Cognitive Behavioral Therapy With Stabilization Exercises Affects Transverse Abdominis Muscle Thickness in Patients With Chronic Low Back Pain: A Double-Blinded Randomized Trial Study

Bagheri, Rasool; Hedayati, Rozita; Ehsani, Fatemeh; Hemati-Boruojeni, Nasim; Abri, Afsane; Delkhosh, Cyrus Taghizadeh

doi:10.1016/j.jmpt.2019.03.015

Cited by 5 publications

(15 citation statements)

References 51 publications

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“…Of the total 57 studies, 36 were for LBP with 3648 individuals 17,24–58 Twenty studies were on neck pain with 1703 individuals 22,59–77 . In only one study, the subject was whole spine disorder with 120 individuals 78 .…”

Section: Resultsmentioning

confidence: 99%

“…The quality of the evidence was low for all terms due to very serious inconsistency with two levels downgraded. For sensitivity analysis, exclusion was three studies 27,43,65 at the short term (SMD, À0.29; 95% CI, À0.45 to À0.14; I 2 = 70%), three studies 39,47,78 at the medium term (SMD, À0.25; 95% CI, À0.38 to À0.13; I 2 = 70%), and two studies 43,78 at the long term (SMD, À0.18; 95% CI, À0.32 to À0.04; I 2 = 71%).…”

Section: Disability Outcomementioning

confidence: 99%

“…The quality of the evidence was low for all terms due to very serious inconsistency. For sensitivity analysis, exclusion was three studies 27,43,47 with high effect sizes at the short term (SMD, À0.16; 95% CI, À0.31 to 0.01; I 2 = 46%) and three studies 31,39,47 at the medium term (SMD, À0.13; 95% CI, À0.24 to À0.01; I 2 = 74%). No sensitivity analysis was performed for the long term.…”

Section: Low Back Pain Subgroupmentioning

confidence: 99%

“…The clinical significance was found in all terms. For sensitivity analysis, exclusion was four studies 27,62,65,66 at the short term (SMD, À0.44; 95% CI, À0.67 to À0.12; I 2 = 71%), three studies 47,62,78 at the medium (SMD, À0.36; 95% CI, À0.53 to À0.18; I 2 = 73%), and two studies 23,74 at the long term (SMD, À0.43; 95% CI, À0.66 to À0.19; I 2 = 71%).…”

Section: Fear Of Movementmentioning

confidence: 99%

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Physical therapist–led interventions based on the biopsychosocial model provide improvement in disability and pain for spinal disorders: A systematic review and meta‐analysis

Miki

Kondo

Kurakata³

et al. 2023

PM&R

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ObjectiveTo summarize the effects of physical therapist–led interventions based on the biopsychosocial (BPS) model in spinal disorders compared to interventions with no BPS model through a systematic review and meta‐analysis of randomized‐controlled trials.TypeSystematic review and meta‐analysis.Literature SurveyWe searched the Web of Science, CENTRAL, MEDLINE, PsycINFO, CINAHL, and PEDro up to October 27, 2022.MethodologyPain intensity and disability were primary outcomes and psychological factors were secondary outcomes in spinal disorders. The included intervention was physical therapist–led interventions based on the BPS model. The control group received no physiotherapy intervention for BPS. Pooled effects were analyzed as standardized mean differences (SMDs) and 95% confidence intervals (CIs), and the random‐effects model was used for the meta‐analysis. The subgroup analysis was divided into low back pain group and neck pain group. Another subgroup analysis was conducted only of the groups that had received training of the BPS model.SynthesisFifty‐seven studies with 5471 participants met the inclusion criteria. For pain intensity, there was a statistically significant effect for the BPS model led by physical therapists in the short, medium, and long terms. The SMDs with 95% CIs were −0.44 (−0.62, −0.27), −0.24 (−0.37, −0.12), and −0.17 (−0.28, −0.06), respectively. Outcomes were clinically significant, except in the long term. For disability, there was a statistically significant effect in the short, medium, and long terms. The SMDs with 95% CIs were −0.48 (−0.69, −0.27), −0.44 (−0.64, −0.25), and −0.37 (−0.58, −0.15), respectively. All periods were clinically significant. The quality of the evidence was low for all of the main outcomes for all of the terms.ConclusionPhysical therapist–led interventions based on the BPS model effectively improve pain intensity and disability in patients with spinal disorders based on low‐quality evidence.

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Section: Resultsmentioning

confidence: 99%

Section: Disability Outcomementioning

confidence: 99%

Section: Low Back Pain Subgroupmentioning

confidence: 99%

Section: Fear Of Movementmentioning

confidence: 99%

See 2 more Smart Citations

Physical therapist–led interventions based on the biopsychosocial model provide improvement in disability and pain for spinal disorders: A systematic review and meta‐analysis

Miki

Kondo

Kurakata³

et al. 2023

PM&R

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“…In the analysis of methodological quality using the Jadad scale, 11 articles obtained four or more points [28,29,30,31,32,33,34,35,36,37,38], four articles obtained three points [39,40,41,42], and only one obtained two points [43]. The most common methodological shortcoming was the absence of blinding.…”

Section: Methodological Quality Of the Studies And Assessment Of Cert...mentioning

confidence: 99%

Prevention of non-specific back pain through exercise and education: A systematic review and meta-analysis

Hernandez-Lucas,

Leirós-Rodríguez,

Lopez-Barreiro

et al. 2024

BMR

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BACKGROUND: Clinical practice guidelines stress the importance of prevention and treatment of non-specific back pain through exercise therapy. However, it has not yet been confirmed whether the combination of exercise plus education is more effective than such interventions taken separately. OBJECTIVE: To determine if the combination of exercise plus education is more effective for the prevention of non-specific back pain than exercise or education alone. METHOD: A systematic search of studies whose sample consisted of participants without non-specific back pain (primary prevention) and participants with non-specific back pain (secondary and tertiary prevention) was conducted in the following databases in March 2023: PubMed, Scopus, Web of Science and Medline. RESULTS: A total of 16 articles were selected. Statistically significant results were found in the pain variable with SMD =-2.02 (95% CI =-2.71 to -1.33; p< 0.001), the disability variable with SMD =-1.14 (95% CI =-1.63 to -0.65; p< 0.001), and the kinesiophobia variable with SMD =-1.8 (95% CI =-2.54 to -1.05; p< 0.001). CONCLUSION: Interventions that combine exercise and education seem to have a greater preventive effect on non-specific back pain, disability and kinesiophobia than those that include exercise or education in an isolated manner.

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Cognitive behavioural interventions led by a physiotherapist in chronic non-specific low back pain: A systematic review and meta-analysis

Veillon,

Preuilh,

Wormser

2024

Journal of Bodywork and Movement Therapies

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Cognitive Behavioral Therapy With Stabilization Exercises Affects Transverse Abdominis Muscle Thickness in Patients With Chronic Low Back Pain: A Double-Blinded Randomized Trial Study

Cited by 5 publications

References 51 publications

Physical therapist–led interventions based on the biopsychosocial model provide improvement in disability and pain for spinal disorders: A systematic review and meta‐analysis

Physical therapist–led interventions based on the biopsychosocial model provide improvement in disability and pain for spinal disorders: A systematic review and meta‐analysis

Prevention of non-specific back pain through exercise and education: A systematic review and meta-analysis

Cognitive behavioural interventions led by a physiotherapist in chronic non-specific low back pain: A systematic review and meta-analysis

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