scholarly journals Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis

2019 ◽  
Vol 54 (21) ◽  
pp. 1279-1287 ◽  
Author(s):  
Patrick J Owen ◽  
Clint T Miller ◽  
Niamh L Mundell ◽  
Simone J J M Verswijveren ◽  
Scott D Tagliaferri ◽  
...  
Keyword(s):  
Mental Health ◽  
Low Back Pain ◽  
Motor Control ◽  
Back Pain ◽  
Exercise Training ◽  
Physical Function ◽  
Meta Analysis ◽  
Trunk Muscle ◽  
Low Back ◽  
Hands On

ObjectiveExamine the effectiveness of specific modes of exercise training in non-specific chronic low back pain (NSCLBP).DesignNetwork meta-analysis (NMA).Data sourcesMEDLINE, CINAHL, SPORTDiscus, EMBASE, CENTRAL.Eligibility criteriaExercise training randomised controlled/clinical trials in adults with NSCLBP.ResultsAmong 9543 records, 89 studies (patients=5578) were eligible for qualitative synthesis and 70 (pain), 63 (physical function), 16 (mental health) and 4 (trunk muscle strength) for NMA. The NMA consistency model revealed that the following exercise training modalities had the highest probability (surface under the cumulative ranking (SUCRA)) of being best when compared with true control: Pilates for pain (SUCRA=100%; pooled standardised mean difference (95% CI): −1.86 (–2.54 to –1.19)), resistance (SUCRA=80%; −1.14 (–1.71 to –0.56)) and stabilisation/motor control (SUCRA=80%; −1.13 (–1.53 to –0.74)) for physical function and resistance (SUCRA=80%; −1.26 (–2.10 to –0.41)) and aerobic (SUCRA=80%; −1.18 (–2.20 to –0.15)) for mental health. True control was most likely (SUCRA≤10%) to be the worst treatment for all outcomes, followed by therapist hands-off control for pain (SUCRA=10%; 0.09 (–0.71 to 0.89)) and physical function (SUCRA=20%; −0.31 (–0.94 to 0.32)) and therapist hands-on control for mental health (SUCRA=20%; −0.31 (–1.31 to 0.70)). Stretching and McKenzie exercise effect sizes did not differ to true control for pain or function (p>0.095; SUCRA<40%). NMA was not possible for trunk muscle endurance or analgesic medication. The quality of the synthesised evidence was low according to Grading of Recommendations Assessment, Development and Evaluation criteria.Summary/conclusionThere is low quality evidence that Pilates, stabilisation/motor control, resistance training and aerobic exercise training are the most effective treatments, pending outcome of interest, for adults with NSCLBP. Exercise training may also be more effective than therapist hands-on treatment. Heterogeneity among studies and the fact that there are few studies with low risk of bias are both limitations.

scholarly journals Expression of concern: Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis

2020 ◽  
pp. bjsports-2019-100886eoc1
Keyword(s):  
British Journal ◽  
Low Back Pain ◽  
Back Pain ◽  
Clinical Practice ◽  
Exercise Training ◽  
Sports Medicine ◽  
Meta Analysis ◽  
Editorial Note ◽  
Low Back ◽  
Recent Editorial

Editorial NoteAs discussed in a recent editorial, the British Journal of Sports Medicine (BJSM) rescinds the Expression of Concern [1] for a recent network meta-analysis (NMA) [2] that was issued solely on the basis of comments by Professor Maher and colleagues [3]. The original authors (Dr Belavy and colleagues) have responded [4]. The original NMA paper did not require any changes. We editors of the BJSM have full confidence in the findings of the NMA [2]. The findings of the NMA inform clinical practice and can serve to inform clinical practice guidelines.Karim Khan, MD, PhDEditor-in-Chief, BJSMJuly 27th, 2020REFERENCES1 Expression of concern: Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. Br J Sports Med 2020;:bjsports-2019-100886eoc1. doi:10.1136/bjsports-2019-100886eoc12 Owen PJ, Miller CT, Mundell NL, et al. Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. Br J Sports Med 2019;:in press. doi:10.1136/bjsports-2019-1008863 Maher CG, Hayden JA, Saragiotto BT, et al. Letter in response to: “Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis” by Owen et al. Br J Sports Med Published Online First: 5 February 2020. doi:10.1136/bjsports-2019-1018124 Belavy DL, Owen PJ, Miller CT, et al. Response to Discussion: “Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis.” Br J Sports Med Published Online First: 10 June 2020. doi:10.1136/bjsports-2020-102673

scholarly journals Effect of Home Exercise Training in Patients with Nonspecific Low-Back Pain: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 18 (16) ◽  
pp. 8430
Author(s):  
Chloé Quentin ◽  
Reza Bagheri ◽  
Ukadike C. Ugbolue ◽  
Emmanuel Coudeyre ◽  
Carole Pélissier ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Exercise Training ◽  
Pain Intensity ◽  
Meta Analysis ◽  
Functional Limitation ◽  
Home Exercise ◽  
Low Back ◽  
Home Based ◽  
At Home

Background: Exercise therapy is recommended to treat non-specific low back pain (LBP). Home-based exercises are promising way to mitigate the lack of availability of exercise centers. In this paper, we conducted a systemic review and meta-analysis on the effects of home-based exercise on pain and functional limitation in LBP. Method: PubMed, Cochrane, Embase and ScienceDirect were searched until April 20th, 2021. In order to be selected, studies needed to report the pain and functional limitation of patients before and after home-based exercise or after exercise both in a center and at-home. Random-effect meta-analyses and meta-regressions were conducted. Results: We included 33 studies and 9588 patients. We found that pain intensity decreased in the exclusive home exercise group (Effect size = −0.89. 95% CI −0.99 to −0.80) and in the group which conducted exercise both at-home and at another setting (−0.73. −0.86 to −0.59). Similarly, functional limitation also decreased in both groups (−0.75. −0.91 to −0.60, and −0.70, −0.92 to −0.48, respectively). Relaxation and postural exercise seemed to be ineffective in decreasing pain intensity, whereas trunk, pelvic or leg stretching decreased pain intensity. Yoga improved functional limitation. Supervised training was the most effective method to improve pain intensity. Insufficient data precluded robust conclusions around the duration and frequency of the sessions and program. Conclusion: Home-based exercise training improved pain intensity and functional limitation parameters in LBP.

Response to Discussion: ‘Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis’

2020 ◽  
pp. bjsports-2020-102673 ◽  
Author(s):  
Daniel L Belavy ◽  
Patrick J Owen ◽  
Clint T Miller ◽  
Niamh L Mundell ◽  
Scott D Tagliaferri ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Exercise Training ◽  
Meta Analysis ◽  
Low Back

scholarly journals Effectiveness Of Different Trunk Muscle Training Methods For Non-specific Low Back Pain: A Meta-analysis

2021 ◽  
Vol 53 (8S) ◽  
pp. 449-450
Author(s):  
Dhananjaya Sutanto ◽  
Robin S.T. Ho ◽  
Eric T.C. Poon ◽  
Stephen H.S. Ho
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Meta Analysis ◽  
Trunk Muscle ◽  
Training Methods ◽  
Low Back ◽  
Muscle Training

scholarly journals Effect of General Versus Specialized Exercises on Movement Control of Lumbo- Pelvic Region in Subjects with Chronic Low Back Pain

2018 ◽  
Vol 3 (90) ◽  
Author(s):  
Toma Garbenytė ◽  
Vytautas Poškaitis ◽  
Vidmantas Zaveckas ◽  
Laimonas Šiupšinskas ◽  
Rimtautas Gudas
Keyword(s):  
Low Back Pain ◽  
Motor Control ◽  
Back Pain ◽  
Exercise Training ◽  
Training Program ◽  
Movement Control ◽  
Low Back ◽  
Pelvic Region ◽  
Exercise Training Program ◽  
General Exercise

Research background and hypothesis. Low back pain is a huge problem in the world. One of the main reasons why the low back pain problems arise is lumbo-pelvic motor control dysfunction. Specialized exercises are the basis of physical therapy for low back pain patients. Hypothesis: specialized exercises can be more effective for movement control of lumbo-pelvic region in subjects with chronic low back pain.Research aim was to assess the effect of general versus specialized exercises for movement control of lumbo-pelvic region in subjects with chronic low back pain.Research methods. The study involved 60 subjects with chronic low back pain, 29 women and 31 men, aged 21.5 years on average. All subjects were submitted to the Low Back Pain Duration and Beacke Habitual Physical Activity Assessment  questionnaires  (Baecke  et  al.,  1982).  Lumbo-pelvic  motion  control  was  evaluated  by  six Hannu Luomajoki movement control tests (Luomajoki et al., 2008). Specialized and general training programs were prescribed and performed under supervision of physical therapist. Video materials expert analysis was used for the evaluation of the study data.Research  results.  The  results  showed  that  a  specialized  training  program  was  more  effective  than  general exercises in improving movement control in lumbo-pelvic region for patients with low back pain.Discussion and conclusions. General exercise training program for general exercise group had no effect for all test results. Specialized exercise training program results showed that lumbo-pelvic movement control improved in five of the six control tests (p  < 0.05).Keywords: motor control, physical therapy program, stability, mobility.

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