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Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression

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  • Daniel Niederer
  • Juliane Mueller

Abstract

Study design: Systematic review with meta-analysis and meta-regression. Background and objectives: We systematically reviewed and delineated the existing evidence on sustainability effects of motor control exercises on pain intensity and disability in chronic low back pain patients when compared with an inactive or passive control group or with other exercises. Secondary aims were to reveal whether moderating factors like the time after intervention completion, the study quality, and the training characteristics affect the potential sustainability effects. Methods: Relevant scientific databases (Medline, Web of Knowledge, Cochrane) were screened. Eligibility criteria for selecting studies: All RCTs und CTs on chronic (≥ 12/13 weeks) nonspecific low back pain, written in English or German and adopting a longitudinal core-specific/stabilizing sensorimotor control exercise intervention with at least one pain intensity and disability outcome assessment at a follow-up (sustainability) timepoint of ≥ 4 weeks after exercise intervention completion. Results and conclusions: From the 3,415 studies that were initially retrieved, 10 (2 CTs & 8 RCTs) on N = 1081 patients were included in the review and analyses. Low to moderate quality evidence shows a sustainable positive effect of motor control exercise on pain (SMD = -.46, Z = 2.9, p

Suggested Citation

  • Daniel Niederer & Juliane Mueller, 2020. "Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression," PLOS ONE, Public Library of Science, vol. 15(1), pages 1-21, January.
    • Handle: RePEc:plo:pone00:0227423
    DOI: 10.1371/journal.pone.0227423
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    References listed on IDEAS

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    1. Paul T E Cusack, 2020. "On Pain," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 31(3), pages 24253-24254, October.
    2. Xue-Qiang Wang & Jie-Jiao Zheng & Zhuo-Wei Yu & Xia Bi & Shu-Jie Lou & Jing Liu & Bin Cai & Ying-Hui Hua & Mark Wu & Mao-Ling Wei & Hai-Min Shen & Yi Chen & Yu-Jian Pan & Guo-Hui Xu & Pei-Jie Chen, 2012. "A Meta-Analysis of Core Stability Exercise versus General Exercise for Chronic Low Back Pain," PLOS ONE, Public Library of Science, vol. 7(12), pages 1-7, December.
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    Cited by:

    1. Tomasz Kuligowski & Błażej Cieślik & Natalia Kuciel & Agnieszka Dębiec-Bąk & Anna Skrzek, 2021. "Effect of Core Stabilizing Training on Young Individuals Presenting Different Stages of Degenerative Disc Disease—Preliminary Report," IJERPH, MDPI, vol. 18(7), pages 1-9, March.
    2. Juan Antonio Valera-Calero & César Fernández-de-las-Peñas & Umut Varol & Ricardo Ortega-Santiago & Gracia María Gallego-Sendarrubias & José Luis Arias-Buría, 2021. "Ultrasound Imaging as a Visual Biofeedback Tool in Rehabilitation: An Updated Systematic Review," IJERPH, MDPI, vol. 18(14), pages 1-19, July.

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