Efficacy of exercise therapy in the treatment of chronic low back pain patients: a network meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

YANG Junchao , CHEN Junying , XU Chunyan ,  QIU Junqiang

Department of Sport and Science, Beijing Sport University, Beijing 100084, P.R.China;

Corresponding author：

QIU Junqiang, Email: qiujunqiang@bsu.edu.cn

Keywords：

Exercise therapy; Chronic low back pain; Cluster rank analysis; Network meta-analysis

DOI：

10.7507/1672-2531.202008092

Video：

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Objective To systematically review the efficacy of exercise therapy for patients with chronic low back pain (CLBP) by network meta-analysis (NMA).Methods The PubMed, EBSCO, EMbase, The Cochrane Library, Web of Science, CNKI, WanFang Data, VIP and CBM databases were electronically searched to collect randomized controlled trials (RCT) on exercise for patients with CLBP from inception to May, 2020. Two reviewers independently screened literature, extracted data and assessed risk of bias of included studies. Then, NMA was performed by Stata 15.1 software.Results A total of 79 RCTs involving 5 782 CLBP patients were included. The effect of exercise therapy on pain in patients with CLBP were in the following rankings: yoga (SMD=−1.25, 95%CI −1.87 to −0.64, P<0.000 1), health Qigong/Taichi (SMD=−1.12, 95%CI −1.87 to −0.64, P=0.002), sling exercise (SMD=−1.07, 95%CI −1.64 to −0.50, P<0.000 1), Mackenzie therapy (SMD=−1.05, 95%CI −1.68 to −0.42, P=0.001), pilates (SMD=−0.96, 95%CI −1.74 to −1.78, P=0.016), multimodal training (SMD=−0.80, 95%CI −1.33 to −0.27, P=0.003) and stabilisation/motor control (SMD=−0.62, 95%CI −1.03 to −0.21, P=0.003). The effect of exercise therapy on function in patients with CLBP were in the following rankings: Mackenzie therapy (SMD=−0.62, 95%CI −1.03 to −0.21, P=0.003), and yoga (SMD=−0.88, 95%CI −1.51 to −0.25, P=0.007). Clusterank results showed that Mackenzie therapy, yoga, pilates, sling exercise and multimodal training were similar in improving pain and physical function in patients with CLBP.Conclusions The current study shows that yoga, Mackenzie therapy, pilates, sling exercise and multimodal training constitute the optimal group for improving CLBP symptoms. Health Qigong/Taichi is second only to yoga in improving pain in patients with CLBP, which has great promotional value.

Citation： YANG Junchao, CHEN Junying, XU Chunyan, QIU Junqiang. Efficacy of exercise therapy in the treatment of chronic low back pain patients: a network meta-analysis. Chinese Journal of Evidence-Based Medicine, 2021, 21(1): 28-39. doi: 10.7507/1672-2531.202008092 Copy

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Chinese Journal of Evidence-Based Medicine

Efficacy of exercise therapy in the treatment of chronic low back pain patients: a network meta-analysis

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