Effect of proprioceptive neuromuscular facilitation integration pattern and swiss ball training on pain and balance in elderly patients with chronic back pain

Young, Kim Jin; Je, Choi Won; Hwa, Seo Tae

doi:10.1589/jpts.27.3237

Cited by 32 publications

(39 citation statements)

References 19 publications

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“…All included studies adopted a randomised controlled design (RCT). The main inclusion criterion was (chronic) non-specific low back pain ≥ 4 weeks 22 , ≥ 6 weeks 23 , ≥ 7 weeks 24 , ≥ 8 weeks [25][26][27] , ≥ 12 weeks , ≥ 24 weeks [56][57][58] and ≥ 2 year history 59 , whilst in 11 [60][61][62][63][64][65][66][67][68][69][70] studies this information was not presented. The baseline pain, effect sizes (Cohen's d, stabilisation exercise group only) for pain and disability are presented in Table 3.…”

Section: Resultsmentioning

confidence: 99%

“…The qualitative analysis of the training volume revealed a range of 1 30,32,35,37,40,44,48,50,52,53,56,58,70 to 10 24,44,46,59,60 sets per exercise practiced with a mean of 3.2 ± 2.4 sets, while 28 22,25,28,[30][31][32][33][34][35][38][39][40][41]43,45,[49][50][51]53,54,56,58,63,[67][68][69][70][71] studies did not report any details on this aspect. In addition to this, only 23 22,25,28,[30][31]…”

Section: Study Quality and Risk Of Bias Within Studiesmentioning

confidence: 99%

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Dose-response-relationship of stabilisation exercises in patients with chronic non-specific low back pain: a systematic review with meta-regression

Mueller

Niederer

2020

Sci Rep

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Stabilization exercise (SE) is evident for the management of chronic non-specific low back pain (LBP). The optimal dose-response-relationship for the utmost treatment success is, thus, still unknown. The purpose is to systematically review the dose-response-relationship of stabilisation exercises on pain and disability in patients with chronic non-specific LBP. A systematic review with meta-regression was conducted (Pubmed, Web of Knowledge, Cochrane). Eligibility criteria were RCTs on patients with chronic non-specific LBP, written in English/German and adopting a longitudinal core-specific/stabilising/motor control exercise intervention with at least one outcome for pain intensity and/or disability. Meta-regressions (dependent variable = effect sizes (Cohens d) of the interventions (for pain and for disability), independent variable = training characteristics (duration, frequency, time per session)), and controlled for (low) study quality (PEDro) and (low) sample sizes (n) were conducted to reveal the optimal dose required for therapy success. From the 3,415 studies initially selected, 50 studies (n = 2,786 LBP patients) were included. N = 1,239 patients received SE. Training duration was 7.0 ± 3.3 weeks, training frequency was 3.1 ± 1.8 sessions per week with a mean training time of 44.6 ± 18.0 min per session. The meta-regressions’ mean effect size was d = 1.80 (pain) and d = 1.70 (disability). Total R2 was 0.445 and 0.17. Moderate quality evidence (R2 = 0.231) revealed that a training duration of 20 to 30 min elicited the largest effect (both in pain and disability, logarithmic association). Low quality evidence (R2 = 0.125) revealed that training 3 to 5 times per week led to the largest effect of SE in patients with chronic non-specific LBP (inverted U-shaped association). In patients with non-specific chronic LBP, stabilization exercise with a training frequency of 3 to 5 times per week (Grade C) and a training time of 20 to 30 min per session (Grade A) elicited the largest effect on pain and disability.

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Section: Resultsmentioning

confidence: 99%

Section: Study Quality and Risk Of Bias Within Studiesmentioning

confidence: 99%

Dose-response-relationship of stabilisation exercises in patients with chronic non-specific low back pain: a systematic review with meta-regression

Mueller

Niederer

2020

Sci Rep

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“…Following the title andabstract screening, 35 fulltext articles were retrieved. The full-text review was completed to determine nal inclusion; 17 articles (13 case-control studies [20][21][22][23][24][25][26][27][28][29][30][31][32] , four RCTs [33][34][35][36] ) met the inclusion criteria. Only the 13 case-control studies were included in the meta-analysis.…”

Section: Study Selectionmentioning

confidence: 99%

Effects of Low Back Pain on Balance Performance in Older People: A Systematic Review and Meta-analysis

Wang²,

Zhou

et al. 2020

Preprint

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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 systematicreview 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. 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 and four randomised controlled studies on physical therapy to improve thebalance performance of elderly people with LBP 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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“…The comparative treatments in these trials include Non-Steroid Anti Inflammation Drugs (NSAIDs), educational booklet, back massage with back care advice, strength training and spinal mobilization and general mobility exercises. McKenzie method can be a familiar treatment and it is one of the common choices used by most physiotherapists for treating LBP 22,23 .…”

Section: Introductionmentioning

confidence: 99%

The changes of functional disability in non-specific low back pain among University population after proprioceptive neuromuscular facilitation and Mckenzie method

Anggiat¹,

Hon²,

Sokran³

et al. 2020

IJMAES

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Background of study: Non-specific low back pain (LBP) becomes the most common cases in University population. Prolonged sitting has been identified as one of the factors leading to non-specific LBP among University population. The purpose of the study is to identify the change of functional disability in non-specific LBP among university population after PNF and McKenzie method. Methods: A quasi-experimental study involving 36 subjects (students and office workers) from the university population. The study population were selected from students and office worker of KPJ Healthcare University College (KPJUC) who met the inclusion criteria. The subjects were divided into three treatment groups: PNF group, McKenzie group and control group (hot pack and educational home exercise sheet) which underwent 12 treatment sessions distributed over three times in a week for four weeks duration. Subjects were measured on functional disability by Oswestry Disability Index (ODI). Measurement was performed at pre-test, mid-test and post-test. Repeated measures ANOVA was used to analyse the effectiveness of PNF and McKenzie treatments based on the measurement time. Result: This study showed that the PNF and McKenzie gave effect in improving ODI score in within group analysis. However, the results of PNF showed that it has more effect than McKenzie method on functional disability score (p <0.05) after 4 weeks. Conclusion: There was a change in functional disability on non-specific LBP after PNF and McKenzie method. Furthermore, the study findings showed that the PNF exercise has more effect in improving functional disability compared to McKenzie method on non-specific LBP among university population.

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Effect of proprioceptive neuromuscular facilitation integration pattern and swiss ball training on pain and balance in elderly patients with chronic back pain

Cited by 32 publications

References 19 publications

Dose-response-relationship of stabilisation exercises in patients with chronic non-specific low back pain: a systematic review with meta-regression

Dose-response-relationship of stabilisation exercises in patients with chronic non-specific low back pain: a systematic review with meta-regression

Effects of Low Back Pain on Balance Performance in Older People: A Systematic Review and Meta-analysis

The changes of functional disability in non-specific low back pain among University population after proprioceptive neuromuscular facilitation and Mckenzie method

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