Cargando…

A Meta-Analysis of Core Stability Exercise versus General Exercise for Chronic Low Back Pain

OBJECTIVE: To review the effects of core stability exercise or general exercise for patients with chronic low back pain (LBP). SUMMARY OF BACKGROUND DATA: Exercise therapy appears to be effective at decreasing pain and improving function for patients with chronic LBP in practice guidelines. Core sta...

Descripción completa

Detalles Bibliográficos
Autores principales: Wang, Xue-Qiang, Zheng, Jie-Jiao, Yu, Zhuo-Wei, Bi, Xia, Lou, Shu-Jie, Liu, Jing, Cai, Bin, Hua, Ying-Hui, Wu, Mark, Wei, Mao-Ling, Shen, Hai-Min, Chen, Yi, Pan, Yu-Jian, Xu, Guo-Hui, Chen, Pei-Jie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3524111/
https://www.ncbi.nlm.nih.gov/pubmed/23284879
http://dx.doi.org/10.1371/journal.pone.0052082
_version_ 1782253273473875968
author Wang, Xue-Qiang
Zheng, Jie-Jiao
Yu, Zhuo-Wei
Bi, Xia
Lou, Shu-Jie
Liu, Jing
Cai, Bin
Hua, Ying-Hui
Wu, Mark
Wei, Mao-Ling
Shen, Hai-Min
Chen, Yi
Pan, Yu-Jian
Xu, Guo-Hui
Chen, Pei-Jie
author_facet Wang, Xue-Qiang
Zheng, Jie-Jiao
Yu, Zhuo-Wei
Bi, Xia
Lou, Shu-Jie
Liu, Jing
Cai, Bin
Hua, Ying-Hui
Wu, Mark
Wei, Mao-Ling
Shen, Hai-Min
Chen, Yi
Pan, Yu-Jian
Xu, Guo-Hui
Chen, Pei-Jie
author_sort Wang, Xue-Qiang
collection PubMed
description OBJECTIVE: To review the effects of core stability exercise or general exercise for patients with chronic low back pain (LBP). SUMMARY OF BACKGROUND DATA: Exercise therapy appears to be effective at decreasing pain and improving function for patients with chronic LBP in practice guidelines. Core stability exercise is becoming increasingly popular for LBP. However, it is currently unknown whether core stability exercise produces more beneficial effects than general exercise in patients with chronic LBP. METHODS: Published articles from 1970 to October 2011 were identified using electronic searches. For this meta-analysis, two reviewers independently selected relevant randomized controlled trials (RCTs) investigating core stability exercise versus general exercise for the treatment of patients with chronic LBP. Data were extracted independently by the same two individuals who selected the studies. RESULTS: From the 28 potentially relevant trials, a total of 5 trials involving 414 participants were included in the current analysis. The pooling revealed that core stability exercise was better than general exercise for reducing pain [mean difference (−1.29); 95% confidence interval (−2.47, −0.11); P = 0.003] and disability [mean difference (−7.14); 95% confidence interval (−11.64, −2.65); P = 0.002] at the time of the short-term follow-up. However, no significant differences were observed between core stability exercise and general exercise in reducing pain at 6 months [mean difference (−0.50); 95% confidence interval (−1.36, 0.36); P = 0.26] and 12 months [mean difference (−0.32); 95% confidence interval (−0.87, 0.23); P = 0.25]. CONCLUSIONS: Compared to general exercise, core stability exercise is more effective in decreasing pain and may improve physical function in patients with chronic LBP in the short term. However, no significant long-term differences in pain severity were observed between patients who engaged in core stability exercise versus those who engaged in general exercise. SYSTEMATIC REVIEW REGISTRATION: http://www.crd.york.ac.uk/PROSPERO PROSPERO registration number: CRD42011001717.
format Online
Article
Text
id pubmed-3524111
institution National Center for Biotechnology Information
language English
publishDate 2012
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-35241112013-01-02 A Meta-Analysis of Core Stability Exercise versus General Exercise for Chronic Low Back Pain Wang, Xue-Qiang Zheng, Jie-Jiao Yu, Zhuo-Wei Bi, Xia Lou, Shu-Jie Liu, Jing Cai, Bin Hua, Ying-Hui Wu, Mark Wei, Mao-Ling Shen, Hai-Min Chen, Yi Pan, Yu-Jian Xu, Guo-Hui Chen, Pei-Jie PLoS One Research Article OBJECTIVE: To review the effects of core stability exercise or general exercise for patients with chronic low back pain (LBP). SUMMARY OF BACKGROUND DATA: Exercise therapy appears to be effective at decreasing pain and improving function for patients with chronic LBP in practice guidelines. Core stability exercise is becoming increasingly popular for LBP. However, it is currently unknown whether core stability exercise produces more beneficial effects than general exercise in patients with chronic LBP. METHODS: Published articles from 1970 to October 2011 were identified using electronic searches. For this meta-analysis, two reviewers independently selected relevant randomized controlled trials (RCTs) investigating core stability exercise versus general exercise for the treatment of patients with chronic LBP. Data were extracted independently by the same two individuals who selected the studies. RESULTS: From the 28 potentially relevant trials, a total of 5 trials involving 414 participants were included in the current analysis. The pooling revealed that core stability exercise was better than general exercise for reducing pain [mean difference (−1.29); 95% confidence interval (−2.47, −0.11); P = 0.003] and disability [mean difference (−7.14); 95% confidence interval (−11.64, −2.65); P = 0.002] at the time of the short-term follow-up. However, no significant differences were observed between core stability exercise and general exercise in reducing pain at 6 months [mean difference (−0.50); 95% confidence interval (−1.36, 0.36); P = 0.26] and 12 months [mean difference (−0.32); 95% confidence interval (−0.87, 0.23); P = 0.25]. CONCLUSIONS: Compared to general exercise, core stability exercise is more effective in decreasing pain and may improve physical function in patients with chronic LBP in the short term. However, no significant long-term differences in pain severity were observed between patients who engaged in core stability exercise versus those who engaged in general exercise. SYSTEMATIC REVIEW REGISTRATION: http://www.crd.york.ac.uk/PROSPERO PROSPERO registration number: CRD42011001717. Public Library of Science 2012-12-17 /pmc/articles/PMC3524111/ /pubmed/23284879 http://dx.doi.org/10.1371/journal.pone.0052082 Text en © 2012 Wang et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Wang, Xue-Qiang
Zheng, Jie-Jiao
Yu, Zhuo-Wei
Bi, Xia
Lou, Shu-Jie
Liu, Jing
Cai, Bin
Hua, Ying-Hui
Wu, Mark
Wei, Mao-Ling
Shen, Hai-Min
Chen, Yi
Pan, Yu-Jian
Xu, Guo-Hui
Chen, Pei-Jie
A Meta-Analysis of Core Stability Exercise versus General Exercise for Chronic Low Back Pain
title A Meta-Analysis of Core Stability Exercise versus General Exercise for Chronic Low Back Pain
title_full A Meta-Analysis of Core Stability Exercise versus General Exercise for Chronic Low Back Pain
title_fullStr A Meta-Analysis of Core Stability Exercise versus General Exercise for Chronic Low Back Pain
title_full_unstemmed A Meta-Analysis of Core Stability Exercise versus General Exercise for Chronic Low Back Pain
title_short A Meta-Analysis of Core Stability Exercise versus General Exercise for Chronic Low Back Pain
title_sort meta-analysis of core stability exercise versus general exercise for chronic low back pain
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3524111/
https://www.ncbi.nlm.nih.gov/pubmed/23284879
http://dx.doi.org/10.1371/journal.pone.0052082
work_keys_str_mv AT wangxueqiang ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT zhengjiejiao ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT yuzhuowei ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT bixia ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT loushujie ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT liujing ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT caibin ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT huayinghui ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT wumark ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT weimaoling ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT shenhaimin ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT chenyi ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT panyujian ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT xuguohui ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT chenpeijie ametaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT wangxueqiang metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT zhengjiejiao metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT yuzhuowei metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT bixia metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT loushujie metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT liujing metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT caibin metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT huayinghui metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT wumark metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT weimaoling metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT shenhaimin metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT chenyi metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT panyujian metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT xuguohui metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain
AT chenpeijie metaanalysisofcorestabilityexerciseversusgeneralexerciseforchroniclowbackpain