PMID- 35879124
OWN - NLM
STAT- MEDLINE
DCOM- 20220809
LR  - 20220911
IS  - 1532-6586 (Electronic)
IS  - 0161-4754 (Linking)
VI  - 45
IP  - 3
DP  - 2022 Mar-Apr
TI  - Effect of Motor Control Training on Trunk Muscle Morphometry, Pain, and 
      Disability in People With Chronic Low Back Pain: A Systematic Review and 
      Meta-Analysis.
PG  - 202-215
LID - S0161-4754(22)00046-X [pii]
LID - 10.1016/j.jmpt.2022.06.003 [doi]
AB  - OBJECTIVE: The aim of this systematic review and meta-analysis was to study the 
      effects of motor control training (MCT) on trunk muscle morphometry measured by 
      ultrasound imaging and pain and disability in individuals with chronic low back 
      pain. METHODS: PubMed, Web of Science, Scopus, and Cochrane Library databases 
      were searched from study inception until January 2021. Randomized control trials 
      evaluating both muscle morphometry and pain or disability in individuals with 
      chronic low back pain were included. Study selection, data extraction, and 
      quality assessment were performed by 2 reviewers independently. Modified Downs 
      and Black tool and the Grading of Recommendations Assessment, Development and 
      Evaluation approach were used to assess the risk of bias and quality of evidence, 
      respectively. A meta-analysis was performed using a random effects model with 
      mean difference or standardized mean difference (SMD). RESULTS: Of 3459 studies 
      initially identified, 15 studies were included, and 13 studies were selected for 
      meta-analysis. The results revealed no differences in the resting thickness of 
      the transversus abdominis, internal and external oblique, and lumbar multifidus 
      muscles in studies that compared MCT with other interventions. The transversus 
      abdominis muscles contraction ratio was greater (SMD = 0.93; 95% confidence 
      interval [CI], -0.0 to 1.85) and lower pain (weighted mean difference: -1.07 cm; 
      95% CI, -1.91 to -0.22 cm; P = .01) and disability (SMD = -0.86; 95% CI, -1.42 to 
      -0. 29; P < .01) scores were found in the groups who underwent MCT compared with 
      other interventions. CONCLUSION: This systematic review and meta-analysis found 
      that motor control exercise training increased the transverse abdominis 
      contraction ratio (muscle activation) and improved the level of pain and 
      disability compared to other interventions in people with chronic low back pain. 
      However, motor control exercise training was not superior to other interventions 
      in increasing the resting thickness of deep abdominal and lumbar multifidus 
      muscles in intervention times less than 12 weeks.
CI  - Copyright (c) 2022. Published by Elsevier Inc.
FAU - Shanbehzadeh, Sanaz
AU  - Shanbehzadeh S
AD  - Rehabilitation Research Center, Iran University of Medical Sciences, Tehran, 
      Iran; Rehabilitation Research Center, Department of Physiotherapy, School of 
      Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
FAU - ShahAli, Shabnam
AU  - ShahAli S
AD  - Rehabilitation Research Center, Department of Physiotherapy, School of 
      Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran. 
      Electronic address: shabnamshahali@yahoo.com.
FAU - Hides, Julie
AU  - Hides J
AD  - School of Health Sciences and Social Work, Griffith University, Nathan Campus, 
      Brisbane, Queensland, Australia.
FAU - Ebrahimi-Takamjani, Ismail
AU  - Ebrahimi-Takamjani I
AD  - Rehabilitation Research Center, Department of Physiotherapy, School of 
      Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
FAU - Rasouli, Omid
AU  - Rasouli O
AD  - Department of Neuromedicine and Movement Science, Faculty of Medicine and Health 
      Sciences, Norwegian University of Science and Technology, Trondheim, Norway.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PT  - Review
PT  - Systematic Review
DEP - 20220722
PL  - United States
TA  - J Manipulative Physiol Ther
JT  - Journal of manipulative and physiological therapeutics
JID - 7807107
SB  - IM
MH  - Abdominal Muscles/diagnostic imaging/physiology
MH  - *Chronic Pain/therapy
MH  - Humans
MH  - *Low Back Pain/diagnostic imaging/therapy
MH  - Lumbosacral Region
MH  - Paraspinal Muscles/diagnostic imaging/physiology
MH  - Torso
OTO - NOTNLM
OT  - Exercise
OT  - Low Back Pain
OT  - Rehabilitation
OT  - Ultrasonography
EDAT- 2022/07/26 06:00
MHDA- 2022/08/10 06:00
CRDT- 2022/07/25 22:03
PHST- 2022/03/01 00:00 [received]
PHST- 2022/05/12 00:00 [revised]
PHST- 2022/06/09 00:00 [accepted]
PHST- 2022/07/26 06:00 [pubmed]
PHST- 2022/08/10 06:00 [medline]
PHST- 2022/07/25 22:03 [entrez]
AID - S0161-4754(22)00046-X [pii]
AID - 10.1016/j.jmpt.2022.06.003 [doi]
PST - ppublish
SO  - J Manipulative Physiol Ther. 2022 Mar-Apr;45(3):202-215. doi: 
      10.1016/j.jmpt.2022.06.003. Epub 2022 Jul 22.