Physiotherapeutic interventions in the management of low back pain in the elderly: an integrative review
Physiotherapeutic interventions in the management of low back pain in the elderly: an integrative review
DOI:
https://doi.org/10.51473/rcmos.v1i2.2025.1664Keywords:
Chronic low back pain; Geriatric physiotherapy; Multimodal intervention; Functional rehabilitation.Abstract
Population aging has increased the prevalence of chronic low back pain (CLBP) among older adults, making it one of the major public health challenges due to its functional limitations and negative impact on quality of life. Physiotherapy stands out as a central and safe approach in managing this condition, offering diverse resources that extend beyond the physical dimension to include emotional and social aspects. Objective: This study aimed to analyze recent scientific evidence on physiotherapeutic interventions for older adults with CLBP. Methodology: An integrative literature review was conducted between January and September 2025, covering articles published in 2023, 2024, and 2025, in PubMed/MEDLINE, Scopus, Web of Science, SciELO, and PEDro databases. A total of 48 studies were identified, of which 14 fully met the inclusion criteria. The interventions analyzed included individualized therapeutic exercises, Pilates, hydrotherapy, electrotherapy, manual therapy, Tai Chi, Cognitive Functional Therapy (CFT), group exercise, and telerehabilitation, in addition to the use of technologies such as biofeedback and motion sensors. Results: Findings reinforce the superiority of multimodal and personalized treatment plans aligned with the biopsychosocial model, with positive effects on pain, functionality, balance, and engagement. However, gaps remain regarding the lack of elderly-specific guidelines, protocol heterogeneity, and limited access to technological and structural resources. Conclusion: This study contributes to a paradigm shift in the management of CLBP in older adults, highlighting that the integration of physical, psychosocial, and digital interventions represents the most promising approach for treatment.
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Copyright (c) 2025 Maria Conceição Macedo de Souza Cruz, Ronaldo Nunes Lima (Autor)
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