scholarly journals Is movement variability altered in people with chronic non-specific low back pain: a protocol for a systematic review

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e046064
Author(s):  
Amal M Alsubaie ◽  
Masood Mazaheri ◽  
Eduardo Martinez-Valdes ◽  
Deborah Falla
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Ethical Issues ◽  
Meta Analysis ◽  
Grey Literature ◽  
Low Back ◽  
Movement Variability ◽  
Motor Variability ◽  
Wide Range

IntroductionMotor variability is an important feature when performing repetitive movement, and in asymptomatic people functional tasks are typically performed with variable motor patterns. However, in the presence of chronic non-specific low back pain (LBP), people often present with different motor control strategies than those without pain. Movement variability has been assessed using a wide range of variables, including kinetic and kinematic components of motion. This has resulted in a wide range of findings reported in the literature and some contradicting results. Therefore, the aim of this systematic review is to investigate whether the amount and structure of motor variability are altered in people with chronic non-specific LBP, during both repetitive non-functional and functional tasks.Methods and analysisThis protocol for a systematic review is informed by Cochrane guidelines and reported in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols. MEDLINE, EMBASE, CINAHL, ZETOC, Web of Science, PubMed and Scopus will be searched from their inception to December 2020 along with a comprehensive search of grey literature and key journals. Two independent reviewers will conduct the search, extract the data, assess risk of bias (using the Downs and Black Scale) for the included studies and assess overall quality of evidence based on Grading of Recommendations, Assessment, Development and Evaluation guidelines. Meta-analysis will be conducted if deemed appropriate. Alternatively, a narrative synthesis will be conducted and evidence summarised as an increase, decrease or no change in the motor variability of people with LBP compared with healthy controls.Ethics and disseminationThis study raises no ethical issues. Results will be submitted for publication in a peer review journal and presented at conferences.PROSPERO registration numberCRD42020211580.

scholarly journals How does spinal movement variability change in people with low back pain?: protocol for a systematic review

2020 ◽  
Author(s):  
Hiroki Saito ◽  
Hiroshi takasaki ◽  
Yoshiteru Watanabe ◽  
Toshiki Kutsuna ◽  
Toshihiro Futohashi ◽  
...  
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Meta Analysis ◽  
Grey Literature ◽  
Risk Of Bias ◽  
Low Back ◽  
Movement Variability ◽  
Trunk Movements ◽  
Spinal Movement

AbstractLow back pain(LBP) is the number one cause of disability worldwide. One factor which might potentially contribute to ongoing pain is impaired spinal movement variability. It is uncertain how movement variability changes during trunk movements in the presence of LBP. In this protocol, we will systematically investigate and compare both the amount and structure of spinal movement variability during repeated trunk motions between people with and without LBP. The results will be reported in line with the PRISMA(Preferred Reporting Items for Systematic Review and Meta-Analysis). Searches will be conducted on CENTRAL, PubMed, MEDLINE, EMBASE, and CINAHL databases, along with a comprehensive review of grey literature and key journals.Three pairs of two independent reviewers will screen potential studies and two independent reviewers assess the risk of bias within studies which meet the inclusion criteria. The Newcastle-Ottawa risk of bias tool will be used to assess the quality of the data.

scholarly journals Network meta-analysis for comparative effectiveness of treatments for chronic low back pain disorders: systematic review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e057112
Author(s):  
Daniel L Belavy ◽  
Ashish D Diwan ◽  
Jon Ford ◽  
Clint T Miller ◽  
Andrew J Hahne ◽  
...  
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Chronic Low Back Pain ◽  
Meta Analysis ◽  
Individual Treatment ◽  
Low Back ◽  
Wide Range ◽  
Registration Number ◽  
Meta Analyses

IntroductionChronic low back pain disorders (CLBDs) present a substantial societal burden; however, optimal treatment remains debated. To date, pairwise and network meta-analyses have evaluated individual treatment modes, yet a comparison of a wide range of common treatments is required to evaluate their relative effectiveness. Using network meta-analysis, we aim to evaluate the effectiveness of treatments (acupuncture, education or advice, electrophysical agents, exercise, manual therapies/manipulation, massage, the McKenzie method, pharmacotherapy, psychological therapies, surgery, epidural injections, percutaneous treatments, traction, physical therapy, multidisciplinary pain management, placebo, ‘usual care’ and/or no treatment) on pain intensity, disability and/or mental health in patients with CLBDs.Methods and analysisSix electronic databases and reference lists of 285 prior systematic reviews were searched. Eligible studies will be randomised controlled/clinical trials (including cross-over and cluster designs) that examine individual treatments or treatment combinations in adult patients with CLBDs. Studies must be published in English, German or Chinese as a full-journal publication in a peer-reviewed journal. A narrative approach will be used to synthesise and report qualitative and quantitative data, and, where feasible, network meta-analyses will be performed. Reporting of the review will be informed by Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidance, including the network meta-analysis extension (PRISMA-NMA). The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach for network meta-analysis will be implemented for assessing the quality of the findings.Ethics and disseminationEthical approval is not required for this systematic review of the published data. Findings will be disseminated via peer-reviewed publication.PROSPERO registration numberPROSPERO registration number CRD42020182039.

scholarly journals The effect of chronic, non-specific low back pain on superficial lumbar muscle activity: a protocol for a systematic review and meta-analysis

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e029850 ◽  
Author(s):  
Andy Sanderson ◽  
Alison B Rushton ◽  
Eduardo Martinez Valdes ◽  
Nicola R Heneghan ◽  
Alessio Gallina ◽  
...  
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Muscle Activity ◽  
Meta Analysis ◽  
Grey Literature ◽  
Risk Of Bias ◽  
Low Back ◽  
Comprehensive Review ◽  
Lumbar Muscle

IntroductionChronic, non-specific low back pain is a major global cause of disability. One factor which might potentially contribute to ongoing pain is maladaptive variation in the level of activity in the lumbar musculature. Several studies have investigated this activity using surface electromyography, in varied muscles and during a number of functional activities. Due to differences in the applied methodology, the results have been difficult to compare, and previous reviews have been limited in scope. In this protocol, we aim to perform a comprehensive review of the effect of chronic low back pain on lumbar muscle activity.Methods and analysisThis protocol was informed by the Preferred Reporting Items for Systematic Review and Meta-analysis Protocols (PRISMA-P) and results will be reported in line with the PRISMA. Searches will be conducted on the Web of Science, PubMed, MEDLINE, EMBASE, ZETOC and CINAHL databases, along with a comprehensive review of grey literature and key journals. One reviewer will conduct the searches, but two independent reviewers will screen potential studies and assess the risk of bias within studies which meet the inclusion criteria. The Newcastle-Ottawa risk of bias tool, and the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) guidelines will be used to assess the quality of the data. Meta-analysis will be conducted where appropriate on groups of studies with homogenous methodology. Where studies are too heterogeneous to allow for meta-analysis, meta-synthesis will instead be completed, comparing results in terms of net increases or decreases of activity.Ethics and disseminationThis review aims to identify common adaptations of muscle activity in people with low back pain and it is expected that the results will influence future research directions and future rehabilitation approaches. The results will be submitted for publication in a peer-reviewed journal and presented at conferences.Prospero registration numberCRD42019125156

Efficacy of conservative therapy in older people with nonspecific low back pain: A systematic review with meta-analysis and GRADE recommendations

2020 ◽  
Vol 90 ◽  
pp. 104177 ◽  
Author(s):  
Lorena K.B. Amaral ◽  
Mateus B. Souza ◽  
Mariana G.M. Campos ◽  
Vanessa A. Mendonça ◽  
Alessandra Bastone ◽  
...  
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Older People ◽  
Conservative Therapy ◽  
Meta Analysis ◽  
Low Back

scholarly journals Tibetan herbal pain-relieving plaster for low back pain: A systematic review and meta-analysis

2021 ◽  
Vol 140 ◽  
pp. 111727
Author(s):  
Mingxiao Yang ◽  
Susan Q. Li ◽  
Colleen M. Smith ◽  
Yi Lily Zhang ◽  
Ting Bao ◽  
...  
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Meta Analysis ◽  
Low Back

scholarly journals Effects of low back pain on balance performance in elderly people: a systematic review and meta-analysis

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Le Ge ◽  
Chuhuai Wang ◽  
Haohan Zhou ◽  
Qiuhua Yu ◽  
Xin Li
Keyword(s):  
Systematic Review ◽  
Low Back Pain ◽  
Back Pain ◽  
Elderly People ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Original Research ◽  
Low Back ◽  
Centre Of Pressure ◽  
Balance Performance

Abstract Background Research suggests that individuals with low back pain (LBP) may have poorer motor control compared to their healthy counterparts. However, the sample population of almost 90% of related articles are young and middle-aged people. There is still a lack of a systematic review about the balance performance of elderly people with low back pain. This study aimed to conduct a systematic review and meta-analysis to understand the effects of LBP on balance performance in elderly people. Methods This systematic review and meta-analysis included a comprehensive search of PubMed, Embase, and Cochrane Library databases for full-text articles published before January 2020. We included the articles that 1) investigated the elderly people with LBP; 2) assessed balance performance with any quantifiable clinical assessment or measurement tool and during static or dynamic activity; 3) were original research. Two independent reviewers screened the relevant articles, and disagreements were resolved by a third reviewer. Results Thirteen case-control studies comparing balance performance parameters between LBP and healthy subjects were included. The experimental group (LBP group) was associated with significantly larger area of centre of pressure movement (P < 0.001), higher velocity of centre of pressure sway in the anteroposterior and mediolateral directions (P = 0.01 and P = 0.02, respectively), longer path length in the anteroposterior direction (P < 0.001), slower walking speed (P = 0.05), and longer timed up and go test time (P = 0.004) than the control group. Conclusion The results showed that balance performance was impaired in elderly people with LBP. We should pay more attention to the balance control of elderly people with LBP.

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