File
Luomajoki H1, Bonet Beltran B1, Careddu S1, Bauer C1
1Zurich University of Applied Sciences / Institute of Physiotherapy, Health, Winterthur, Switzerland
Background: Patients with NSLBP and MVCI show altered spinal movement patterns. Treatment that aims to change movement behaviour could benefit patients with MVCI.
Purpose: To assess the effectiveness of movement control exercise (MVCE) in terms of clinically relevant measures, such as disability and pain intensity, on patients with NSLBP.
Methods: A systematic review and meta-analysis were conducted. CINAHL, MEDLINE, PUBMED and PEDro databases were searched for randomized control trials evaluating MVCE treatment in patients with NSLBP from review inception to April 2017. Authors were contacted to obtain missing data and outcomes. PEDro ratings were assessed for the individual studies and the GRADE approach used for the meta-analysis. Data were combined using a random effects meta-analysis and reported as standardized mean differences (SMD).
Results: Searches identified eleven eligible randomized control trials including a total of 781 patients. Results show ´very low to moderate quality´ evidence of a positive effect of MVCE on disability, both at the end of treatment and after 12 months (SMD -0.38 95%CI -0.68, -0.09 respectively 0.37 95%CI -0.61,-0.04). Pain intensity was significantly reduced after MVCE at the end of treatment (SMD -0.39 95%CI -0.69, - 0.04), but was not maintained after 12 months (SMD -0.27, 95%CI -0.62, 0.09).
Conclusion(s): MVCE intervention for people with NSLBP and MVCI appears to be more effective in improving disability compared to other interventions, both over the short and long term. Pain was reduced only in the short term. An important factor is the initial subgrouping of patients with MVCI.
Implications: Specific movement control exercises might be more effective by mangament of low back pain than other exercises, especially by the subgroup of patients with movement Control impairment.
Keywords: MOvement control impairment, LBP, Meta-analyse
Funding acknowledgements: None.
Purpose: To assess the effectiveness of movement control exercise (MVCE) in terms of clinically relevant measures, such as disability and pain intensity, on patients with NSLBP.
Methods: A systematic review and meta-analysis were conducted. CINAHL, MEDLINE, PUBMED and PEDro databases were searched for randomized control trials evaluating MVCE treatment in patients with NSLBP from review inception to April 2017. Authors were contacted to obtain missing data and outcomes. PEDro ratings were assessed for the individual studies and the GRADE approach used for the meta-analysis. Data were combined using a random effects meta-analysis and reported as standardized mean differences (SMD).
Results: Searches identified eleven eligible randomized control trials including a total of 781 patients. Results show ´very low to moderate quality´ evidence of a positive effect of MVCE on disability, both at the end of treatment and after 12 months (SMD -0.38 95%CI -0.68, -0.09 respectively 0.37 95%CI -0.61,-0.04). Pain intensity was significantly reduced after MVCE at the end of treatment (SMD -0.39 95%CI -0.69, - 0.04), but was not maintained after 12 months (SMD -0.27, 95%CI -0.62, 0.09).
Conclusion(s): MVCE intervention for people with NSLBP and MVCI appears to be more effective in improving disability compared to other interventions, both over the short and long term. Pain was reduced only in the short term. An important factor is the initial subgrouping of patients with MVCI.
Implications: Specific movement control exercises might be more effective by mangament of low back pain than other exercises, especially by the subgroup of patients with movement Control impairment.
Keywords: MOvement control impairment, LBP, Meta-analyse
Funding acknowledgements: None.
Topic: Musculoskeletal: spine; Musculoskeletal; Rheumatology
Ethics approval required: No
Institution: ZHAW
Ethics committee: Zürich, Switzerland
Reason not required: Review, not experimental
All authors, affiliations and abstracts have been published as submitted.
