Outcome of non-invasive treatment modalities on back pain: an evidence-based review

Tulder, Maurits W. van; Koes, Bart W.; Malmivaara, Antti

doi:10.1007/s00586-005-1048-6

Cited by 258 publications

(167 citation statements)

References 175 publications

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“…Twenty-one articles 1,6,8,9,[12][13][14][15][20][21][22]24,25,28,33,[38][39][40][42][43][44] were selected for further evaluation. Thirteen reviews 1,6,9,13,15,[20][21][22]38,39,[42][43][44] were eliminated after further evaluation. Reasons for exclusion included assessed outcomes that were not disability or pain in 1 review, 20 interventions that were not focused on specific stabilization exercises in 8 reviews, 9,15,21,38,39,[42][43][44] and the lack of an SR format in 1 review.…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen reviews 1,6,9,13,15,[20][21][22]38,39,[42][43][44] were eliminated after further evaluation. Reasons for exclusion included assessed outcomes that were not disability or pain in 1 review, 20 interventions that were not focused on specific stabilization exercises in 8 reviews, 9,15,21,38,39,[42][43][44] and the lack of an SR format in 1 review. 22 Additionally, 2 reviews were practice guidelines, 1,6 and 1 13 was a duplication of findings published in another review.…”

Section: Resultsmentioning

confidence: 99%

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Quality of Systematic Reviews on Specific Spinal Stabilization Exercise for Chronic Low Back Pain

Haladay¹,

Miller

Challis

et al. 2013

Journal of Orthopaedic & Sports Physical Therapy

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Study Design Systematic literature review. Objective To evaluate the quality of systematic reviews (SRs) on specific stabilization exercises for chronic low back pain (LBP). Background Multiple SRs regarding the effectiveness of lumbar stabilization exercises for people with chronic LBP have been published. As more SRs are published, the more it is recognized that, like other forms of research, methodological quality affects the validity of, and conclusions drawn from, the data. Methods A search of MEDLINE, CINAHL, and Embase was completed. Additionally, the PEDro database was screened and hand searching was completed. Included SRs had to contain randomized controlled trials examining a specific stabilization exercise program for the treatment of chronic LBP. Additionally, the assessed outcome measures had to include pain and/or disability measures. Literature reviews and clinical practice guidelines were excluded. Three reviewers independently assessed each SR for methodological quality. Results The search produced 665 SRs for review, of which 8 fulfilled the inclusion criteria. Consensus quality assessment scores ranged from 13/26 to 26/26, with an average of 20.7 points. Percent agreement and kappa values for individual criteria scores ranged from 50% to 92% and 0.25 to 0.85, respectively. Agreement was moderate to substantial across individual items, except for criterion 1. The intraclass correlation coefficient for overall score was 0.98 (95% confidence interval: 0.96, 0.99). Conclusion This review of SRs identified several high-quality reviews that indicated some benefit of specific stabilization exercise programs for patients with nonspecific chronic LBP. Level of Evidence Therapy, level 1a. J Orthop Sports Phys Ther 2013;43(4):242–250. Epub 14 January 2013. doi:10.2519/jospt.2013.4346

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Quality of Systematic Reviews on Specific Spinal Stabilization Exercise for Chronic Low Back Pain

Haladay¹,

Miller

Challis

et al. 2013

Journal of Orthopaedic & Sports Physical Therapy

View full text Add to dashboard Cite

show abstract

“…Two meta-analyses concluded that there is moderate evidence for improvement in both pain and functional status for chronic low back pain within short and intermediate time courses, when measured against other modalities such as exercise, joint manipulation, myofascial therapy, and/or other educational therapy [52,54].…”

Section: Back Schoolmentioning

confidence: 99%

“…The forces, which open intervertebral space and decrease spine lordosis, are adjusted both with regard to level and duration and may closely be measured in motorized and bed rest devices. Temporary spine realignments are theorized to improve symptoms related to degenerative spine disease by relieving mechanical stress, nerve compression, and adhesions of the facet and annulus, as well as through disruption of nociceptive pain signals [52]. Nonetheless, patients with chronic symptoms and radicular pain have not found traction to provide significant improvement in pain nor daily functioning [55][56][57].…”

Section: Tractionmentioning

confidence: 99%