Stabilization exercise compared to general exercises or manual therapy for the management of low back pain: A systematic review and meta-analysis

Gomes‐Neto, Mansueto; Lopes, Jordana Moura; Conceição, Cristiano Sena da; Araújo, Anderson Delano; Brasileiro, Alécio; Sousa, Camila Santana de; Carvalho, Vitor Oliveira; Arcanjo, Fabio Luciano

doi:10.1016/j.ptsp.2016.08.004

Cited by 108 publications

(93 citation statements)

References 31 publications

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“…Motor-control exercises [5] and Pilatesbased stabilization exercises [6] have been shown to be superior to minimal intervention and provide at least similar outcomes to other forms of exercises [5,6]. Core-stability exercises [7] and back pain-oriented stabilization exercises [8] are more effective than general exercises In general, strength/resistance and coordination/stabilisation exercise programs seem to be superior to other interventions in the treatment of chronic low back pain [4]. Taken together, and proofed in a recent network meta-analysis on the direct comparison of exercise types [9] sensorimotor training is-regarding the outcome pain-one of the most, and-regarding physical function-the most effective active regimens for chronic low back pain treatment.…”

Section: Introductionmentioning

confidence: 99%

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

Niederer

Mueller

2020

PLoS ONE

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Study design Systematic review with meta-analysis and meta-regression. Background and objectives We systematically reviewed and delineated the existing evidence on sustainability effects of motor control exercises on pain intensity and disability in chronic low back pain patients when compared with an inactive or passive control group or with other exercises. Secondary aims were to reveal whether moderating factors like the time after intervention completion, the study quality, and the training characteristics affect the potential sustainability effects. Methods Relevant scientific databases (Medline, Web of Knowledge, Cochrane) were screened. Eligibility criteria for selecting studies: All RCTs und CTs on chronic (� 12/13 weeks) nonspecific low back pain, written in English or German and adopting a longitudinal core-specific/ stabilizing sensorimotor control exercise intervention with at least one pain intensity and disability outcome assessment at a follow-up (sustainability) timepoint of � 4 weeks after exercise intervention completion. Results and conclusions From the 3,415 studies that were initially retrieved, 10 (2 CTs & 8 RCTs) on N = 1081 patients were included in the review and analyses. Low to moderate quality evidence shows a sustainable positive effect of motor control exercise on pain (SMD =-.46, Z = 2.9, p < .001) and disability (SMD =-.44, Z = 2.5, p < .001) in low back pain patients when compared to

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Section: Introductionmentioning

confidence: 99%

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

Niederer

Mueller

2020

PLoS ONE

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“…Therefore, searching for modern, low-cost, and effective new therapies is strongly recommended. The use of various nonpharmacological supportive and conservative methods in LBP management is well-known, including exercise training [5,6], manual therapies [6,7], or myofascial techniques [8]. However, effective physical agents are also needed [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Effect of Radial Extracorporeal Shock Wave Therapy on Pain Intensity, Functional Efficiency, and Postural Control Parameters in Patients with Chronic Low Back Pain: A Randomized Clinical Trial

Walewicz

Taradaj

Sopel

et al. 2020

JCM

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Low back pain (LBP) is the leading cause of disability worldwide, placing a significant economic burden on healthcare systems. Radial extracorporeal shock wave therapy (rESWT) is useful in the rehabilitation of orthopedic diseases; however, there is still limited evidence for patients with LBP. The aim of this study was to assess the effect of rESWT on pain level, functional efficiency, and parameters of postural control in patients with LBP. Participants were randomized into group A (n = 20) treated with rESWT and group B (n = 20) treated with sham rESWT (placebo). Both groups received conventional physiotherapy, including core stability exercises. The following tests were performed: the Laitinen Pain Scale (LPS), the Roland–Morris Questionnaire (RMQ), the original Schober Test (OST), and a stabilometric platform for the assessment of postural sway, including total sway path (TSP). We found that the analgesic effect was higher after rESWT, especially in the follow-up’s (p < 0.05). Similar results were found for functional efficiency and range of motion (p < 0.05). The improved posture stability in placebo group B was not statistically significant (p > 0.05). The stabilometric parameters in group A were still gradually improved and statistically significant, even in follow-ups (p < 0.05). In conclusion, the rESWT had a significant effect on the reduction of pain and the improvement of functional condition compared to a conventional physiotherapy program. Also, rESWT with core stability exercises led to significant improvements in postural sway compared with conventional physiotherapy in patients with LBP.

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“…24,25 Participants reported also using other NPTs at moderately high rates, such as physical therapy and exercise, which is consistent with guidelines for chronic pain. [6][7][8][9][10][11] More than half of users for all NPTs rated their use as helpful or very helpful (range of 51-79%). Some of the most highly rated NPTs, such as group pain management classes, chiropractic, pool exercises/swimming, and yoga, had lower engagement rates.…”

Section: Discussionmentioning

confidence: 99%

“…Among individuals diagnosed with musculoskeletal pain, a considerable amount of literature supports exercise and physical therapy for short-and long-term pain reduction and improvement in physical function. [6][7][8][9][10][11] There is also moderate to strong empirical evidence for other interventions for chronic pain, such as yoga, 12 massage therapy, 13,14,15 , and CBT. 16 There is some limited support for other NPTs such as acupuncture 17,18,19 and Tai Chi.…”

Section: Introductionmentioning

confidence: 99%

Correlates of Use and Perceived Effectiveness of Non-pharmacologic Strategies for Chronic Pain Among Patients Prescribed Long-term Opioid Therapy

et al. 2018

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Stabilization exercise compared to general exercises or manual therapy for the management of low back pain: A systematic review and meta-analysis

Cited by 108 publications

References 31 publications

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

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

Effect of Radial Extracorporeal Shock Wave Therapy on Pain Intensity, Functional Efficiency, and Postural Control Parameters in Patients with Chronic Low Back Pain: A Randomized Clinical Trial

Correlates of Use and Perceived Effectiveness of Non-pharmacologic Strategies for Chronic Pain Among Patients Prescribed Long-term Opioid Therapy

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