Gonzalez-Medina Gloria, Perez-Cabezas Veronica, Ruiz-Molinero Carmen, Chamorro-Moriana Gema, Jimenez-Rejano Jose Jesus, Galán-Mercant Alejandro
Department Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain.
Research Group: CTS-986 Physical Therapy and Health (FISA), Institute of Research in Social Sustainable Development (INDESS), 11009 Cadiz, Spain.
J Clin Med. 2021 Nov 16;10(22):5327. doi: 10.3390/jcm10225327.
The aim of this systematic review and meta-analysis was to evaluate the global postural re-education (GPR) program's effectiveness compared to other exercise programs in subjects with persistent chronic low back pain.
A systematic review and meta-analysis were carried out using PRISMA2020. An electronic search of scientific databases was performed from their inception to January 2021. Randomized controlled trials that analyzed pain and patient-reported outcomes were included in this review. Four meta-analyses were performed. The outcomes analyzed were disability due to back pain and pain. The risk of bias and quality of evidence were evaluated. The final search was conducted in March.
Seven trials were included, totaling 334 patients. The results showed improvement in pain measured by Visual Analogue Scale (VAS) (Standardised Mean Difference (SMD) = -0.69; 95% Confidence Interval (CI), -1.01 to -0.37; < 0.0001), Numerical Pain Scale (NRS) (SMD = -0.40; 95% CI, -0.87 to 0.06); = 0.022), VAS + NRS (SMD = -1.32; 95% CI, -1.87 to -0.77; < 0.0001) and function (Roland Morris Disability Questionnaire (RMDQ)) (SMD = -0.55; 95% CI, -0.83 to -0.27; < 0.0001) after GPR treatment.
This meta-analysis provides reliable evidence that GPR may be an effective method for treating LBP by decreasing pain and improving function, with strong evidence.
本系统评价和荟萃分析的目的是评估整体姿势再教育（GPR）计划与其他运动计划相比，对持续性慢性下腰痛患者的有效性。
使用PRISMA2020进行系统评价和荟萃分析。从各科学数据库建立之初至2021年1月进行电子检索。本评价纳入了分析疼痛和患者报告结局的随机对照试验。进行了四项荟萃分析。分析的结局为背痛导致的残疾和疼痛。评估了偏倚风险和证据质量。最终检索于3月进行。
纳入7项试验，共334例患者。结果显示，GPR治疗后，采用视觉模拟量表（VAS）测量的疼痛有所改善（标准化均数差（SMD）=-0.69；95%置信区间（CI），-1.01至-0.37；P<0.0001），数字疼痛量表（NRS）（SMD=-0.40；95%CI，-0.87至0.06；P=0.022），VAS+NRS（SMD=-1.32；95%CI，-1.87至-0.77；P<0.0001）以及功能（罗兰·莫里斯残疾问卷（RMDQ））（SMD=-0.55；95%CI，-0.83至-0.27；P<0.0001）。
本荟萃分析提供了可靠证据，表明GPR可能是一种通过减轻疼痛和改善功能来治疗下腰痛的有效方法，证据充分。
