[en] Objective. The general objective of this work is to determine which technique is the most effective between therapeutic exercise and spinal manipulation in patients with chronic low back pain secondary to disc herniation for the reduction of pain and the extent of disability. Materials and methods. In this literature review, a systematic search of articles was carried out in five databases (Pubmed, Scopus, WOS, PEDro and Cochrane). To perform the searches, the keywords "chronic back pain", "disc herniation", "manipulation" and "therapeutic exercise" were used, as well as words derived from natural language, and the inclusion criteria were studies published in the last 5 years, conducted in humans, whose language is English, Spanish or Portuguese and whose types of studies are experimental studies, reviews and meta-analysis. Outcomes. A total of 11 articles have been included in this literature review after searching and selecting them in different databases. After analyzing them, we can observe an average decrease of 1.72 in the pain score for patients who received therapeutic exercise, and 1.74 for those who received spinal manipulation. For the disability, an improvement of 12.58 points was observed in the patients who were treated by therapeutic exercise, and 4.92 in the patients who were treated with spinal manipulation. Conclusions. After analysing the results studied in this literature review, it can be affirmed that there is evidence that both therapeutic exercise and spinal manipulation are useful in reducing pain the degree of disability in patients with low back pain due to herniated disc, being more effective the therapeutic exercise in terms of disability

[gl] Obxectivo. O obxectivo xeral deste traballo é determinar que técnica é a mais eficiente entre o exercicio terapéutico e a manipulación vertebral en pacientes con lumbalxia crónica secundaria a hernia discal para a diminución da dor e do grao de discapacidade. Material e método. Nesta revisión bibliográfica realizouse unha busca sistematizada de artigos en cinco bases de datos (Pubmed, Scopus, WOS, PEDro e Cochrane). Para realizar as buscas, empregáronse as palabras chave: "dor lumbar crónico", "hernia discal", "manipulación" e "exercicio terapéutico", ademais de vocábulos derivados da linguaxe natural, e os criterios de inclusión foron estudos publicados nos últimos 5 anos, realizados en humanos, cuxo idioma sexa inglés, castelán ou portugués, e cuxos tipos de estudo sexan estudos experimentais, revisións e metaanálises. Resultados. Incluíronse un total de 11 artigos nesta revisión bibliográfica logo da súa busca e selección en diferentes bases de datos. Despois de analizalos, podemos observar unha diminución media de 1,72 na puntuación de dor para pacientes que recibiron exercicio terapéutico e 1,74 para aqueles que recibiron manipulación vertebral. Para a discapacidade, observouse unha mellora de 12,58 puntos nos pacientes tratados con exercicio terapéutico e 4,92 nos pacientes tratados con manipulación da columna vertebral. Conclusións. Logo de analizar os resultados estudados nesta revisión bibliográfica, pódese afirmar que existe evidencia de que tanto o exercicio terapéutico coma a manipulación vertebral son útiles na diminución da dor e do grao de discapacidade en pacientes con dor lumbar debido a hernia discal sendo máis eficaz o exercicio terapéutico en canto a discapacidade.