Arslan Serpil, Ülger Özlem
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Acta Neurol Belg. 2025 Mar 25. doi: 10.1007/s13760-025-02767-2.
Systematic review explores the scientific evidence for the effectiveness of exercise interventions for lumbar disc herniation (LDH). LBP is a major cause of pain and disability worldwide and imposes huge costs on health systems, patients and society, with exercise being an important conservative treatment modality.
The aim of this review was to assess the effectiveness of different exercise treatments for LDH.
Databases (MEDLINE, Pubmed, Cochrane, Scopus, Web of Science(WoS), ScienceDirect) were systematically searched for full-text articles published from 2018 to 23. Two researchers were involved in the research process. Studies evaluating pain, functional disability, quality of life, and transversus abdominis activation capacity in patients with LDH were included. Only studies published in English were considered. Randomized controlled trials (RCTs) with full-text availability, involving patients diagnosed with LDH who had not undergone surgery and were able to exercise, were included. The PEDro scale was used to assess the quality of evidence. According to the guidelines, the PEDro evaluation was carried out by the authors.
Twelve randomized controlled trials (RCTs) were included (PubMed: 8, ScienceDirect: 3, WoS: 1), involving 880 participants and comparing exercise with other approaches. The articles examined core stabilization exercises (CSE), motor control exercises (MCE), clinical Pilates, yoga, and various other types of exercise. Pain, functional disability, quality of life (QoL), and transversus abdominis (TrA) activation capacity were evaluated in patients with LDH. Increased pain, greater disability, decreased QoL, and reduced TrA activation capacity were reported in LDH. The latest search was conducted on November 20, 2023. This systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
Quick Response (QR) code home-based exercise intervention and neurodynamic mobilisation and motor control exercises, scored higher than the other trials in terms of methodological quality and quality of evidence.
系统评价旨在探究运动干预对腰椎间盘突出症（LDH）有效性的科学证据。腰痛是全球疼痛和残疾的主要原因，给卫生系统、患者和社会带来巨大成本，而运动是一种重要的保守治疗方式。
本评价旨在评估不同运动疗法对腰椎间盘突出症的有效性。
系统检索了数据库（MEDLINE、Pubmed、Cochrane、Scopus、科学网（WoS）、ScienceDirect）中2018年至2023年发表的全文文章。两名研究人员参与了研究过程。纳入评估腰椎间盘突出症患者疼痛、功能障碍、生活质量和腹横肌激活能力的研究。仅考虑以英文发表的研究。纳入具有全文、涉及未接受手术且能够运动的腰椎间盘突出症确诊患者的随机对照试验（RCT）。使用PEDro量表评估证据质量。根据指南，由作者进行PEDro评估。
纳入了12项随机对照试验（RCT）（PubMed：8项，ScienceDirect：3项，WoS：1项），涉及880名参与者，并将运动与其他方法进行了比较。文章研究了核心稳定性训练（CSE）、运动控制训练（MCE）、临床普拉提、瑜伽以及各种其他类型的运动。对腰椎间盘突出症患者的疼痛、功能障碍、生活质量（QoL）和腹横肌（TrA）激活能力进行了评估。腰椎间盘突出症患者报告疼痛加剧、残疾加重、生活质量下降和腹横肌激活能力降低。最新检索于2023年11月20日进行。本系统评价遵循系统评价和Meta分析的首选报告项目（PRISMA）指南进行。
基于家庭的二维码运动干预以及神经动力松动和运动控制训练，在方法学质量和证据质量方面得分高于其他试验。
