Effectiveness of treatments for acute and subacute mechanical non-specific low back pain: a systematic review with network meta-analysis

Gianola, Silvia; Bargeri, Silvia; Castillo, Gabriele Del; Corbetta, Davide; Turolla, Andrea; Andreano, Anita; Moja, Lorenzo; Castellini, Greta

doi:10.1136/bjsports-2020-103596

Cited by 79 publications

(72 citation statements)

References 56 publications

(69 reference statements)

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“…Ruddock et al found similar results (SMD of −0.36) in support of the efficacy of SMT for LBP intensity in the short term ( 108 ). Along the same lines, a recent network meta-analysis found that manual therapy (including SMT) significantly reduced pain and disability in the short and intermediate terms compared with inert treatment for acute and subacute LBP ( 109 ). Specifically, manual therapy was reported to be the most effective non-pharmacologic approach.…”

Section: Efficacy Of Spinal Manipulative Therapy For Low Back and Nec...mentioning

confidence: 90%

Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain

et al. 2021

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Spine pain is a highly prevalent condition affecting over 11% of the world's population. It is the single leading cause of activity limitation and ranks fourth in years lost to disability globally, representing a significant personal, social, and economic burden. For the vast majority of patients with back and neck pain, a specific pathology cannot be identified as the cause for their pain, which is then labeled as non-specific. In a growing proportion of these cases, pain persists beyond 3 months and is referred to as chronic primary back or neck pain. To decrease the global burden of spine pain, current data suggest that a conservative approach may be preferable. One of the conservative management options available is spinal manipulative therapy (SMT), the main intervention used by chiropractors and other manual therapists. The aim of this narrative review is to highlight the most relevant and up-to-date evidence on the effectiveness (as it compares to other interventions in more pragmatic settings) and efficacy (as it compares to inactive controls under highly controlled conditions) of SMT for the management of neck pain and low back pain. Additionally, a perspective on the current recommendations on SMT for spine pain and the needs for future research will be provided. In summary, SMT may be as effective as other recommended therapies for the management of non-specific and chronic primary spine pain, including standard medical care or physical therapy. Currently, SMT is recommended in combination with exercise for neck pain as part of a multimodal approach. It may also be recommended as a frontline intervention for low back pain. Despite some remaining discrepancies, current clinical practice guidelines almost universally recommend the use of SMT for spine pain. Due to the low quality of evidence, the efficacy of SMT compared with a placebo or no treatment remains uncertain. Therefore, future research is needed to clarify the specific effects of SMT to further validate this intervention. In addition, factors that predict these effects remain to be determined to target patients who are more likely to obtain positive outcomes from SMT.

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Section: Efficacy Of Spinal Manipulative Therapy For Low Back and Nec...mentioning

confidence: 90%

Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain

et al. 2021

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“…Example: ‘Data availability statement. Data are available in a public, open access repository: https://osf.io/q24xh’ 77 [the authors provide the dataset of included studies (with reasons for excluding studies from meta-analysis), and a list of excluded studies with reasons].…”

Section: Implementing the Prisma 2020 Statement: Examples For Sport A...mentioning

confidence: 99%

Implementing the 27 PRISMA 2020 Statement items for systematic reviews in the sport and exercise medicine, musculoskeletal rehabilitation and sports science fields: the PERSiST (implementing Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science) guidance

et al. 2021

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Poor reporting of medical and healthcare systematic reviews is a problem from which the sports and exercise medicine, musculoskeletal rehabilitation, and sports science fields are not immune. Transparent, accurate and comprehensive systematic review reporting helps researchers replicate methods, readers understand what was done and why, and clinicians and policy-makers implement results in practice. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement and its accompanying Explanation and Elaboration document provide general reporting examples for systematic reviews of healthcare interventions. However, implementation guidance for sport and exercise medicine, musculoskeletal rehabilitation, and sports science does not exist. The Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science (PERSiST) guidance attempts to address this problem. Nineteen content experts collaborated with three methods experts to identify examples of exemplary reporting in systematic reviews in sport and exercise medicine (including physical activity), musculoskeletal rehabilitation (including physiotherapy), and sports science, for each of the PRISMA 2020 Statement items. PERSiST aims to help: (1) systematic reviewers improve the transparency and reporting of systematic reviews and (2) journal editors and peer reviewers make informed decisions about systematic review reporting quality.

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“…Esempio: «Dichiarazione sulla disponibilità dei dati. I dati sono disponibili in un archivio pubblico ad accesso aperto: https://osf.io/q24xh' 77 [gli autori forniscono il set di dati degli studi inclusi (con i motivi per l'esclusione degli studi dalla meta-analisi) e un elenco di studi esclusi con le motivazioni].…”

Section: Altre Informazioni Item 26: Conflitti DI Interesseunclassified

The PERSiST (implementing Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science) guidance: Italian translation

Salvioli¹,

Innocenti²,

Giardulli³

et al. 2022

Preprint

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Reporting guidelines are international standards that all researchers are required to follow during the writing phase. The implementation of them help the researchers to ensure transparency and reproducibility of the research, the clinicians to understand what was done and why, and the policy makers to implement results in practice. The PRISMA 2020 (Preferred Reporting Items for Systematic Reviews and Meta Analysis) is the reporting guideline for systematic reviews. To ease the application of it in musculoskeletal rehabilitation and sports medicine fields, it has been published the 'Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science' (PERSiST), which is the reference standard for the systematic review writing in these fields. For this reason, we have worked on an italian translation of this paper, which we think is useful for everyone who works on research and production of systematic reviews related to these topics. Lastly, we also believe that it can be a useful tool for the writing of a Degree, Master or Doctoral thesis.

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Effectiveness of treatments for acute and subacute mechanical non-specific low back pain: a systematic review with network meta-analysis

Cited by 79 publications

References 56 publications

Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain

Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain

Implementing the 27 PRISMA 2020 Statement items for systematic reviews in the sport and exercise medicine, musculoskeletal rehabilitation and sports science fields: the PERSiST (implementing Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science) guidance

The PERSiST (implementing Prisma in Exercise, Rehabilitation, Sport medicine and SporTs science) guidance: Italian translation

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