The DOI matches its Crossref record; 142 of the 142 references it cites were found in a registry or an index.
Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis
Open accessAbstract
Objective: Examine the effectiveness of specific modes of exercise training in non-specific chronic low back pain (NSCLBP). Design: Network meta-analysis (NMA). Data sources: MEDLINE, CINAHL, SPORTDiscus, EMBASE, CENTRAL. Eligibility criteria: Exercise training randomised controlled/clinical trials in adults with NSCLBP. Results: Among 9543 records, 89 studies (patients=5578) were eligible for qualitative synthesis and 70 (pain), 63 (physical function), 16 (mental health) and 4 (trunk muscle strength) for NMA. The NMA consistency model revealed that the following exercise training modalities had the highest probability (surface under the cumulative ranking (SUCRA)) of being best when compared with true control: Pilates for pain (SUCRA=100%; pooled standardised mean difference (95% CI): −1.86 (–2.54 to –1.19)), resistance (SUCRA=80%; −1.14 (–1.71 to –0.56)) and stabilisation/motor control (SUCRA=80%; −1.13 (–1.53 to –0.74)) for physical function and resistance (SUCRA=80%; −1.26 (–2.10 to –0.41)) and aerobic (SUCRA=80%; −1.18 (–2.20 to –0.15)) for mental health. True control was most likely (SUCRA≤10%) to be the worst treatment for all outcomes, followed by therapist hands-off control for pain (SUCRA=10%; 0.09 (–0.71 to 0.89)) and physical function (SUCRA=20%; −0.31 (–0.94 to 0.32)) and therapist hands-on control for mental health (SUCRA=20%; −0.31 (–1.31 to 0.70)). Stretching and McKenzie exercise effect sizes did not differ to true control for pain or function (p>0.095; SUCRA<40%). NMA was not possible for trunk muscle endurance or analgesic medication. The quality of the synthesised evidence was low according to Grading of Recommendations Assessment, Development and Evaluation criteria. Summary/conclusion: There is low quality evidence that Pilates, stabilisation/motor control, resistance training and aerobic exercise training are the most effective treatments, pending outcome of interest, for adults with NSCLBP. Exercise training may also be more effective than therapist hands-on treatment. Heterogeneity among studies and the fact that there are few studies with low risk of bias are both limitations.
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Cited by
Noetel, M., Sanders, T., Gallardo-Gómez, D., Taylor, P., del Pozo Cruz, B., van den Hoek, D., Smith, J. J., Mahoney, J., Spathis, J., Moresi, M., et al. (2024) · BMJ · doi:10.1136/bmj-2023-075847 · Cited by 707
Hayden, J. A., Ellis, J., Ogilvie, R., Stewart, S. A., Bagg, M. K., Stanojevic, S., Yamato, T. P., & Saragiotto, B. T. (2021) · Journal of Physiotherapy · doi:10.1016/j.jphys.2021.09.004 · Cited by 321
Niederer, D., & Mueller, J. (2020) · PLOS ONE · doi:10.1371/journal.pone.0227423 · Cited by 80
Yu, Q., Wong, K.-K., Lei, O.-K., Nie, J., Shi, Q., Zou, L., & Kong, Z. (2022) · Sports Medicine - Open · doi:10.1186/s40798-022-00529-5 · Cited by 80
Warneke, K., Plöschberger, G., Lohmann, L. H., Lichtenstein, E., Jochum, D., Siegel, S. D., Zech, A., & Behm, D. G. (2024) · Journal of Sport and Health Science · doi:10.1016/j.jshs.2024.01.006 · Cited by 42
Metadata
- Authors
- Owen, P. J., Miller, C. T., Mundell, N. L., Verswijveren, S. J. J. M., Tagliaferri, S. D., Brisby, H., Bowe, S. J., & Belavy, D. L.
- Venue
- British Journal of Sports Medicine
- Publisher
- BMJ
- Published
- 2019-10-30
- Volume
- 54
- Issue
- 21
- Pages
- 1279-1287
- ISSN
- 0306-3674 (ISSN-L)
- 1473-0480
- OpenAlex
- W2982702255
- Cited by
- 544
- References
- 142
- FWCI
- 22.72
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Owen, P. J., Miller, C. T., Mundell, N. L., Verswijveren, S. J. J. M., Tagliaferri, S. D., Brisby, H., Bowe, S. J., & Belavy, D. L. (2020). Which specific modes of exercise training are most effective for treating low back pain? Network meta-analysis. British Journal of Sports Medicine. https://doi.org/10.1136/bjsports-2019-100886
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