) and muscle electric activity measured with electromyography (EMG) of the rectus abdominis and multifidus in CLBP (mild disability) and to explore the relationship between the rectus abdominis and multifidus ratios and pain perception after intervention. (Blanco-Giménez P, Vicente-Mampel J, Gargallo P, Maroto-Izquierdo S, Martín-Ruíz J, Jaenada-Carrilero E, et al. Effect of exercise and manual therapy or kinesiotaping on sEMG and pain perception in chronic low back pain: a randomized trial. BMC Musculoskelet Disord [Internet]. 2024;25(1):583. Available from: http://dx.doi.org/10.1186/s12891-024-07667-9)