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Health Outcomes of Backward Walking in Patients with Low Back Pain: A Scoping Review

Received: 22 September 2022    Accepted: 12 October 2022    Published: 28 October 2022
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Abstract

There has been growing interest in clinical use and research in backward walking (BW) exercise intervention in low back pain (LBP) in recent years. Studies have reported wide beneficial and potential positive impact on health related outcomes. This scoping review aimed to explore the health outcomes of BW in LBP and determine knowledge gaps for future studies. The Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) guidelines were applied and a systematic literature search was conducted in seven electronic databases. Relevant articles were screened and assessed for eligibility using the Covidence web-based software. Data were extracted, summarized and appraised using the modified version of a Downs and Black checklist and the findings were reported narratively. A total of 3 articles were included in the final analysis of the present study of which 67% were findings India and 33% South America. All included studies revealed evidence of positive impact on physical dimension of health especially, reduction in pain intensity followed by increase in spinal muscle activity, strength and range of motion. None of the studies reported adverse effects. Evidence from this review corroborate that BW can positively impact health related outcomes in LBP. Limitation in literature and lack of strong methodological quality motivate for more and methodologically rigor studies in future research to better understanding the effects on other health dimensions and wider context.

Published in Science Journal of Public Health (Volume 10, Issue 5)
DOI 10.11648/j.sjph.20221005.15
Page(s) 234-241
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Backward Walking, Health Outcomes, Low Back Pain, Physical Exercise, Scoping Review

References
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[3] Hoogkamer, W., Meyns, P. and Duysens, J., 2014. Steps forward in understanding backward gait: from basic circuits to rehabilitation. Exercise and sport sciences reviews, 42 (1), pp. 23-29.
[4] Manisha R., (2020). Retrowalking: Can it comprise in regular Physiotherapy rehabilitation protocol? “Miraj Medical Centre’s Journal of Physiotherapy 2020 VOL 2 ISSUE 1 www.mmcjopt.org,” 2 (1), pp. 5–7.
[5] Daniele, M., Anna, S., Jacopo, D., Angela, M., 2020. Combined effects of backward treadmill training and botulinum toxin type A therapy on gait and balance in patients with chronic stroke: A pilot, single-blind, randomized controlled trial. NeuroRehabilitation, (Preprint), pp. 1-10.
[6] Wang, J., Yuan, W. and Ann, R. (2018) “Effectiveness of backward walking training on spatial-temporal gait characteristics: A systematic review and meta-analysis,” Human Movement Science, 60 (2), pp. 57–71.
[7] DeMark, L., Fox, J., Spigel, P. M., Osborne, J. et al., 2019. Clinical application of backward walking training to improve walking function, balance, and fall-risk in acute stroke: a case series. Topics in stroke rehabilitation, 26 (7), pp. 497-502.
[8] Abdel-Aziem, A., and El-Basatiny, M., 2017. Effectiveness of backward walking training on walking ability in children with hemiparetic cerebral palsy: a randomized controlled trial. Clinical rehabilitation, 31 (6), pp. 790-797.
[9] Alghadir, H., Anwer, S., Sarkar, B. et al. (2019). Effect of 6-week retro or forward walking program on pain, functional disability, quadriceps muscle strength, and performance in individuals with knee osteoarthritis: a randomized controlled trial (retro-walking trial). BMC Musculoskelet Disord 20, 159 (2019).
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[15] Joshi, S., Vij S. and Singh, K. (2015) “Retrowalking : A New Concept in Physiotherapy and Rehabilitation” Shabnam Joshi Jaspreet Singh Vij Medical Science,” (2277), pp. 152–156.
[16] Nkhata, LA., Louw, Q., Brink, Y., Mweshi, MM. (2016) “Review on Effects of Ergonomic Interventions for Nurses on Function, Neuro-Muscular Pain and Quality of Life.” Journal of Preventive and Rehabilitative Medicine, 1 (2) pp. 53-60. https://doi:10.21617/jprm.2016.0102.11
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    Justin Bwalya, Brian Chanda Chiluba, Loveness Anila Nkhata, Maureen Pakosh, Simon Himalowa, et al. (2022). Health Outcomes of Backward Walking in Patients with Low Back Pain: A Scoping Review. Science Journal of Public Health, 10(5), 234-241. https://doi.org/10.11648/j.sjph.20221005.15

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    ACS Style

    Justin Bwalya; Brian Chanda Chiluba; Loveness Anila Nkhata; Maureen Pakosh; Simon Himalowa, et al. Health Outcomes of Backward Walking in Patients with Low Back Pain: A Scoping Review. Sci. J. Public Health 2022, 10(5), 234-241. doi: 10.11648/j.sjph.20221005.15

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    AMA Style

    Justin Bwalya, Brian Chanda Chiluba, Loveness Anila Nkhata, Maureen Pakosh, Simon Himalowa, et al. Health Outcomes of Backward Walking in Patients with Low Back Pain: A Scoping Review. Sci J Public Health. 2022;10(5):234-241. doi: 10.11648/j.sjph.20221005.15

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  • @article{10.11648/j.sjph.20221005.15,
      author = {Justin Bwalya and Brian Chanda Chiluba and Loveness Anila Nkhata and Maureen Pakosh and Simon Himalowa and Martha Banda-Chalwe and Kristin Musselman},
      title = {Health Outcomes of Backward Walking in Patients with Low Back Pain: A Scoping Review},
      journal = {Science Journal of Public Health},
      volume = {10},
      number = {5},
      pages = {234-241},
      doi = {10.11648/j.sjph.20221005.15},
      url = {https://doi.org/10.11648/j.sjph.20221005.15},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sjph.20221005.15},
      abstract = {There has been growing interest in clinical use and research in backward walking (BW) exercise intervention in low back pain (LBP) in recent years. Studies have reported wide beneficial and potential positive impact on health related outcomes. This scoping review aimed to explore the health outcomes of BW in LBP and determine knowledge gaps for future studies. The Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) guidelines were applied and a systematic literature search was conducted in seven electronic databases. Relevant articles were screened and assessed for eligibility using the Covidence web-based software. Data were extracted, summarized and appraised using the modified version of a Downs and Black checklist and the findings were reported narratively. A total of 3 articles were included in the final analysis of the present study of which 67% were findings India and 33% South America. All included studies revealed evidence of positive impact on physical dimension of health especially, reduction in pain intensity followed by increase in spinal muscle activity, strength and range of motion. None of the studies reported adverse effects. Evidence from this review corroborate that BW can positively impact health related outcomes in LBP. Limitation in literature and lack of strong methodological quality motivate for more and methodologically rigor studies in future research to better understanding the effects on other health dimensions and wider context.},
     year = {2022}
    }
    

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    T1  - Health Outcomes of Backward Walking in Patients with Low Back Pain: A Scoping Review
    AU  - Justin Bwalya
    AU  - Brian Chanda Chiluba
    AU  - Loveness Anila Nkhata
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    AB  - There has been growing interest in clinical use and research in backward walking (BW) exercise intervention in low back pain (LBP) in recent years. Studies have reported wide beneficial and potential positive impact on health related outcomes. This scoping review aimed to explore the health outcomes of BW in LBP and determine knowledge gaps for future studies. The Preferred Reporting Items for Systematic reviews and Meta-Analysis extension for Scoping Reviews (PRISMA-ScR) guidelines were applied and a systematic literature search was conducted in seven electronic databases. Relevant articles were screened and assessed for eligibility using the Covidence web-based software. Data were extracted, summarized and appraised using the modified version of a Downs and Black checklist and the findings were reported narratively. A total of 3 articles were included in the final analysis of the present study of which 67% were findings India and 33% South America. All included studies revealed evidence of positive impact on physical dimension of health especially, reduction in pain intensity followed by increase in spinal muscle activity, strength and range of motion. None of the studies reported adverse effects. Evidence from this review corroborate that BW can positively impact health related outcomes in LBP. Limitation in literature and lack of strong methodological quality motivate for more and methodologically rigor studies in future research to better understanding the effects on other health dimensions and wider context.
    VL  - 10
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Author Information
  • Department of Physiotherapy, School of Health Science, University of Zambia, Lusaka, Zambia

  • Department of Physiotherapy, School of Health Science, University of Zambia, Lusaka, Zambia

  • Department of Physiotherapy, School of Health Science, University of Zambia, Lusaka, Zambia

  • Library & Information Services, University Health Network, Toronto Rehabilitation Institute, Toronto, Canada

  • Department of Physiotherapy, Lusaka Apex Medical University, Lusaka, Zambia

  • Department of Physiotherapy, School of Health Science, University of Zambia, Lusaka, Zambia

  • Department of Physical Therapy and the Rehabilitation Sciences Institute, Temerty Faculty of Medicine, University of Toronto, Toronto, Canada

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