What is it about?

We did a systematic review to see which components make up self-management programmes in low and middle income countries. Nine trials included 730 patients with CLBP. Self-management programmes included three trials on digital intervention, an exercise intervention programme, an educational programme, and a combination of exercises plus usual care. Interventions were compared with usual care or no treatment. Six trials used some form of exercise as a part of the intervention. Self-management programmes guided by physiotherapists may improve pain and disability in adults with CNLBP, although the evidence is limited. Further high-quality randomised controlled trials in LMICs are needed

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Why is it important?

Chronic low back pain is a global challenge with a high prevalence rate. Self-management programmes for chronic low back pain are widely acknowledged as effective. Evidence of self-management programmes in low- and middle-income countries is limited. Self-management programmes may improve the health-related quality of life.

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This page is a summary of: Effectiveness of physiotherapy-guided self-management programmes for adult patients with chronic non-specific low back pain in low- and middle-income countries: A systematic review and meta-analysis, Journal of Bodywork and Movement Therapies, October 2026, Elsevier,
DOI: 10.1016/j.jbmt.2026.08.031.
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