Effects of Corrective Exercises on Lumbar Lordotic Angle Correction: A Systematic Review and Meta-Analysis

Dimitrijević, Vanja; Šćepanović, Tijana; Milankov, Vukadin; Milankov, Miroslav; Drid, Patrik

doi:10.3390/ijerph19084906

Cited by 11 publications

(4 citation statements)

References 40 publications

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“…No meta-analyses were performed in other systematic reviews dealing with the Schroth method, so our results can only be compared with the study of Park et al [ 48 ] so that we can draw conclusions about the impact of Schroth exercise on subjects with IS. The results of meta-analyses that dealt with the problems of kyphosis and lordosis using different corrective programs [ 50 , 51 ] report a moderate effect size, so the results of this study encourage our subjects to use Schroth exercises in therapy. In our analysis, all included studies were RCTs.…”

Section: Discussionmentioning

confidence: 81%

Application of the Schroth Method in the Treatment of Idiopathic Scoliosis: A Systematic Review and Meta-Analysis

Dimitrijević

Šćepanović²,

Jevtić³

et al. 2022

IJERPH

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(1) Background: Idiopathic scoliosis can be defined as a complex three-dimensional deformity of the spine and trunk, which occurs in basically healthy children. Schroth scoliosis-specific exercises have shown good results in reducing idiopathic scoliosis progression. This study aimed to critically evaluate the effect size of Schroth’s method through a systematic review and meta-analysis. (2) Methods: Four databases were included in the search: PubMed, Cochrane Library, Web of Science, and Google Scholar. The following keywords were used: “Schroth exercise”, “idiopathic scoliosis”, “Cobb angle”, “angle of trunk rotation”, and “quality of life”. Only articles written in English that met the following criteria were included in our study: subjects who had idiopathic scoliosis, the Schroth method was applied, and Cobb angle or angle of trunk rotation or quality of life as outcomes. (3) Results: Ten randomized controlled trials were included in this study. The effect size of the Schroth exercise ranged from almost moderate to large, for the outcomes used: Cobb angle (ES = −0.492, p ˂ 0.005); ATR (ES = −0.471, p = 0.013); QoL (ES = 1.087, p ˂ 0.001). (4) Conclusions: The current meta-analysis indicates that the Schroth method has a positive effect on subjects with idiopathic scoliosis.

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Section: Discussionmentioning

confidence: 81%

Application of the Schroth Method in the Treatment of Idiopathic Scoliosis: A Systematic Review and Meta-Analysis

Dimitrijević

Šćepanović²,

Jevtić³

et al. 2022

IJERPH

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“…We did not comment on the result values of the individual studies that were included in our meta-analysis because the aim of this work was to obtain an overall effect size through pooled results, for those outcomes that we measured. The results of our meta-analysis, as well as the results of our previous meta-analyses [73][74][75][76], encourage all subjects with LBP, and other spine problems to use conservative treatment methods.…”

Section: Discussionmentioning

confidence: 56%

Treatment of Low Back Pain with Different Methods: A Systematic Review and Meta-Analysis

Dimitrijević,

Rašković,

Jevtić

et al. 2023

Preprint

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To systematically assess the effect size of different methods for patients with low back pain. PubMed, Cochrane Library, Web of Science, and Google Scholar. databases were searched in January 2023. This study has been developed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Statement. The key search terms were: “Low back pain”, “Back pain”, “SF-36”, “VAS”, “VASP”, “Roland-Morris”, “Oswestry Disability Index”, and “conservative treatment”. The risk of bias was determined for each randomized trial using the Cochrane Risk of Bias Tool, and the methodological index for non-randomized studies (MINORS). The outcomes included SF-36 Mental, SF-36 Physical, VAS, Roland-Morris, and Oswestry Disability Index. R 4.0.5 software was used, and standardized mean difference (SMD) and 95% confidence intervals (CI) were calculated for continuous outcomes, random model. Twenty-five studies were included. Depending on the outcome being measured, the effect size of different methods in treating low back pain varies from small to large as follows: SF-36 Mental (SMD = 0.39, p &lt; 0.0001), SF-36 Physical (SMD = 0.55, p &lt; 0.0001), VAS (SMD = -0.84, p &lt; 0.0001), Roland-Morris (SMD = -0.45, p &lt; 0.0001), and Oswestry Disability Index (SMD = -0.61, p &lt; 0.0001). Our meta-analysis indicates the positive effects of applying different methods in the treatment of low back pain. PROSPERO registration number: CRD42022371282

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“…The appropriate LL can effectively buffer the lumbar concussion during activities, so as to avoid direct or indirect injury to the lumbar spine and effectively maintain the stability of the human body. LL is one of the most important parts of the spine, which is of special importance due to its unique position and direct contact with the pelvis 14 . LL can re ect the sagittal balance of lumbar spine and can be used as an effective parameter to measure the stability of lumbar spine 15 .…”

Section: Discussionmentioning

confidence: 99%

Correlation analysis of lumbar disc herniation with lumbar lordosis, intervertebral angle and lumbosacral angle in young patients

Zhan

et al. 2023

Preprint

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Background: It is generally believed that lumbar disc herniation is more common in the elderly population. But with the continuous change of life and working style, more and more young people are suffering from lumbar disc herniation due to their long hours at the desk and poor posture. Purpuse: To analyze the characteristics of lumbar lordosis (LL), intervertebral angle (IVA) and lumbosacral angle (LSA) in young patients with low back pain and their relationship with lumbar disc herniation. Material and Methods: 148 young patients with low back pain underwent lumbar magnetic resonance (MR) and digital radiography (DR). According to the results, they were divided into non-lumbar disc herniation group (NLDH group) and lumbar disc herniation group (LDH group). LL, IVA and LSA were measured on the lateral plainradiographs. Then we compare and analyze the characteristics of LL, IVA and LSA of the two groups and their relationship with lumbar disc herniation. Results: In both groups, IVA gradually increased from L1-L2 to L5-S1, and it reached the maximum at L5-S1. IVA of each segment and the mean LL in LDH group were both smaller than those in NLDH group, but the mean LSA was larger in LDH group, and the differences were all statistically significant (P<0.05). Lumbar disc herniation was negatively correlated with IVA from L1-L2 to L5-S1 and LL, but positively correlated with LSA. Young patients with lower LL and IVA and higher LSA are more likely to develop lumbar disc herniation. Conclusion: LL, IVA and LSA measured on the lateral plain radiographs can be used as important reference indexes to reflect the condition of lumbar disc herniation.

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Effects of Corrective Exercises on Lumbar Lordotic Angle Correction: A Systematic Review and Meta-Analysis

Cited by 11 publications

References 40 publications

Application of the Schroth Method in the Treatment of Idiopathic Scoliosis: A Systematic Review and Meta-Analysis

Application of the Schroth Method in the Treatment of Idiopathic Scoliosis: A Systematic Review and Meta-Analysis

Treatment of Low Back Pain with Different Methods: A Systematic Review and Meta-Analysis

Correlation analysis of lumbar disc herniation with lumbar lordosis, intervertebral angle and lumbosacral angle in young patients

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