Stabilization exercise compared to general exercises or manual therapy for the management of low back pain: A systematic review and meta-analysis
Abstract
Aim We performed a systematic review with a meta-analysis to examine the efficacy of stabilization exercises versus general exercises or manual therapy in patients with low back pain.Design We searched MEDLINE, Cochrane Controlled Trials, Scielo, and CINAHL (from the earliest date available to November 2014) for randomized controlled trials that examined the efficacy of stabilization exercises compared to general exercises or manual therapy on pain, disability, and function in patients with low back pain. Weighted mean differences (WMD) and 95% confidence intervals were calculated.Results Eleven studies met the inclusion criteria (413 stabilization exercises patients, 297 general exercises patients, and 185 manual therapy patients). Stabilization exercises may provide greater benefit than general exercise for pain reduction and improvement in disability. Stabilization exercise improved pain with a WMD of -1.03 (95% CI: -1.29 to -0.27) and improved disability with a WMD of -5.41 (95% CI: -8.34 to -2.49). There were no significant differences in pain and disability scores among participants in the stabilization exercise group compared to those in the manual therapy group.Conclusions Stabilization exercises were as efficacious as manual therapy in decreasing pain and disability and should be encouraged as part of musculoskeletal rehabilitation for low back pain.
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Core-stability exercises are more effective than general exercises.
“Core-stability exercises [7] and back pain-oriented stabilization exercises [8] are more effective than general exercises”
Back pain-oriented stabilization exercises are more effective than general exercises.
“Core-stability exercises [7] and back pain-oriented stabilization exercises [8] are more effective than general exercises”
The meta-analyses on the effects of these training forms have not pointed out training characteristics (period, duration, frequency, intensity, etc.) for the likely largest effect.
“The meta-analyses on the effects of these training forms2–4,8,9 have not pointed out training characteristics (period, duration, frequency, intensity, etc.) for the likely largest effect.”
From Dose-response-relationship of stabilisation exercises in patients with chronic non-specific low back pain: a systematic review with meta-regression (2020) · cites this paper as [8]
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- Authors
- Gomes-Neto, M., Lopes, J. M., Conceição, C. S., Araujo, A., Brasileiro, A., Sousa, C., Carvalho, V. O., & Arcanjo, F. L.
- Affiliations
- Universidade Federal da Bahia (BR)
- Venue
- Physical Therapy in Sport
- Publisher
- Elsevier BV
- Published
- 2017-01
- Volume
- 23
- Pages
- 136-142
- ISSN
- 1466-853X (ISSN-L)
- OpenAlex
- W2515030503
- Cited by
- 156
- References
- 37
- Citations by year
- 2026: 6 · 2025: 16 · 2024: 15 · 2023: 18 · 2022: 22 · 2021: 23 · 2020: 30 · 2019: 16 · 2018: 7 · 2017: 3
- FWCI
- 0.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Physical Therapy in Sport (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
- Keywords
- low back pain, stabilization exercises, manual therapy, general exercise, analgesia, disability, functional outcome, musculoskeletal rehabilitation
- MeSH terms
- Disability Evaluation, Exercise Therapy, Humans, Low Back Pain, Disease Management, Musculoskeletal Manipulations, Pain Management
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