Systematic Review to Inform a World Health Organization (WHO) Clinical Practice Guideline: Benefits and Harms of Structured Exercise Programs for Chronic Primary Low Back Pain in Adults

Journal of Occupational Rehabilitation, Journal Year: 2023, Volume and Issue: 33(4), P. 636 - 650

Published: Nov. 22, 2023

Abstract Purpose Evaluate benefits and harms of structured exercise programs for chronic primary low back pain (CPLBP) in adults to inform a World Health Organization (WHO) standard clinical guideline. Methods We searched randomized controlled trials (RCTs) electronic databases (inception 17 May 2022). Eligible RCTs targeted compared placebo/sham, usual care, or no intervention (including comparison interventions where the attributable effect could be isolated). extracted outcomes, appraised risk bias, conducted meta-analyses appropriate, assessed certainty evidence using GRADE. Results screened 2503 records (after initial screening through Cochrane RCT Classifier Crowd) 398 full text RCTs. Thirteen rated with overall unclear bias were synthesized. Assessing individual types (predominantly very evidence), reduction was associated aerobic Pilates vs. intervention, motor control sham. Improved function mixed intervention. Temporary increased minor yoga care. Little difference found other comparisons outcomes. When pooling types, probably reduces (8 RCTs, SMD = − 0.33, 95% CI 0.58 0.08) functional limitations older 0.31, 0.57 0.05) (moderate evidence). Conclusions With moderate certainty, reduce people CPLBP.

Language: Английский

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Effectiveness of Virtual Reality on Rehabilitation of Chronic Non-Specific Low Back Pain Patients

Healthcare, Journal Year: 2024, Volume and Issue: 12(13), P. 1312 - 1312

Published: June 30, 2024

Virtual reality (VR) is used extensively for musculoskeletal conditions, but its efficacy in chronic low back pain still needs more investigation. To discuss the effectiveness of VR on selected outcomes Chronic Non-Specific Low Back Pain (CNSLBP). Thirty-five patients with CNSLBP joined this study. Postural correction exercises using TBed gaming system addition to hamstring stretching were employed, and moist heat was applied. Pre- post-intervention values pain, ROM, function, balance (overall stability index) obtained numerical rating scale (NPRS), Oswestry Disability Index, range motion (BROM), Biodex system. Satisfaction level a 1-10 degree commitment exercise sessions assessed after intervention. The completed intervention period outcome measures sessions. Paired t-tests reported statistically significant improvements high effect size end treatment (p < 0.001, Cohen's d > 0.69). satisfaction 9.25 ± 0.766, (98.75% attendance rate). Applying postural may improve motion, pain.

Language: Английский

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Effects of virtual reality on pain, disability and kinesiophobia in patients with chronic low back pain: A systematic review with meta-analysis

Physiotherapy Practice and Research, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 26

Published: Aug. 17, 2024

BACKGROUND: Chronic low back pain (CLBP) significantly impairs function and productivity, emphasizing the need for effective solutions, with virtual reality (VR) emerging as a novel alternative management. OBJECTIVE: The aim of this systematic review meta-analysis was to examine effects VR interventions on pain, disability kinesiophobia, compared other therapeutic in CLBP patients. METHODS: In July 2023, we searched PubMed PEDro databases studies that examined or kinesiophobia adults CLBP. Using random-effects model, derived standardized mean difference pooled effect. RESULTS: We found 33 studies, 22 which were eligible meta-analysis. Most good quality, 12/22 reaching score between 6 8 points scale. demonstrated superior results placebo (SMD = –1.90; 95% CI –3.60 –0.20; p 0.03), no intervention –1.66; –2.49 –0.83; < 0.001), exercise –0.61; –1.06 –0.16; 0.008), combined physical therapy showed greater efficacy than –1.42; –2.33 –0.52; 0.002) intensity outcome. However, significant differences CONCLUSION: are non-VR terms improving patients, but not also outcomes. Further research is needed conclusive insights into VR’s efficacy.

Language: Английский

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A novel balance training approach: Biomechanical study of virtual reality-based skateboarding

Frontiers in Bioengineering and Biotechnology, Journal Year: 2023, Volume and Issue: 11

Published: Feb. 10, 2023

Introduction: The use of virtual reality (VR) technology in training and rehabilitation gained increasing attention recent years due to its potential provide immersive interactive experiences. We developed a novel VR-based balance training, VR-skateboarding, for improving balance. It is important investigate the biomechanical aspects this as it would have benefited both health professionals software engineers. Aims: This study aimed compare characteristics VR-skateboarding with those walking. Materials Methods: Twenty young participants (10 males 10 females) were recruited. Participants underwent walking at comfortable speed, treadmill set same speed tasks. motion capture system electromyography used determine joint kinematics muscle activity trunk legs, respectively. force platform was also collect ground reaction force. Results: demonstrated increased flexion angles extensor during than ( p &lt; 0.01). For supporting leg, participants’ hip ankle dorsiflexion, well knee extensor, higher moving only when compared Furthermore, weight distribution leg Conclusion: that has been found improve through flexion, facilitated muscles, on These differences clinical implications Health may consider incorporating into protocols balance, while engineers information design new features VR systems. Our suggests impact particularly manifest focusing leg.

Language: Английский

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Virtual reality is effective in the management of chronic low back ache in adults: a systematic review and meta-analysis of randomized controlled trials

European Spine Journal, Journal Year: 2023, Volume and Issue: 33(2), P. 474 - 480

Published: Nov. 18, 2023

Language: Английский

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Virtual Reality Exergaming Capability to Change Muscle Strategy During the Limits of Stability Test and Reduce Fear of Falling in Primary Osteoporotic Women

Games for Health Journal, Journal Year: 2023, Volume and Issue: 12(4), P. 310 - 322

Published: March 20, 2023

Objective: Muscle strength and balance impairment change the control strategy increase probability of falling. This study aimed to investigate effect 6-week strength-balance training through virtual reality exergaming (VRE) on muscle during limits stability (LOS) test, fear falling, quality life (QOL) in osteoporotic women. Materials Methods: Twenty volunteer postmenopausal women with osteoporosis were randomly allocated VRE (n = 10) traditional (TRT as control, n groups. The TRT was performed for 6 weeks three sessions per week. Before after exercise, activity (onset time, peak root means square [PRMS]) hip/ankle ratio assessed by wireless electromyography system. activities dominant leg recorded LOS functional test. fall efficacy scale QOL assessed. Paired t-test used compare results within groups, an independent percentage changes parameters between two Results: improved onset time PRMS. significantly reduced test's forward, backward, right directions (P < 0.05). No significant seen all test group > 0.042). Both VRT total score 0.010). Conclusion: more effective decreasing activation. is recommended induce a better ability reduce falling Clinical Trial Registration number: IRCT20101017004952N9.

Language: Английский

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The effects of virtual reality training on postural sway and physical function performance on older women with chronic low back pain: A double-blind randomized clinical trial

Journal of Back and Musculoskeletal Rehabilitation, Journal Year: 2024, Volume and Issue: 37(3), P. 761 - 770

Published: Jan. 9, 2024

BACKGROUND: Chronic low back pain (CLBP) is known as an important debilitating health condition among older women. OBJECTIVE: This study aimed to evaluate the effects of eight-week virtual reality training (VRT) exercises on postural sway and physical function performance (PFP) women suffering from CLBP. METHODS: Twenty-seven presenting with CLBP were randomized into experimental control groups. The group was instructed perform 30-minute VRT three times a week for eight weeks. Plantar pressure variables [sway velocity (SV) anterior-posterior (AP) medial-lateral (ML) fluctuations center (CoP)], 30-second chair stand test (30CST), timed up go (TUG) recorded. RESULTS: exhibited significant decreases in SV (p= 0.002), AP 0.008), ML 0.02) fluctuations. Also, 30CST TUG tests significantly improved after (P< 0.001). CONCLUSION: According results, program used this should be enhance balance PFP who mostly prefer activities that are accessible feasible low-risk environments.

Language: Английский

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Virtual reality training and pain neuroscience plus motor control on pain, disability, health, and quality of life of women with non-specific chronic back pain

Journal of Novel Physiotherapy and Physical Rehabilitation, Journal Year: 2024, Volume and Issue: 11(1), P. 001 - 010

Published: Jan. 18, 2024

Background: Non-specific chronic low back pain is defined as a complex disorder involving structural, biomechanical, cognitive, psychological, social, and lifestyle factors. This randomized clinical trial study compared the effects of 8-week Virtual Reality Training (VRT) neuroscience plus motor control training (PNE/MCT) on pain, disability, health, quality life women with non-specific pain. Methodology: research single-center parallel RCT. Thirty-six participants participated in this study. They were divided into two groups: VRT (G1) PNE/MCT (G2), both 18 women. The was performed for eight weeks 45 minutes – 60 minutes. applied by Oculus Quest 2. Visual Analogue Scale (VAS), disability (Oswestry Disability Index), general health (GHQ-28), (QOL- WHO) assessed before after using within-between group analysis (ANOVA 2×2). Results: Before training, no difference observed between groups (p > 0.05). After intervention, improved VAS, GHQ, QOL (all p < 0.001). In comparison groups, G1 had better performance according to p-value effect size anxiety = 0.001, ES= 0.71), depression symptoms 0.03, ES: 0.25), physical -0.24), mental 0.66), total 0.048, 0.21) than G2. Conclusion: Despite effectiveness interventions, NSCLBP more PNE/MCT.

Language: Английский

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The Effect of Cognitive Functional Therapy on Psychological Variables in Women With Non-specific Chronic Back Pain: A Randomized Control Trial

Physical Treatments - Specific Physical Therapy, Journal Year: 2024, Volume and Issue: 14(1), P. 65 - 72

Published: Jan. 1, 2024

Purpose: Chronic non-specific low back pain (CNSLBP) is a common health issue caused by mix of biological, psychological, and social factors. Cognitive functional therapy (CFT) comprehensive way to treat CNSLBP that focuses on changing negative thoughts unhelpful habits through relaxation techniques. Since the evidence efficacy CFT still limited, it essential conduct clinical trials aimed at effectiveness in treatment CNSLBP. This study aims examine effect cognitive psychological variables women with Methods: Thirty were recruited for trial. They randomly divided into two experimental control groups (15 patients each group). Our group will have 18 individualized sessions, lasting an hour, over months. The received no intervention. Pain intensity, disability, kinesiophobia assessed via visual analog scale, Oswestry, Tampa respectively. Two-way repeated measures analysis variance (ANOVA) was used compare results between groups. Results: ANOVA showed compared reducing (P=0.000, ηp2=0.787), disability (P=0.005, ηp2=0.457) Kinesiophobia ηp2=0.561) had significant difference. Conclusion: reduced pain, Further evaluation high-quality randomized among recommended.

Language: Английский

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The Effect of Egoscue and American National Academy of Sports Medicine Exercises Along with Abdominal Drawing-in Maneuver on Pain and Lordosis Angle in Women with Chronic Low Back Pain: A Protocol for a Randomized Controlled Clinical Trial

Journal of Rafsanjan University of Medical Sciences, Journal Year: 2024, Volume and Issue: 23(1), P. 61 - 75

Published: May 1, 2024

Language: Английский

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