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Motor Control Stabilisation Exercise for Patients with Non-Specific Low Back Pain: A Prospective Meta-Analysis with Multilevel Meta-Regressions on Intervention Effects.

作者信息

Niederer Daniel, Engel Tilman, Vogt Lutz, Arampatzis Adamantios, Banzer Winfried, Beck Heidrun, Moreno Catalá María, Brenner-Fliesser Michael, Güthoff Claas, Haag Thore, Hönning Alexander, Pfeifer Ann-Christin, Platen Petra, Schiltenwolf Marcus, Schneider Christian, Trompeter Katharina, Wippert Pia-Maria, Mayer Frank

机构信息

Department of Sports Medicine and Exercise Physiology, Goethe University Frankfurt, 60487 Frankfurt am Main, Germany.

University Outpatient Clinic, Centre of Sports Medicine, University of Potsdam, 14469 Potsdam, Germany.

出版信息

J Clin Med. 2020 Sep 22;9(9):3058. doi: 10.3390/jcm9093058.


DOI:10.3390/jcm9093058
PMID:32971921
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7564352/
Abstract

Low-to-moderate quality meta-analytic evidence shows that motor control stabilisation exercise (MCE) is an effective treatment of non-specific low back pain. A possible approach to overcome the weaknesses of traditional meta-analyses would be that of a prospective meta-analyses. The aim of the present analysis was to generate high-quality evidence to support the view that motor control stabilisation exercises (MCE) lead to a reduction in pain intensity and disability in non-specific low back pain patients when compared to a control group. In this prospective meta-analysis and sensitivity multilevel meta-regression within the MiSpEx-Network, 18 randomized controlled study arms were included. Participants with non-specific low back pain were allocated to an intervention (individualized MCE, 12 weeks) or a control group (no additive exercise intervention). From each study site/arm, outcomes at baseline, 3 weeks, 12 weeks, and 6 months were pooled. The outcomes were current pain (NRS or VAS, 11 points scale), characteristic pain intensity, and subjective disability. A random effects meta-analysis model for continuous outcomes to display standardized mean differences between intervention and control was performed, followed by sensitivity multilevel meta-regressions. Overall, 2391 patients were randomized; 1976 (3 weeks, short-term), 1740 (12 weeks, intermediate), and 1560 (6 months, sustainability) participants were included in the meta-analyses. In the short-term, intermediate and sustainability, moderate-to-high quality evidence indicated that MCE has a larger effect on current pain (SMD = -0.15, -0.15, -0.19), pain intensity (SMD = -0.19, -0.26, -0.26) and disability (SMD = -0.15, -0.27, -0.25) compared with no exercise intervention. Low-quality evidence suggested that those patients with comparably intermediate current pain and older patients may profit the most from MCE. Motor control stabilisation exercise is an effective treatment for non-specific low back pain. Sub-clinical intermediate pain and middle-aged patients may profit the most from this intervention.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d8/7564352/7869e7a0bad3/jcm-09-03058-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d8/7564352/e6acdece5de6/jcm-09-03058-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d8/7564352/76cc2ac63529/jcm-09-03058-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d8/7564352/2c485ef9e860/jcm-09-03058-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d8/7564352/d66a8d92c12c/jcm-09-03058-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d8/7564352/7869e7a0bad3/jcm-09-03058-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d8/7564352/e6acdece5de6/jcm-09-03058-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d8/7564352/76cc2ac63529/jcm-09-03058-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d8/7564352/2c485ef9e860/jcm-09-03058-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d8/7564352/d66a8d92c12c/jcm-09-03058-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28d8/7564352/7869e7a0bad3/jcm-09-03058-g005.jpg

相似文献

[1]
Motor Control Stabilisation Exercise for Patients with Non-Specific Low Back Pain: A Prospective Meta-Analysis with Multilevel Meta-Regressions on Intervention Effects.

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[2]
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[3]
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[4]
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[7]
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[8]
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引用本文的文献

[1]
Sensorimotor Stabilization Exercises With and Without Behavioral Treatment in Low Back Pain: Feasibility and Effects of a Multicenter Randomized Controlled Trial.

Arch Rehabil Res Clin Transl. 2025-1-27

[2]
Clinical Outcomes of a New Foot-Worn Non-Invasive Biomechanical Intervention Compared to Traditional Physical Therapy in Patients With Chronic Low Back Pain. A Randomized Clinical Trial.

Global Spine J. 2025-1-15

[3]
Demographic and clinical characteristics associated with failure of physical therapy in chronic low back pain: a secondary analysis from a randomized controlled trial.

Eur J Phys Rehabil Med. 2024-6

[4]
The effect and mechanism of motor control exercise on low back pain: a narrative review.

EFORT Open Rev. 2023-7-3

[5]
Acute effects of game-based biofeedback training on trunk motion in chronic low back pain: a randomized cross-over pilot trial.

BMC Sports Sci Med Rehabil. 2022-11-13

[6]
Perturbation-based trunk stabilization training in elite rowers: A pilot study.

PLoS One. 2022

[7]
Effect of Six-Week Resistance and Sensorimotor Training on Trunk Strength and Stability in Elite Adolescent Athletes: A Randomized Controlled Pilot Trial.

Front Physiol. 2022-3-17

[8]
Psychosocial Moderators and Mediators of Sensorimotor Exercise in Low Back Pain: A Randomized Multicenter Controlled Trial.

Front Psychiatry. 2021-7-29

[9]
Ultrasound Imaging as a Visual Biofeedback Tool in Rehabilitation: An Updated Systematic Review.

Int J Environ Res Public Health. 2021-7-15

本文引用的文献

[1]
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. 2020-1-15

[2]
Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis.

Br J Sports Med. 2019-10-30

[3]
A guide to prospective meta-analysis.

BMJ. 2019-10-9

[4]
Predicting a beneficial response to motor control training in patients with low back pain: a longitudinal cohort study.

Eur Spine J. 2019-6-27

[5]
The validity of pain intensity measures: what do the NRS, VAS, VRS, and FPS-R measure?

Scand J Pain. 2018-1-26

[6]
Stress and Alterations in the Pain Matrix: A Biopsychosocial Perspective on Back Pain and Its Prevention and Treatment.

Int J Environ Res Public Health. 2018-4-18

[7]
Development of a risk stratification and prevention index for stratified care in chronic low back pain. Focus: yellow flags (MiSpEx network).

Pain Rep. 2017-9-28

[8]
A random-perturbation therapy in chronic non-specific low-back pain patients: a randomised controlled trial.

Eur J Appl Physiol. 2017-10-19

[9]
Medicine in spine exercise (MiSpEx) for nonspecific low back pain patients: study protocol for a multicentre, single-blind randomized controlled trial.

Trials. 2016-10-20

[10]
Stabilization exercise compared to general exercises or manual therapy for the management of low back pain: A systematic review and meta-analysis.

Phys Ther Sport. 2017-1

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