Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression

  • Study design: Systematic review with meta-analysis and meta-regression. Background and objectives: We systematically reviewed and delineated the existing evidence on sustainability effects of motor control exercises on pain intensity and disability in chronic low back pain patients when compared with an inactive or passive control group or with other exercises. Secondary aims were to reveal whether moderating factors like the time after intervention completion, the study quality, and the training characteristics affect the potential sustainability effects. Methods: Relevant scientific databases (Medline, Web of Knowledge, Cochrane) were screened. Eligibility criteria for selecting studies: All RCTs und CTs on chronic (≥ 12/13 weeks) nonspecific low back pain, written in English or German and adopting a longitudinal core-specific/stabilizing sensorimotor control exercise intervention with at least one pain intensity and disability outcome assessment at a follow-up (sustainability) timepoint of ≥ 4 weeks after exercise intervention completion. Results and conclusions: From the 3,415 studies that were initially retrieved, 10 (2 CTs & 8 RCTs) on N = 1081 patients were included in the review and analyses. Low to moderate quality evidence shows a sustainable positive effect of motor control exercise on pain (SMD = -.46, Z = 2.9, p < .001) and disability (SMD = -.44, Z = 2.5, p < .001) in low back pain patients when compared to any control. The subgroups’ effects are less conclusive and no clear direction of the sustainability effect at short versus mid versus long-term, of the type of the comparator, or of the dose of the training is given. Low quality studies overestimated the effect of motor control exercises.

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Author:Daniel NiedererORCiDGND, Juliane MüllerORCiDGND
Parent Title (English):PLoS one
Place of publication:Lawrence, Kan.
Contributor(s):Leica Sarah Claydon-Mueller
Document Type:Article
Year of Completion:2020
Date of first Publication:2020/01/15
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2020/01/20
Tag:Comparators; Database searching; Exercise therapy; Lower back pain; Metaanalysis; Pain sensation; Randomized controlled trials; Strength training
Issue:(1): e0227423
Page Number:21
First Page:1
Last Page:21
Copyright: © 2020 Niederer, Mueller. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Institutes:Medizin / Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Open-Access-Publikationsfonds:Psychologie und Sportwissenschaften
Licence (German):License LogoCreative Commons - Namensnennung 4.0