The effectiveness of hip interventions in patients with low-back pain: A systematic review and meta-analysis

Ceballos‐Laita, Luis; Estébanez-de-Miguel, Elena; Jiménez‐Rejano, José‐Jesús; Bueno-Gracía, Elena; Jiménez‐del‐Barrio, Sandra

doi:10.1016/j.bjpt.2023.100502

Cited by 3 publications

(1 citation statement)

References 38 publications

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“…Limited range of motion of the hip has been observed in patients with chronic LBP compared to healthy individuals, with improvement noted following hip exercise [ 485 ]. This is in line with other studies and a recent systematic review, despite low certainty evidence that hip strenghtening can improve LBP [ 486 ]. Examination of the hip (forced internal rotation) should be part of the clinical examination in patients presenting with pain radiating into the thigh.…”

Section: Resultssupporting

confidence: 92%

Extravertebral low back pain: a scoping review

Kunow,

Freyer Martins Pereira,

Chenot

2024

BMC Musculoskelet Disord

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Background Low back pain (LBP) is one of the most common reasons for consultation in general practice. Currently, LBP is categorised into specific and non-specific causes. However, extravertebral causes, such as abdominal aortic aneurysm or pancreatitis, are not being considered. Methods A systematic literature search was performed across MEDLINE, Embase, and the Cochrane library, complemented by a handsearch. Studies conducted between 1 January 2001 and 31 December 2020, where LBP was the main symptom, were included. Results The literature search identified 6040 studies, from which duplicates were removed, leaving 4105 studies for title and abstract screening. Subsequently, 265 publications were selected for inclusion, with an additional 197 publications identified through the handsearch. The majority of the studies were case reports and case series, predominantly originating from specialised care settings. A clear distinction between vertebral or rare causes of LBP was not always possible. A range of diseases were identified as potential extravertebral causes of LBP, encompassing gynaecological, urological, vascular, systemic, and gastrointestinal diseases. Notably, guidelines exhibited inconsistencies in addressing extravertebral causes. Discussion Prior to this review, there has been no systematic investigation into extravertebral causes of LBP. Although these causes are rare, the absence of robust and reliable epidemiological data hinders a comprehensive understanding, as well as the lack of standardised protocols, which contributes to a lack of accurate description of indicative symptoms. While there are certain disease-specific characteristics, such as non-mechanical or cyclical LBP, and atypical accompanying symptoms like fever, abdominal pain, or leg swelling, that may suggest extravertebral causes, it is important to recognise that these features are not universally present in every patient. Conclusion The differential diagnosis of extravertebral LBP is extensive with relatively low prevalence rates dependent on the clinical setting. Clinicians should maintain a high index of suspicion for extravertebral aetiologies, especially in patients presenting with atypical accompanying symptoms.

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Section: Resultssupporting

confidence: 92%