Motor control exercise for persistent, nonspecific low back pain: a systematic review.
BACKGROUND: Previous systematic reviews have concluded that the effectiveness of motor control exercise for persistent low back pain has not been clearly established. OBJECTIVE: The objective of this study was to systematically review randomized controlled trials evaluating the effectiveness of moto...
| Publicado en: | Physical Therapy Vol. 89; no. 1; pp. 9 - 26 |
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| Autores principales: | , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
Jan2009
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105614295&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105614295 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00319023 PTH jtl: Physical Therapy issn: 00319023 maglogo: N pubinfo: dt: Jan2009 vid: 89 iid: 1 pid: 10398 pub: Oxford University Press / USA artinfo: ui: 105614295 2010153486 10.2522/ptj.20080103 NLM19056854 105614295 ppf: 9 ppct: 17 formats: fmt: @attributes: type: P tig: atl: Motor control exercise for persistent, nonspecific low back pain: a systematic review. aug: au: Macedo LG Maher CG Latimer J McAuley JH affil: The George Institute for International Health, The University of Sydney, PO Box M201, Missenden Rd, Camperdown, Sydney, New South Wales, 2050 Australia; lmacedo@george.org.au sug: subj: Low Back Pain Rehabilitation Neuromuscular Control Therapeutic Exercise Methods CINAHL Database Clinical Trials Embase Medline Motor Activity Physical Therapy Practice, Evidence-Based Physiotherapy Evidence Database Research Instruments Scales Systematic Review Treatment Outcomes Human ab: BACKGROUND: Previous systematic reviews have concluded that the effectiveness of motor control exercise for persistent low back pain has not been clearly established. OBJECTIVE: The objective of this study was to systematically review randomized controlled trials evaluating the effectiveness of motor control exercises for persistent low back pain. METHODS: Electronic databases were searched to June 2008. Pain, disability, and quality-of-life outcomes were extracted and converted to a common 0 to 100 scale. Where possible, trials were pooled using Revman 4.2. RESULTS: Fourteen trials were included. Seven trials compared motor control exercise with minimal intervention or evaluated it as a supplement to another treatment. Four trials compared motor control exercise with manual therapy. Five trials compared motor control exercise with another form of exercise. One trial compared motor control exercise with lumbar fusion surgery. The pooling revealed that motor control exercise was better than minimal intervention in reducing pain at short-term follow-up (weighted mean difference=-14.3 points, 95% confidence interval [CI]=-20.4 to -8.1), at intermediate follow-up (weighted mean difference=-13.6 points, 95% CI=-22.4 to -4.1), and at long-term follow-up (weighted mean difference=-14.4 points, 95% CI=-23.1 to -5.7) and in reducing disability at long-term follow-up (weighted mean difference=-10.8 points, 95% CI=-18.7 to -2.8). Motor control exercise was better than manual therapy for pain (weighted mean difference=-5.7 points, 95% CI=-10.7 to -0.8), disability (weighted mean difference=-4.0 points, 95% CI=-7.6 to -0.4), and quality-of-life outcomes (weighted mean difference=-6.0 points, 95% CI=-11.2 to -0.8) at intermediate follow-up and better than other forms of exercise in reducing disability at short-term follow-up (weighted mean difference=-5.1 points, 95% CI=-8.7 to -1.4). CONCLUSIONS: Motor control exercise is superior to minimal intervention and confers benefit when added to another therapy for pain at all time points and for disability at long-term follow-up. Motor control exercise is not more effective than manual therapy or other forms of exercise. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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