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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...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2012
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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 |
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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 |
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