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Verfasst von:Niederer, Daniel [VerfasserIn]   i
 Engel, Tilman [VerfasserIn]   i
 Vogt, Lutz [VerfasserIn]   i
 Arampatzis, Adamantios [VerfasserIn]   i
 Banzer, Winfried [VerfasserIn]   i
 Beck, Heidrun [VerfasserIn]   i
 Moreno Catalá, María [VerfasserIn]   i
 Brenner-Fliesser, Michael [VerfasserIn]   i
 Güthoff, Claas [VerfasserIn]   i
 Haag, Thore [VerfasserIn]   i
 Hönning, Alexander [VerfasserIn]   i
 Pfeifer, Ann-Christin [VerfasserIn]   i
 Platen, Petra [VerfasserIn]   i
 Schiltenwolf, Marcus [VerfasserIn]   i
 Schneider, Christian [VerfasserIn]   i
 Trompeter, Katharina [VerfasserIn]   i
 Wippert, Pia-Maria [VerfasserIn]   i
 Mayer, Frank [VerfasserIn]   i
Titel:Motor control stabilisation exercise for patients with non-specific low back pain
Titelzusatz:a prospective meta-analysis with multilevel meta-regressions on intervention effects
Verf.angabe:Daniel Niederer, Tilman Engel, Lutz Vogt, Adamantios Arampatzis, Winfried Banzer, Heidrun Beck, María Moreno Catalá, Michael Brenner-Fliesser, Claas Güthoff, Thore Haag, Alexander Hönning, Ann-Christin Pfeifer, Petra Platen, Marcus Schiltenwolf, Christian Schneider, Katharina Trompeter, Pia-Maria Wippert and Frank Mayer
E-Jahr:2020
Jahr:22 September 2020
Umfang:19 S.
Fussnoten:Gesehen am 17.12.2020
Titel Quelle:Enthalten in: Journal of Clinical Medicine
Ort Quelle:Basel : MDPI, 2012
Jahr Quelle:2020
Band/Heft Quelle:9(2020,9) Artikel-Nummer 3058, 19 Seiten
ISSN Quelle:2077-0383
Abstract:Low-to-moderate quality meta-analytic evidence shows that motor control stabilisation exercise (MCE) is an effective treatment of non-specific low back pain. A possible approach to overcome the weaknesses of traditional meta-analyses would be that of a prospective meta-analyses. The aim of the present analysis was to generate high-quality evidence to support the view that motor control stabilisation exercises (MCE) lead to a reduction in pain intensity and disability in non-specific low back pain patients when compared to a control group. In this prospective meta-analysis and sensitivity multilevel meta-regression within the MiSpEx-Network, 18 randomized controlled study arms were included. Participants with non-specific low back pain were allocated to an intervention (individualized MCE, 12 weeks) or a control group (no additive exercise intervention). From each study site/arm, outcomes at baseline, 3 weeks, 12 weeks, and 6 months were pooled. The outcomes were current pain (NRS or VAS, 11 points scale), characteristic pain intensity, and subjective disability. A random effects meta-analysis model for continuous outcomes to display standardized mean differences between intervention and control was performed, followed by sensitivity multilevel meta-regressions. Overall, 2391 patients were randomized; 1976 (3 weeks, short-term), 1740 (12 weeks, intermediate), and 1560 (6 months, sustainability) participants were included in the meta-analyses. In the short-term, intermediate and sustainability, moderate-to-high quality evidence indicated that MCE has a larger effect on current pain (SMD = −0.15, −0.15, −0.19), pain intensity (SMD = −0.19, −0.26, −0.26) and disability (SMD = −0.15, −0.27, −0.25) compared with no exercise intervention. Low-quality evidence suggested that those patients with comparably intermediate current pain and older patients may profit the most from MCE. Motor control stabilisation exercise is an effective treatment for non-specific low back pain. Sub-clinical intermediate pain and middle-aged patients may profit the most from this intervention.
DOI:doi:10.3390/jcm9093058
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.3390/jcm9093058
 Volltext: https://www.mdpi.com/2077-0383/9/9/3058
 DOI: https://doi.org/10.3390/jcm9093058
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:chronic low back pain
 exercise
 LBP
 lumbago
 lumbalgia
 meta-analysis
 motor control exercise
 nonspecific
 sensorimotor
 stabilization
 unspecific low back pain
K10plus-PPN:1743099096
Verknüpfungen:→ Zeitschrift

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