Abstract
BACKGROUND: Low back pain (LBP) is a prevalent health problem affecting a large portion of the population at some point in their lives, particularly with the increase in sedentary lifestyles, leading to significant disability and healthcare costs. This study evaluates the efficacy of seated elliptical exercise on chronic LBP, hypothesizing that daily use over a period of six weeks can reduce pain levels and improve functional health measures as measured by the Patient-Reported Outcomes Measurement Information System (PROMIS). METHODS: A randomized controlled trial involving 54 participants with chronic LBP was conducted, comparing a six-week seated elliptical exercise plan plus standard care against standard care alone. Outcome measures included the PROMIS Pain Intensity, Pain Interference, and Global Physical and Mental Health scores. RESULTS: The intervention group showed significant improvements in Pain Intensity (60.97±6.38 vs 57.41±6.98; P<0.001) and Pain Interference (62.61±7.10 vs 59.32±8.64; P<0.001), starting from the first week of exercise. While pain outcomes improved, no significant changes were observed in Global Physical and Mental Health measures. CONCLUSION: Seated elliptical exercise might help reduce the pain in chronic LBP. This could be a promising intervention to relieve the pain or even prevent LBP, especially in individuals with a sedentary lifestyle.