Impact of education in patients undergoing physiotherapy for lower back pain: a level I systematic review and meta-analysis

European Journal of Trauma and Emergency Surgery, Journal Year: 2025, Volume and Issue: 51(1)

Published: Feb. 19, 2025

Abstract Introduction Lower back pain (LBP) is one of the most common musculoskeletal disorders in modern society, with a lifetime incidence up to 90%. According national and international guidelines, educational interventions play central role multimodal treatment LBP. This systematic review meta-analysis investigated impact on disability patients LBP undergoing physiotherapy compared without physiotherapy. Methods In October 2024, comprehensive computer-aided search was performed assess online databases PubMed, Web Science, Google Scholar, Embase. The followed Preferred Reporting Items for Systematic Reviews Meta-Analyses (PRISMA) criteria an established PICOTD algorithm. Two authors independently data extraction risk bias evaluation. primary outcome measures extracted were score (VAS or NRS) Roland Morris Disability Questionnaire (RMQ). Results Data from 8152 retrieved. mean length follow-up 6.2 ± 3.9 months, symptom duration 66.7 51.6 age 46.7 9.2 years. Compared alone, additional education did not reduce (P = 0.4) according RMQ 0.9). Conclusion addition chronic non-specific LPB. Level evidence I, RCTs.

Language: Английский

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The effectiveness of walking versus exercise on pain and function in chronic low back pain: a systematic review and meta-analysis of randomized trials

Disability and Rehabilitation, Journal Year: 2017, Volume and Issue: 41(6), P. 622 - 632

Published: Dec. 5, 2017

Objective: Walking is commonly recommended to relieve pain and improve function in chronic low back pain. The purpose of this study was conduct a systematic review meta-analysis randomized controlled trials concerning the effectiveness walking interventions compared other physical exercise on pain, disability, quality life fear-avoidance, pain.Methods: Randomized investigating effects alone with added adults were identified using MEDLINE, Cumulative Index Nursing Allied Health Literature (CINAHL), Physiotherapy Evidence Database (PEDro), Cochrane Central Register Controlled Trials (CENTRAL), PsychINFO, SPORT DiscusTM databases. Two reviewers independently selected studies extracted results. Study assessed PEDro scale clinical relevance each outcome measure evaluated.Results: Meta-analysis five meeting inclusion criteria performed. at short-, mid-, long-term follow-ups appeared statistically similar. Adding did not induce any further statistical improvement, short-term.Conclusions: Pain, fear-avoidance similarly by or may be considered as an alternative activity. Further larger samples, different dosages, types should conducted.Implications for RehabilitationWalking activity pain.Pain, exercise.Adding does greater improvement short-term.Walking less-expensive

Language: Английский

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A Systematic Review of Clinical Practice Guidelines for Persons With Non-specific Low Back Pain With and Without Radiculopathy: Identification of Best Evidence for Rehabilitation to Develop the WHO's Package of Interventions for Rehabilitation

Archives of Physical Medicine and Rehabilitation, Journal Year: 2023, Volume and Issue: 104(11), P. 1913 - 1927

Published: March 23, 2023

To Identify evidence-based rehabilitation interventions for persons with non-specific low back pain (LBP) and without radiculopathy to develop recommendations from high-quality clinical practice guidelines (CPGs) inform the World Health Organization's (WHO) Package of Interventions Rehabilitation (PIR).We searched MEDLINE, EMBASE, CINAHL, PsycINFO, National Services Economic Evaluation Database, Technology Assessment PEDro, Trip Index Chiropractic Literature gray literature.Eligible were (1) published between 2009 2019 in English, French, Italian, or Swedish; (2) included adults children LBP radiculopathy; (3) assessed benefits on functioning. Pairs independent reviewers quality CPGs using AGREE II.We identified 4 CPGs. Recommended education about recovery expectations, self-management strategies, maintenance usual activities; multimodal approaches incorporating education, exercise, spinal manipulation; nonsteroidal anti-inflammatory drugs combined acute stage; (4) intensive interdisciplinary that includes exercise cognitive/behavioral persistent pain. We did not identify people younger than 16 years age.We developed WHO PIR radiculopathy. These emphasize potential manual therapy, interventions.

Language: Английский

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Pain Neuroscience Education and Physical Therapeutic Exercise for Patients with Chronic Spinal Pain in Spanish Physiotherapy Primary Care: A Pragmatic Randomized Controlled Trial

Journal of Clinical Medicine, Journal Year: 2020, Volume and Issue: 9(4), P. 1201 - 1201

Published: April 22, 2020

Chronic musculoskeletal pain affects more than 20% of the population, leading to high health care overload and huge spending. The prevalence is increasing negatively both physical mental health, being one causes disability. most common location spine. Most treatments used in Public Health Services are passive (pharmacological invasive) do not comply with current clinical guidelines, which recommend treating primary (PC) education exercise as first-line treatments. A randomized multicentre trial has been carried out 12 PC centres. experimental group (EG) conducted a program neuroscience (6 sessions, 10 h) playful, dual-tasking, socialization-promoting components (18 sessions 6 weeks, 18 h), control performed usual physiotherapy PC. treatment improved quality life (d = 1.8 component summary), catastrophism 1.7), kinesiophobia 1.8), central sensitization 1.4), disability intensity 3.3), pressure thresholds 2). Differences between groups (p < 0.001) were clinically relevant favour EG. Improvements post-intervention (week 11) maintained at six months. generates levels satisfaction.

Language: Английский

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Effect of Motor Skill Training in Functional Activities vs Strength and Flexibility Exercise on Function in People With Chronic Low Back Pain

JAMA Neurology, Journal Year: 2020, Volume and Issue: 78(4), P. 385 - 385

Published: Dec. 28, 2020

Chronic low back pain (LBP) is the most prevalent chronic in adults, and there no optimal nonpharmacologic management. Exercise recommended, but specific exercise-based treatment has been found to be effective.

Language: Английский

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Effects of an 8-Week Virtual Reality Training Program on Pain, Fall Risk, and Quality of Life in Elderly Women with Chronic Low Back Pain: Double-Blind Randomized Clinical Trial

Games for Health Journal, Journal Year: 2022, Volume and Issue: 11(2), P. 85 - 92

Published: March 15, 2022

Objective: Low back pain (LBP) and falls are among the major problems experienced by elderly population. The present study investigated effectiveness of an 8-week virtual reality training (VRT) program in helping relieve pain, minimize fall risk, improve quality life (QoL) women suffering from chronic LBP (CLBP). Materials Methods: Twenty-five (VRT/intervention group = 13, control 12) with CLBP aged 65 to 75 years were recruited. VRT involved three 30-minute weekly sessions exercises that carried out using Xbox Kinect headset. Pain intensity, QoL assessed via Visual Analog Scale, Biodex Balance System, 36-Item Short Form Health Survey, respectively. Results: outcomes a one-way analysis covariance indicated intensity score intervention significantly decreased after participation (P 0.001). also showed reduced risk 0.001) elevated Conclusion: results confirmed can be regarded as valid therapeutic helps reduce patients' symptoms increase teaching pain-related insight well enhancing through various movements.

Language: Английский

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Effect of Trunk-Focused Exercises on Pain, Disability, Quality of Life, and Trunk Physical Fitness in Low Back Pain and How Potential Effect Modifiers Modulate Their Effects: A Systematic Review With Meta-analyses

Journal of Orthopaedic and Sports Physical Therapy, Journal Year: 2023, Volume and Issue: 53(2), P. 64 - 93

Published: Jan. 16, 2023

OBJECTIVE: To analyze the effect of trunkfocused exercise programs (TEPs) and moderator factors on chronic nonspecific low back pain (LBP). DESIGN: Systematic review with meta-analyses. LITERATURE SEARCH: We searched PubMed, Scopus, Embase, SPORTDiscus, CENTRAL databases from their inception to June 2022. STUDY SELECTION CRITERIA: included randomized controlled trials comparing TEPs control or general exercises. DATA SYNTHESIS: used random-effects models calculate standardized mean difference (SMD) plus confidence interval (CI) heterogeneity (I2) for pain, disability, quality life, trunk performance. The impact was analyzed through meta-regression. RESULTS: Forty (n = 2391) were included. showed positive effects all outcomes versus (SMD 0.90-2.46; 95% CI, -0.04 4.96; I2 61%-98%). There small in favor exercises 0.20; 0.03-0.37; 13.4%) disability 0.02-0.38; 0%). Trunk and/or hip range-of-motion improvements associated greater reductions (P<.01; β 0.56; 0.25-0.87) 0.66; 0.27-1.05). Low body mass higher reduction (P .03; -0.17; -0.32 -0.02). CONCLUSIONS: Trunk-focused had performance compared groups, Increasing range motion reduction, lower reduction. J Orthop Sports Phys Ther 2023;53(2):64-93. Epub: 16 January 2023. doi:10.2519/jospt.2023.11091.

Language: Английский

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Effects of exercise therapy on disability, mobility, and quality of life in the elderly with chronic low back pain: a systematic review and meta-analysis of randomized controlled trials

Journal of Orthopaedic Surgery and Research, Journal Year: 2023, Volume and Issue: 18(1)

Published: July 19, 2023

Abstract Background Exercise is an effective treatment in chronic low back pain (CLBP), but there are few studies on CLBP the elderly, and intervention effect controversial. We aimed to compare efficacy of different exercises therapy CLBP, dysfunction, quality life, mobility elderly. Methods searched Web Science, MEDLINE, Cochrane Library, Chinese National Knowledge Infrastructure, EMBASE, PubMed from database inception till December 31, 2022. The publication languages were English. Randomized controlled trials (RCTs) exercise elderly (≥ 60 years) with included. Two reviewers independently extracted data evaluated them using Revised Risk Bias Tool for Trials 2 (RoB2). pooled sizes aspects outcome measures calculated. Results Sixteen articles (18 RCTs) included, comprising a total 989 participants. included was relatively high. Meta-analysis results indicated that could improve visual analog scale (VAS) (WMD = − 1.75, 95% CI 2.59, 0.92, p < 0.05), Oswestry disability index (ODI) 9.42, 15.04, 3.79, 0,005), short-form 36-item health survey physical composite summary (SF-36PCS) 7.07, 1.01, 13.14, mental (SF-36MCS) 7.88, 0.09, 15.67, timed up go test (TUG) 2.22, 0.38, 0.005). Conclusion effectively improved VAS, ODI, SF-36 indexes Based subgroup, when designing regimen, aerobics, strength, mind–body 12 weeks, ≥ 3 times/week, min) should be considered carefully, ensure safety effectiveness rehabilitation patients. More high-quality needed future confirm TUG indexes.

Language: Английский

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Assessment of the Quality of Mobile Applications (Apps) for Management of Low Back Pain Using the Mobile App Rating Scale (MARS)

International Journal of Environmental Research and Public Health, Journal Year: 2020, Volume and Issue: 17(24), P. 9209 - 9209

Published: Dec. 9, 2020

Digital health interventions may improve different behaviours. However, the rapid proliferation of technological solutions often does not allow for a correct assessment quality tools. This study aims to review and assess available mobile applications (apps) related low back pain. Two reviewers search official stores Android (Play Store) iOS (App localisation in Spain United Kingdom, September 2019, searching apps Seventeen finally are included. The is measured using Mobile App Rating Scale (MARS). scores each section final score retrieved mean standard deviation obtained. average ranges between 2.83 4.57 (mean 3.82) on scale from 1 (inadequate) 5 (excellent). best found functionality (4.7), followed by aesthetic content 4.1). Information (2.93) engagement (3.58) worst rated items. Apps generally have good overall quality, especially terms aesthetics. Engagement information should be improved most apps. Moreover, scientific evidence necessary support use applied

Language: Английский

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Chronic Pain: An Update of Clinical Practices and Advances in Chronic Pain Management

Eurasian Journal of Medicine, Journal Year: 2023, Volume and Issue: 54(Supp1), P. S57 - S61

Published: Jan. 18, 2023

Chronic pain affects a significant amount of the population and represents heavy personal socioeconomic burden. mechanisms can be categorized as nociceptive, neuropathic, or nociplastic. Although mechanism-based treatment is optimal, different types may overlap in patients. Recently, biopsychosocial model with multidisciplinary management program widely accepted one most effective methods to assess manage chronic pain. The consists personalized, stepwise, multimodal approach that includes pharmacotherapy, psychotherapy, integrative treatments, interventional procedures. Somatic peripheral nerve blocks for are often deferred. With increasing use ultrasound medicine, newly defined interfascial plane blocks, which performed alone an adjuvant management, have gained popularity. Adequate improve physical functioning, mental health quality life indicators, reduce chronification. aim this current article perform comprehensive updated review existing options, particularly syndromes.

Language: Английский

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