Prevention of non-specific back pain through exercise and education: A systematic review and meta-analysis.

IF 1.4 4区医学 Q3 ORTHOPEDICS

Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI:10.3233/BMR-230252

Pablo Hernandez-Lucas, Raquel Leirós-Rodríguez, Juan Lopez-Barreiro, José L García-Soidán

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引用次数: 0

Abstract

Background: Clinical practice guidelines stress the importance of prevention and treatment of non-specific back pain through exercise therapy. However, it has not yet been confirmed whether the combination of exercise plus education is more effective than such interventions taken separately.

Objective: To determine if the combination of exercise plus education is more effective for the prevention of non-specific back pain than exercise or education alone.

Method: A systematic search of studies whose sample consisted of participants without non-specific back pain (primary prevention) and participants with non-specific back pain (secondary and tertiary prevention) was conducted in the following databases in March 2023: PubMed, Scopus, Web of Science and Medline.

Results: A total of 16 articles were selected. Statistically significant results were found in the pain variable with SMD =-2.02 (95% CI =-2.71 to -1.33; p< 0.001), the disability variable with SMD =-1.14 (95% CI =-1.63 to -0.65; p< 0.001), and the kinesiophobia variable with SMD =-1.8 (95% CI =-2.54 to -1.05; p< 0.001).

Conclusion: Interventions that combine exercise and education seem to have a greater preventive effect on non-specific back pain, disability and kinesiophobia than those that include exercise or education in an isolated manner.

查看原文本刊更多论文

通过锻炼和教育预防非特异性背痛：系统回顾和荟萃分析。

背景：临床实践指南强调通过运动疗法预防和治疗非特异性背痛的重要性。然而，运动加教育的组合是否比单独采取此类干预措施更有效，尚未得到证实：目的：确定运动加教育的组合是否比单独运动或教育更有效地预防非特异性背痛：方法：2023 年 3 月，在以下数据库中对样本包括无非特异性背痛（一级预防）和有非特异性背痛（二级和三级预防）的参与者的研究进行了系统检索：PubMed、Scopus、Web of Science 和 Medline：结果：共选取了 16 篇文章。结果：共选取了 16 篇文章，其中疼痛变量的 SMD =-2.02 (95% CI =-2.71 to -1.33; p< 0.001)、残疾变量的 SMD =-1.14 (95% CI =-1.63 to -0.65; p< 0.001)和运动恐惧变量的 SMD =-1.8 (95% CI =-2.54 to -1.05; p< 0.001)具有统计学意义：结论：运动与教育相结合的干预措施对非特异性背痛、残疾和运动恐怖症的预防效果似乎要大于那些孤立的运动或教育干预措施。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.