PMID- 38167170
OWN - NLM
STAT- MEDLINE
DCOM- 20240105
LR  - 20240116
IS  - 1749-799X (Electronic)
IS  - 1749-799X (Linking)
VI  - 19
IP  - 1
DP  - 2024 Jan 3
TI  - How to tackle non-specific low back pain among adult patients? A systematic 
      review with a meta-analysis to compare four interventions.
PG  - 1
LID - 10.1186/s13018-023-04392-2 [doi]
LID - 1
AB  - OBJECTIVE: To tackle non-specific low back pain (NSLBP) among patients and find 
      the most effective solution and to quantitatively synthesize the overall effect 
      of motor control training (MCT) compared with Pilates, McKenzie method, and 
      physical therapy (PT) in pain and physical function. METHODS: Randomized 
      controlled trials (RCTs) of four types of intervention (MCT, Pilates, McKenzie 
      method, and PT) for LBP were collected by searching PubMed, Web of Science, 
      EBSCOhost (Cochrane Central Register of Controlled Trials), and Scopus databases 
      from the establishment of the database to September 30, 2023. The risk of bias 
      was evaluated for included studies using the Revised Cochrane Risk of Bias tool 
      for randomized trials (RoB 2.0). Taking pain and physical function in the 
      experimental and control groups as outcome indicators, subgroup analysis was 
      performed according to the intervention method to calculate the standardized mean 
      difference (SMD) and 95% confidence interval (CI). RESULTS: A total of 25 RCTs, 
      including 1253 patients, were included. Meta-analysis showed that MCT effectively 
      relieved pain [SMD = -0.65, 95% CI (- 1.00, - 0.29), p < 0.01] and improved 
      physical function [SMD = -0.76, 95% CI (- 1.22, - 0.31), p < 0.01] comparing with 
      other 3 types of intervention. Subgroup analysis suggested that MCT could 
      alleviate pain [SMD = -0.92, 95% CI (- 1.34, - 0.50), p < 0.01] and improve 
      physical function [SMD = -1.15, 95% CI (- 1.72, - 0.57), p < 0.01] compared with 
      PT, but it had no statistical significance compared with Pilates [pain: 
      SMD = 0.13, 95% CI (- 0.56, 0.83), p = 0.71; physical function: SMD = 0.10, 95% 
      CI (- 0.72, 0.91), p = 0.81] and the McKenzie method [pain: SMD = -0.03, 95% CI 
      (- 0.75, 0.68), p = 0.93; physical function: SMD = -0.03, 95% CI (- 1.00, 0.94), 
      p = 0.95]. CONCLUSIONS: MCT can effectively relieve pain and improve physical 
      function in patients with NSLBP. It is more effective compared with PT for LBP, 
      while no differences were detected between MCT and Pilates, as well as McKenzie 
      method. Therefore, MCT, Pilates, and the McKenzie method should be encouraged as 
      exercise interventions for NSLBP rehabilitation.
CI  - (c) 2023. The Author(s).
FAU - Jiang, Yawen
AU  - Jiang Y
AD  - Key Laboratory of Exercise and Health Sciences of Ministry of Education, Shanghai 
      University of Sport, Shanghai, China.
AD  - School of Physical Education (Main Campus), Zhengzhou University, Zhengzhou, 
      China.
FAU - Xu, Yaping
AU  - Xu Y
AD  - Department of Public Physical and Art Education, Zhejiang University, Hangzhou, 
      China.
FAU - Kong, Xiangrui
AU  - Kong X
AD  - School of Physical Education (Main Campus), Zhengzhou University, Zhengzhou, 
      China.
FAU - Zhao, En
AU  - Zhao E
AD  - School of Physical Education (Main Campus), Zhengzhou University, Zhengzhou, 
      China.
FAU - Ma, Chunxia
AU  - Ma C
AD  - School of Physical Education (Main Campus), Zhengzhou University, Zhengzhou, 
      China.
FAU - Lv, Yihang
AU  - Lv Y
AD  - School of Physical Education (Main Campus), Zhengzhou University, Zhengzhou, 
      China.
FAU - Xu, Hongqi
AU  - Xu H
AD  - Research Center of Sports and Health Science, School of Sports Science and 
      Physical Education, Northeast Normal University, Changchun, China.
FAU - Sun, He
AU  - Sun H
AD  - School of physical education, Henan university, Zhengzhou, China.
FAU - Gao, Xiaojuan
AU  - Gao X
AD  - School of Physical Education (Main Campus), Zhengzhou University, Zhengzhou, 
      China. xiaojuan812@126.com.
AD  - Synergetic Innovation Center of Kinesis and Health, School of Physical Education 
      (Main Campus), Zhengzhou University, Zhengzhou, China. xiaojuan812@126.com.
LA  - eng
GR  - 22BTY075/The National Social Science Fund of China/
PT  - Meta-Analysis
PT  - Systematic Review
DEP - 20240103
PL  - England
TA  - J Orthop Surg Res
JT  - Journal of orthopaedic surgery and research
JID - 101265112
SB  - IM
MH  - Adult
MH  - Humans
MH  - *Low Back Pain/therapy
MH  - Back Pain
MH  - Physical Therapy Modalities
PMC - PMC10763207
OTO - NOTNLM
OT  - McKenzie
OT  - Motor control training
OT  - Non-specific low back pain
OT  - Physical therapy
OT  - Pilates
COIS- All authors have no conflicts of interest relevant to the content of this review.
EDAT- 2024/01/04 01:18
MHDA- 2024/01/05 06:43
PMCR- 2024/01/03
CRDT- 2024/01/03 09:35
PHST- 2023/09/13 00:00 [received]
PHST- 2023/11/18 00:00 [accepted]
PHST- 2024/01/05 06:43 [medline]
PHST- 2024/01/04 01:18 [pubmed]
PHST- 2024/01/03 09:35 [entrez]
PHST- 2024/01/03 00:00 [pmc-release]
AID - 10.1186/s13018-023-04392-2 [pii]
AID - 4392 [pii]
AID - 10.1186/s13018-023-04392-2 [doi]
PST - epublish
SO  - J Orthop Surg Res. 2024 Jan 3;19(1):1. doi: 10.1186/s13018-023-04392-2.