Rehabilitation of back pain in the pediatric population: a mixed studies systematic review.
Background: A significant proportion of children and adolescents experience back pain. However, a comprehensive systematic review on the effectiveness of rehabilitation interventions is lacking. Objectives: To evaluate benefits and harms of rehabilitation interventions for non-specific low back pain...
| Publicado en: | Chiropractic & Manual Therapies Vol. 32; pp. 1 - 29 |
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| Autores principales: | , , , , , , , , , , , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
BioMed Central
5/8/2024
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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=177311407&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177311407 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 2045709X BG1Z jtl: Chiropractic & Manual Therapies issn: 2045709X maglogo: N pubinfo: dt: 5/8/2024 vid: 32 pid: 24147 pub: BioMed Central artinfo: ui: 177311407 177311407 177311407 10.1186/s12998-024-00538-z 177311407 ppf: 1 ppct: 28 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Rehabilitation of back pain in the pediatric population: a mixed studies systematic review. aug: au: Yu, Hainan Southerst, Danielle Wong, Jessica J. Verville, Leslie Connell, Gaelan Ead, Lauren Mior, Silvano Hestbaek, Lise Swain, Michael Brunton, Ginny Shearer, Heather M. Papaconstantinou, Efrosini To, Daphne Germann, Darrin Pohlman, Katie Cedraschi, Christine Cancelliere, Carol affil: Institute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, L1G 0C5, Oshawa, ON, Canada sug: subj: Back Pain Rehabilitation Back Pain Rehabilitation Pediatric Physical Therapy Methods Treatment Outcomes Human Child Adolescence Systematic Review Manipulation, Chiropractic Treatment Duration Therapeutic Exercise Pain Measurement Pain Management Patient Education Patient Compliance Group Exercise Cognitive Therapy Vibration Medline Embase CINAHL Database Psycinfo Checklists Child: 6-12 years Adolescent: 13-18 years ab: Background: A significant proportion of children and adolescents experience back pain. However, a comprehensive systematic review on the effectiveness of rehabilitation interventions is lacking. Objectives: To evaluate benefits and harms of rehabilitation interventions for non-specific low back pain (LBP) or thoracic spine pain in the pediatric population. Methods: Seven bibliographic electronic databases were searched from inception to June 16, 2023. Moreover, reference lists of relevant studies and systematic reviews, three targeted websites, and the WHO International Clinical Trials Registry Platform were searched. Paired reviewers independently conducted screening, assessed risk of bias, and extracted data related to study characteristics, methodology, subjects, and results. Certainty of evidence was evaluated based on the GRADE approach. Results: We screened 8461 citations and 307 full-text articles. Ten quantitative studies (i.e., 8 RCTs, 2 non-randomized clinical trials) and one qualitative study were included. With very low to moderate certainty evidence, in adolescents with LBP, spinal manipulation (1–2 sessions/week over 12 weeks, 1 RCT) plus exercise may be associated with a greater likelihood of experiencing clinically important pain reduction versus exercise alone; and group-based exercise over 8 weeks (2 RCTs and 1 non-randomized trial) may reduce pain intensity. The qualitative study found information provided via education/advice and compliance of treatment were related to effective treatment. No economic studies or studies examining thoracic spine pain were identified. Conclusions: Spinal manipulation and group-based exercise may be beneficial in reducing LBP intensity in adolescents. Education should be provided as part of a care program. The overall evidence is sparse. Methodologically rigorous studies are needed. Trial registration: CRD42019135009 (PROSPERO) pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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