دانلود رایگان مقاله انگلیسی اثربخشی تمرین کنترل حرکتی بر بیماران مبتلا به اختلالات کمردرد غیر متمرکز و کنترل حرکت - الزویر 2018

عنوان فارسی
اثربخشی تمرین کنترل حرکتی بر بیماران مبتلا به اختلالات کمردرد غیر متمرکز و کنترل حرکت: یک بررسی سیستماتیک و متاآنالیز
عنوان انگلیسی
Effectiveness of movement control exercise on patients with non-specific low back pain and movement control impairment: A systematic review and meta-analysis
صفحات مقاله فارسی
0
صفحات مقاله انگلیسی
40
سال انتشار
2018
نشریه
الزویر - Elsevier
فرمت مقاله انگلیسی
PDF
کد محصول
E7820
رشته های مرتبط با این مقاله
تربیت بدنی
گرایش های مرتبط با این مقاله
یادگیری و کنترل حرکتی
مجله
علوم و تمرینات اسکلتی عضلانی - Musculoskeletal Science and Practice
دانشگاه
Zurich University of Applied Sciences ZHAW - School of Health Professions - Institute of Physiotherapy - Switzerland
کلمات کلیدی
بررسی سیستماتیک، متاآنالیز، تمرین کنترل حرکتی، اختلال کنترل حرکتی، کمردرد
چکیده

ABSTRACT


Background: Patients with low back pain (LBP) and movement control impairment (MVCI) show altered spinal movement patterns. Treatment that aims to change movement behaviour could benefit these patients. Objective: To assess the effectiveness of movement control exercise (MVCE) in terms of clinically relevant measures (disability and pain) on patients with NSLBP. Methods: A systematic review and meta-analysis were conducted. CINAHL, MEDLINE, PUBMED and PEDro databases were searched for RCT’s evaluating MVCE treatment in patients with NSLBP from review inception to April 2017. Authors were contacted to obtain missing data and outcomes. PEDro was used to assess methodological quality of the studies and the GRADE approach was used to assess the overall quality of evidence Data were combined using a random effects metaanalysis and reported as standardized mean differences (SMD). Results: Eleven eligible RCT’s including a total of 781 patients were found. Results show ‘very low to moderate quality’ evidence of a positive effect of MVCE on disability, both at the end of treatment and after 12 months (SMD -0.38 95%CI -0.68, -0.09 respectively 0.37 95%CI -0.61,-0.04). Pain intensity was significantly reduced after MVCE at the end of treatment (SMD -0.39 95%CI -0.69, -0.04), but not after 12 months (SMD -0.27, 95%CI -0.62, 0.09). Conclusions: MVCE intervention for people with NSLBP and MVCI appears to be more effective in improving disability compared to other interventions, both over the short and long term. Pain was reduced only in the short term. An important factor is the initial identification of patients with MVCI.

نتیجه گیری

Conclusions


MVCE treatment may be more effective in improving disability in the short and long term for people with NSLBP and MVCI compared to other interventions. Pain was reduced through MVCE treatment in the short term, but not over the long term. The heterogeneity of the selected studies was considerable. This was somewhat reduced through subgrouping the studies according to their sample restrictions or control interventions. Therefore, other factors, such as pain duration, might be equally important and warrant future research. Larger and higher-quality RCTs with longterm follow-ups are recommended for future studies. Future research should pay close attention to the selection of participants with regard to duration of NSLBP and the presence of MVCI.


بدون دیدگاه