Neuroreflexotherapy for non-specific low back pain

Urrútia, Gerard; Burton, Kim; Morral, Antoni; Bonfill, Xavier; Zanoli, Gustavo

doi:10.1002/14651858.cd003009

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Various nonoperative interventions are available for nonspecific low back pain treatment, in which lifestyle modification, education, superficial heat, and some nonpharmacological therapy, including exercise and cognitive behavioral therapy, are considered the first-line treatment, while other nonpharmacological therapy and pharmacological therapy, both oral and systemic, are used as second-line or adjunctive treatments [18]. There are several nonpharmacological therapies with promising outcomes for nonspecific low back pain, such as massage [19], acupuncture [20,21], yoga [22], and interdisciplinary rehabilitation, including biopsychosocial rehabilitation [23,24], combined chiropractic [25], therapeutic ultrasound [26], radiofrequency denervation [27], neuroreflexotherapy [28], extracorporeal shockwave therapy [29][30][31], laser therapy [32][33][34], and neuromodulation [35][36][37]. For pharmacological therapies, nonsteroidal anti-inflammatory drugs (NSAIDs) [38][39][40], muscle relaxants [41], intra-articular facet joint injection [42], and herbal medicine, including C. frutescens (Cayenne), H. procumbens, S. alba, S. officinale L., S. chilensis, and lavender essential oil, have shown significant benefits for nonspecific LBP [43].…”

Section: Description Of the Interventionmentioning

confidence: 99%

Nonoperative treatment for pain sensitization in patients with low back pain: protocol for a systematic review

et al. 2022

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Background Low back pain is a disability that occurs worldwide. It is a heterogeneous disorder that affects patients with dominant nociceptive, neuropathic, and central sensitization pain. An important pathophysiology of low back pain involves pain sensitization. Various nonoperative interventions are available for treatment, but there is inconclusive evidence on the effectiveness of these interventions for pain sensitization, leading to arbitrary nonoperative treatments for low back pain. Methods We will conduct a systematic review of RCTs evaluating the effectiveness and safety of nonoperative treatment for pain sensitization in patients with low back pain. The primary outcomes will be static quantitative sensory testing, dynamic quantitative sensory testing, and pain algometry. The secondary outcome will be adverse events. We will search the PubMed, Embase, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Central Register of Controlled Trials (CENTRAL), and Cochrane Library databases. Two independent authors will screen the titles and abstracts, review full texts, extract data, assess the risk of bias, and evaluate the quality of evidence. We will qualitatively and quantitatively synthesize the results using a random effects model for meta-analysis. Discussion This systematic review aims to provide evidence regarding which treatment, if any, provides the greatest benefit for pain sensitization and safety among patients with low back pain. Evidence synthesized from this systematic review will inform clinical practice and further research. Since there is still a small amount of research, additional studies might need to be conducted in the future. Systematic review registration Submitted to PROSPERO on March 20, 2021, CRD42021244054

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