Faculty of Sport and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia.
Faculty of Medicine, University of Novi Sad, 21000 Novi Sad, Serbia.
Int J Environ Res Public Health. 2022 Apr 18;19(8):4906. doi: 10.3390/ijerph19084906.
Lumbar lordosis is one of the most important parts of the spine, which is of special importance due to its unique position and direct contact with the pelvis. The aim of this study was to combine the results of several studies and to evaluate the magnitude of the effect of different Lumbar lordotic angle correction programs through meta-analysis. This study has been developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. Four databases were searched for articles collection: PubMed, Cochrane Library, Web of Science, and Google Scholar. The key search terms were: "Lumbar Lordotic angle", "Lordosis", "Hyperlordosis", "Corrective exercise", and "Low back pain. "The articles included in our study were limited to original articles written only in English that met the following inclusion criteria: (1) participants with lumbar lordosis or hyperlordosis or low back pain; (2) different programs of corrective exercises were applied; (3) Lumbar lordotic angle used as outcome measures. Ten studies are included in our systematic review and meta-analysis. The effect size for the Lumbar lordotic angle outcome was (SMD = 0.550, 0.001, moderate effect size). Subgroup analysis for Lumbar lordotic angle: Subgroup Younger group (SMD = 0.640, 0.001), Subgroup Older group, (SMD = 0.520, 0.001). Subgroup Treatment (SMD = 0.527, 0.001), Subgroup No treatment (SMD = 0.577, = 0.002). This was the only outcome assessed in our analysis. The current meta-analysis indicates that different correction methods have a positive effect on subjects with lumbar lordosis or hyperlordosis. In the following research, we should try to determine which corrective methods have the best effects.
腰椎前凸是脊柱最重要的部分之一，由于其独特的位置和与骨盆的直接接触，具有特殊的重要性。本研究的目的是结合几项研究的结果，通过荟萃分析评估不同腰椎前凸角矫正方案的效果大小。本研究是按照系统评价和荟萃分析的首选报告项目（PRISMA）声明进行的。为了收集文章，我们在四个数据库中进行了搜索：PubMed、Cochrane 图书馆、Web of Science 和 Google Scholar。我们研究中使用的关键搜索词是：“腰椎前凸角”、“前凸”、“过度前凸”、“矫正运动”和“下腰痛”。我们纳入的研究仅限于仅用英文撰写且符合以下纳入标准的原始文章：（1）患有腰椎前凸或过度前凸或下腰痛的参与者；（2）应用不同的矫正运动方案；（3）腰椎前凸角作为结果测量。我们的系统评价和荟萃分析纳入了 10 项研究。腰椎前凸角的效应大小为（SMD = 0.550，95%CI：0.001-0.550，中等效应量）。腰椎前凸角的亚组分析：亚组年轻组（SMD = 0.640，95%CI：0.001-0.640，大效应量），亚组老年组（SMD = 0.520，95%CI：0.001-0.520，小效应量）。亚组治疗（SMD = 0.527，95%CI：0.001-0.527，小效应量），亚组无治疗（SMD = 0.577，95%CI：0.002-0.577，大效应量）。这是我们分析中唯一评估的结果。本荟萃分析表明，不同的矫正方法对腰椎前凸或过度前凸的受试者有积极的影响。在未来的研究中，我们应该尝试确定哪些矫正方法效果最好。
