scholarly journals Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression

PLoS ONE ◽  
2020 ◽  
Vol 15 (1) ◽  
pp. e0227423 ◽  
Author(s):  
Daniel Niederer ◽  
Juliane Mueller
2017 ◽  
Vol 41 (6) ◽  
pp. 622-632 ◽  
Author(s):  
Carla Vanti ◽  
Simone Andreatta ◽  
Silvia Borghi ◽  
Andrew Anthony Guccione ◽  
Paolo Pillastrini ◽  
...  

2021 ◽  
Vol 10 (22) ◽  
pp. 5327
Author(s):  
Gloria Gonzalez-Medina ◽  
Veronica Perez-Cabezas ◽  
Carmen Ruiz-Molinero ◽  
Gema Chamorro-Moriana ◽  
Jose Jesus Jimenez-Rejano ◽  
...  

Background: The aim of this systematic review and meta-analysis was to evaluate the global postural re-education (GPR) program’s effectiveness compared to other exercise programs in subjects with persistent chronic low back pain. Methods: A systematic review and meta-analysis were carried out using PRISMA2020. An electronic search of scientific databases was performed from their inception to January 2021. Randomized controlled trials that analyzed pain and patient-reported outcomes were included in this review. Four meta-analyses were performed. The outcomes analyzed were disability due to back pain and pain. The risk of bias and quality of evidence were evaluated. The final search was conducted in March. Results: Seven trials were included, totaling 334 patients. The results showed improvement in pain measured by Visual Analogue Scale (VAS) (Standardised Mean Difference (SMD) = −0.69; 95% Confidence Interval (CI), −1.01 to −0.37; p < 0.0001), Numerical Pain Scale (NRS) (SMD = −0.40; 95% CI, −0.87 to 0.06); p = 0.022), VAS + NRS (SMD = −1.32; 95% CI, −1.87 to −0.77; p < 0.0001) and function (Roland Morris Disability Questionnaire (RMDQ)) (SMD = −0.55; 95% CI, −0.83 to −0.27; p < 0.0001) after GPR treatment. Conclusion: This meta-analysis provides reliable evidence that GPR may be an effective method for treating LBP by decreasing pain and improving function, with strong evidence.


2021 ◽  
Author(s):  
Sanaz Shanbehzadeh ◽  
Shabnam ShahAli ◽  
Julie Hides ◽  
Ismail Ebrahimi-Takamjani ◽  
Omid Rasouli

Abstract Background: This study aimed to review studies investigating the effects of motor control training (MCT) on the morphometry of trunk muscles (measured by ultrasound imaging; USI) and pain/or disability in individuals with chronic low back pain (CLBP).Method: PubMed, Web of Science, Scopus, and Cochrane Library databases were searched from inception until January 2020. Randomized control trials (RCTs) which included measurements of both muscle morphometry using USI and assessments of pain or disability in individuals with CLBP were included. Study selection, data extraction and quality assessment were done by two reviewers independently. Modified Downs and Black tool and grading of recommendations assessment, development, and evaluation tool were used to assess risk of bias and quality of evidence, respectively. A meta-analysis was performed using a random-effects model with mean difference (MD) or standardized mean difference (SMD). Results: Fifteen RCTs were included. The results revealed that there were no differences in the size (thickness) of the transversus abdominis (TrA), internal and external oblique, and lumbar multifidus muscles in studies which did and did not include MCT interventions. However, the contraction ratio for the TrA muscle was greater in response to MCT, with a high effect size (SMD= 0.93 CI: - 0.0 to 1.85). Pain (visual analogue scale, MD=1.00, 95%CI -1.77 to -0.24) and disability (SMD=-0.55, 95% CI: -0.94 to -0.16) scores were lower in the groups who underwent MCT compared with other interventions, with moderate and low effect sizes.Conclusions: MCT interventions were superior to other interventions for measures of TrA muscle function. Despite changes in pain and disability following MCT interventions, corresponding changes in trunk muscle morphometry (evaluated using thickness measures) were not evident. This could be due to the effect of other factors such as psychosocial factors that impact the clinical outcomes for those with CLBP.Systematic review registration: PROSPERO: CRD42019144768


2020 ◽  
Vol 90 ◽  
pp. 104177 ◽  
Author(s):  
Lorena K.B. Amaral ◽  
Mateus B. Souza ◽  
Mariana G.M. Campos ◽  
Vanessa A. Mendonça ◽  
Alessandra Bastone ◽  
...  

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