Effectiveness of multidisciplinary approaches including exercise to treat non-specific chronic low back pain: A systematic review and meta-analysis across multiple regions.
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引用次数: 0
Abstract
Objective: To determine the effectiveness of multidisciplinary interventions including exercise in improving health outcomes for patients with non-specific chronic low back pain (NSCLBP) across different regions.
Methods: The search for studies was not restricted to a specific time period but was conducted based on the availability of existing literature within the selected databases. A comprehensive literature search was conducted in four databases: EBSCOhost (from 1995), PubMed (from 1996), Web of Science (from 1964), and Scopus (from 2004), up to November 3, 2021. After applying exclusion criteria, 31 studies published between 1998 and 2021 were selected for final inclusion. The methodological approach included both qualitative and quantitative analyses, ensuring a comprehensive evaluation of the available evidence.
Study selection criteria: Multidisciplinary interventions including exercise aimed at relieving symptoms of NSCLBP were included. Outcomes analyzed were disability, pain, fear avoidance, quality of life, perceived change, depression, anxiety and stress. The Comprehensive Meta-Analysis software was used for statistical analyses.
Results: Thirty-one studies were included in the qualitative analysis and 29 in the meta-analysis. The qualitative analysis showed improvements in favor of the intervention group (IG) in pain, fear avoidance, quality of life and perceived change. The meta-analysis reported significant pooled effect size (ES) in favor of the IGs in disability, pain, fear avoidance, quality of life, and perceived change among patients with NSCLBP.
Conclusion: Multidisciplinary approaches including exercise appear to be effective in reducing disability, pain, fear avoidance, quality of life and perceived change, but not depression, anxiety or stress in patients with NSCLBP. The findings should be interpreted cautiously in light of substantial heterogeneity and the limited quality of the available evidence.
目的：确定包括运动在内的多学科干预措施在改善不同地区非特异性慢性腰痛（NSCLBP）患者健康结局方面的有效性。方法：研究的检索不局限于特定的时间段，而是根据所选数据库中现有文献的可用性进行的。在EBSCOhost（自1995年）、PubMed（自1996年）、Web of Science（自1964年）和Scopus（自2004年）四个数据库中进行了全面的文献检索，截止到2021年11月3日。应用排除标准后，最终纳入了1998年至2021年间发表的31项研究。方法方法包括定性和定量分析，确保对现有证据进行全面评价。研究选择标准：纳入旨在缓解NSCLBP症状的运动等多学科干预措施，并分析残疾、疼痛、恐惧回避、生活质量、感知变化、抑郁、焦虑和压力。采用综合meta分析软件进行统计分析。结果：31项研究被纳入定性分析，29项研究被纳入meta分析。定性分析显示干预组（IG）在疼痛、恐惧回避、生活质量和感知变化方面有改善，荟萃分析报告IG组在NSCLBP患者的残疾、疼痛、恐惧回避、生活质量和感知变化方面有显著的综合效应大小（ES）。结论：包括运动在内的多学科方法似乎可以有效地减少NSCLBP患者的残疾、疼痛、恐惧回避、生活质量和感知变化，但不能减少抑郁、焦虑和压力。研究结果应谨慎解释，考虑到实质性的异质性和现有证据的有限质量。
期刊介绍：
Founded in 1972 by Ernst Wynder, Preventive Medicine is an international scholarly journal that provides prompt publication of original articles on the science and practice of disease prevention, health promotion, and public health policymaking. Preventive Medicine aims to reward innovation. It will favor insightful observational studies, thoughtful explorations of health data, unsuspected new angles for existing hypotheses, robust randomized controlled trials, and impartial systematic reviews. Preventive Medicine''s ultimate goal is to publish research that will have an impact on the work of practitioners of disease prevention and health promotion, as well as of related disciplines.
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