Some types of exercise are more effective than others in people with chronic low back pain: a network meta-analysis

Autor(es)

Hayden, Jill A. ^[1] ; Ellis, Jenna ^[1] ; Ogilvie, Rachel ^[1] ; Stewart, Samuel A. ^[1] ; Bagg, Matthew K. ^{[2, 3]} ; Stanojevic, Sanja ^[1] ; Yamato, Tie P. ^{[4, 5]} ; Saragiotto, Bruno T. ^{[4, 5]}

Afiliação do(s) autor(es)

^[1] Dalhousie Univ, Dept Community Hlth & Epidemiol, Halifax, NS - Canada

^[2] Neurosci Res Australia, Ctr Pain IMPACT, Sydney, NSW - Australia

^[3] CWA SportsMed Physiotherapy, Perth, WA - Australia

^[4] Univ Cidade Sao Paulo, Masters & Doctoral Programs Phys Therapy, Sao Paulo - Brazil

^[5] Univ Sydney, Sch Publ Hlth, Musculoskeletal Hlth Sydney, Sydney, NSW - Australia

• Tipo de documento: Artigo Científico
• Fonte: JOURNAL OF PHYSIOTHERAPY; v. 67, n. 4, p. 252-262, OCT 2021.
• Citações Web of Science: 1

Resumo

Question: What are the effects of specific types of exercise treatments on pain intensity and functional limitation outcomes for adults with chronic low back pain? Design: Systematic review with network meta analysis of randomised controlled trials. Participants: Adults with non-specific low back pain for > 12 weeks. Intervention: Exercise treatments prescribed or planned by a health professional that involved conducting specific activities, postures and/or movements with a goal to improve low back pain outcomes. Outcome measures: Pain intensity (eg, visual analogue scale or numerical rating scale) and back-related functional limitations (eg, Roland Morris Disability Questionnaire or Oswestry Disability Index), each standardised to range from 0 to 100. Results: This review included 217 randomised controlled trials with 20,969 participants and 507 treatment groups. Most exercise types were more effective than minimal treatment for pain and functional limitation outcomes. Network meta-analysis results were compatible with moderate to clinically important treatment effects for Pilates, McKenzie therapy, and functional restoration (pain only) and flexi-bility exercises (function only) compared with minimal treatment, other effective treatments and other exercise types. The estimated mean differences for these exercise types compared with minimal treatment ranged from-15 to-19 for pain and from-10 to-12 for functional limitation. Conclusion: This review found evidence that Pilates, McKenzie therapy and functional restoration were more effective than other types of exercise treatment for reducing pain intensity and functional limitations. Nevertheless, people with chronic low back pain should be encouraged to perform the exercise that they enjoy to promote adherence. Registration: DOI:10.1002/14651858.CD009790. {[}Hayden JA, Ellis J, Ogilvie R, Stewart SA, Bagg MK, Stanojevic S, Yamato TP, Saragiotto BT (2021) Some types of exercise are more effective than others in people with chronic low back pain: a network meta-analysis. Journal of Physiotherapy 67:252-262] (c) 2021 Australian Physiotherapy Association. Published by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). (AU)

• Processo FAPESP: 20/14231-8 - A efetividade de um programa de tele-reabilitação para o tratamento da dor crônica musculoesquelética: Programa Reabilitador
• Beneficiário: Bruno Tirotti Saragiotto
• Modalidade de apoio: Bolsas no Brasil - Jovens Pesquisadores
• Processo FAPESP: 19/10330-4 - Prevalência e fatores prognósticos da dor musculoesquelética incapacitante em crianças e adolescentes na cidade de São Paulo
• Beneficiário: Tiê Parma Yamato
• Modalidade de apoio: Bolsas no Brasil - Jovens Pesquisadores