Biomechanical factors associated with non-specific low back pain in adults: A systematic review

Rahman, Nur Athirah Abd; Li, Shuoqi; Schmid, Stefan; Shaharudin, Shazlin

doi:10.1016/j.ptsp.2022.11.011

Cited by 5 publications

(3 citation statements)

References 55 publications

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“…The healthcare cost of LBP is estimated to be £14 billion in the United Kingdom and $14.5 billion in the United States [3]. LBP is grouped into non-specific and mechanical types [4]. Chronic nonspecific back pain (CNSLBP) accounts for 90%-95% of the cases, affecting 20% of the world's population [5].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Cognitive Functional Therapy on Psychological Variables in Women With Non-specific Chronic Back Pain: A Randomized Control Trial

Asgarpoor,

Yalfani

2024

PTJ

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Purpose: Chronic non-specific low back pain (CNSLBP) is a common health issue caused by a mix of biological, psychological, and social factors. Cognitive functional therapy (CFT) is a comprehensive way to treat CNSLBP that focuses on changing negative thoughts and unhelpful habits through relaxation techniques. Since the evidence on the efficacy of CFT is still limited, it is essential to conduct clinical trials aimed at the effectiveness of CFT in the treatment of CNSLBP. This study aims to examine the effect of cognitive functional therapy on psychological variables in women with CNSLBP. Methods: Thirty women with CNSLBP were recruited for the clinical trial. They were randomly divided into two experimental and control groups (15 patients in each group). Our experimental group will have 18 individualized CFT sessions, each lasting an hour, over two months. The control group received no intervention. Pain intensity, disability, and kinesiophobia were assessed via the visual analog scale, Oswestry, and Tampa scale, respectively. Two-way repeated measures analysis of variance (ANOVA) was used to compare results between groups. Results: Two-way repeated measures ANOVA results showed that the experimental group compared to the control group in reducing pain (P=0.000, ηp2=0.787), disability (P=0.005, ηp2=0.457) and Kinesiophobia (P=0.000, ηp2=0.561) had a significant difference. Conclusion: CFT reduced pain, disability, and kinesiophobia in patients with CNSLBP. Further evaluation of the efficacy of CFT in high-quality randomized clinical trials among patients with CNSLBP is recommended.

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Section: Introductionmentioning

confidence: 99%

The Effect of Cognitive Functional Therapy on Psychological Variables in Women With Non-specific Chronic Back Pain: A Randomized Control Trial

Asgarpoor,

Yalfani

2024

PTJ

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“…The healthcare cost of LBP is estimated to be £14 billion in the United Kingdom and $14.5 billion in the United States [3]. In addition, LBP affects work absence and daily activities and causes depression, anxiety, low quality of life, and disability [4]. LBP is classified into two categories: Non-specific and mechanical [4].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, LBP affects work absence and daily activities and causes depression, anxiety, low quality of life, and disability [4]. LBP is classified into two categories: Non-specific and mechanical [4]. Chronic non-specific low back pain (CNSLBP) accounts for 90%-95% of low back pain and affects 20% of the world's population [5,6].…”

Section: Introductionmentioning

confidence: 99%

The Effect of Core Stability Exercises Combined With Abdominal Hollowing on Postural Balance in Patients With Non-specific Chronic Low Back Pain: A Randomized Controlled Trial

2023

PTJ

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Purpose: Altered movement patterns and spine instability are crucial factors in the etiology of chronic non-specific low back pain (CNSLBP). The faulty recruitment pattern of core muscles causes poor support and increased loading on the lumbar spine, ultimately leading to postural instability. This study aims to examine the effect of core stability exercises (CSE) combined with abdominal hollowing (AH) on postural balance in patients with CNSLBP. Methods: The present study is a double-blind clinical trial. Thirty women with CNSLBP were recruited for the clinical trial. Patients were randomly assigned to experimental and control groups (15 patients in each group). The experimental group followed CSE with AH for 8 weeks. The control group received no intervention. Primary outcomes included pain (10 cm visual analogue scale), disability (Oswestry questionnaire), and proprioception (goniometer). Secondary outcomes included static and dynamic balance (biodex balance system). Analysis of covariance (ANCOVA) was used to compare the results and confidence intervals between groups. Results: The experimental group compared to the control group with a high effect size had a significant difference in reducing pain (P=0.021, ηp2=0.183), disability (P=0.007, ηp2=0.237), and postural reconstruction error (P=0.000, ηp2=0.566). Also, the experimental group compared to the control group with a high effect size had a significant difference in the improvement of static (P=0.008, ηp2=0.367) and dynamic balance (P=0.008, ηp2=0.757). Conclusion: The CSE combination with AH affects three active, passive, and nervous systems. It seems that the CSE combination with AH can modify the faulty movement control in local muscles, proprioception restoration, and subsequently lead to postural stability.

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What factors influence pain scores following Corticosteroid injection in patients with Greater Trochanteric Pain Syndrome? A systematic review

Foxcroft,

Stephens,

Woodhead

et al. 2024

BMC Musculoskelet Disord

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Background Cortico-Steroid Injections (CSI) are commonly used to treat patients with Greater Trochanteric Pain Syndrome (GTPS) but it is unclear which patients will experience improvements in pain. Objectives To identify factors that influence improvements in pain for patients with GTPS treated with CSI. Design Systematic review. Methods A search was undertaken of AMED, CINAHL, Cochrane Library, EMBASE, Medline and PEDro databases. Studies were eligible for inclusion if they investigated factors that influenced changes in pain experienced by patients with GTPS who received a CSI. Studies needed to include relevant summary statistics and tests of clinical significance. Risk Of Bias in Non-randomised Trials Of Interventions (ROBINS-I) and Risk Of Bias 2 (ROB2) tools were used to assess bias. Results The search identified 466 studies, 8 were included in the final review with a total of 643 participants. There was no association between demographic variables such as age, sex, symptom duration or obesity and pain outcomes post-CSI. Having a co-existing musculoskeletal (MSK) condition such as knee osteoarthritis or sacroiliac/lumbar spine pain was associated with less pain reduction post-CSI. Injections into the Trochanteric Bursa were associated with longer lasting pain reduction than Gluteus Medius Bursa or extra-bursal injections. Image guidance of CSI maintained lower pain scores at six months but did not increase the duration of the therapeutic effect past six months. The presence of specific ultrasound scan features was not associated with differences in pain scores. Conclusions Patients with co-existing MSK conditions may not respond to CSI as well as those without. Injections into the Greater Trochanteric Bursa may have longer lasting benefit. Further research is needed on the use of USS imaging findings and image guidance.

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Biomechanical factors associated with non-specific low back pain in adults: A systematic review

Cited by 5 publications

References 55 publications

The Effect of Cognitive Functional Therapy on Psychological Variables in Women With Non-specific Chronic Back Pain: A Randomized Control Trial

The Effect of Cognitive Functional Therapy on Psychological Variables in Women With Non-specific Chronic Back Pain: A Randomized Control Trial

The Effect of Core Stability Exercises Combined With Abdominal Hollowing on Postural Balance in Patients With Non-specific Chronic Low Back Pain: A Randomized Controlled Trial

What factors influence pain scores following Corticosteroid injection in patients with Greater Trochanteric Pain Syndrome? A systematic review

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