The effectiveness of school-based exercise interventions for low back pain in adolescents: Systematic review protocol

School-based exercise for adolescent low back pain

Abstract

Background: Low back pain (LBP) has emerged as a significant public health issue among adolescents, with lifetime prevalence reaching 40%. Sedentary behaviors, such as excessive screen time, are linked to increased risk, while the school environment offers a strategic setting for early intervention. This systematic review aims to identify the most effective school-based exercise interventions for reducing non-specific LBP in this population. Methods: Developed according to PRISMA-P guidelines and registered in PROSPERO (CRD420261297319), this review focuses on non-randomized studies involving adolescents aged 10–19 with non-specific LBP. Primary outcomes include pain intensity measured by validated scales like the Visual Analogue Scale. Electronic searches will be conducted in MEDLINE, PubMed, Scopus, and CENTRAL. Selection, data extraction, and risk of bias assessment (using the ROBINS-I tool) will be performed independently by two reviewers. Results: A narrative synthesis will be performed, with potential meta-analysis using a random-effects model if methodological homogeneity is met. Conclusion: By synthesizing "real-world" interventions, this review will provide evidence-based guidelines for healthcare and education professionals. Addressing LBP in adolescence serves as a crucial preventive strategy against chronic disability in adulthood.