Effectiveness of movement control exercise on patients with non-specific low back pain and movement control impairment : a systematic review and meta-analysis

Luomajoki, Hannu Antero; Bonet Beltran, Maria Beatriz; Careddu, Silvia; Bauer, Christoph Michael

doi:10.1016/j.msksp.2018.03.008

Publication type:	Article in scientific journal
Type of review:	Peer review (publication)
Title:	Effectiveness of movement control exercise on patients with non-specific low back pain and movement control impairment : a systematic review and meta-analysis
Authors:	Luomajoki, Hannu Antero Bonet Beltran, Maria Beatriz Careddu, Silvia Bauer, Christoph Michael
DOI:	10.1016/j.msksp.2018.03.008
Published in:	Musculoskeletal Science and Practice
Volume(Issue):	36
Page(s):	1
Pages to:	11
Issue Date:	2018
Publisher / Ed. Institution:	Elsevier
ISSN:	2468-7812 2468-8630
Language:	English
Subjects:	Low back pain; Meta-analysis; Movement control exercise; Movement control impairment; Systematic review
Subject (DDC):	617.5: Orthopaedic surgery
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 meta-analysis 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.
URI:	https://digitalcollection.zhaw.ch/handle/11475/12390
Fulltext version:	Published version
License (according to publishing contract):	Licence according to publishing contract
Departement:	School of Health Sciences
Organisational Unit:	Institute of Physiotherapy (IPT)
Appears in collections:	Publikationen Gesundheit

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Luomajoki, H. A., Bonet Beltran, M. B., Careddu, S., & Bauer, C. M. (2018). Effectiveness of movement control exercise on patients with non-specific low back pain and movement control impairment : a systematic review and meta-analysis. Musculoskeletal Science and Practice, 36, 1–11. https://doi.org/10.1016/j.msksp.2018.03.008

Luomajoki, H.A. et al. (2018) ‘Effectiveness of movement control exercise on patients with non-specific low back pain and movement control impairment : a systematic review and meta-analysis’, Musculoskeletal Science and Practice, 36, pp. 1–11. Available at: https://doi.org/10.1016/j.msksp.2018.03.008.

H. A. Luomajoki, M. B. Bonet Beltran, S. Careddu, and C. M. Bauer, “Effectiveness of movement control exercise on patients with non-specific low back pain and movement control impairment : a systematic review and meta-analysis,” Musculoskeletal Science and Practice, vol. 36, pp. 1–11, 2018, doi: 10.1016/j.msksp.2018.03.008.

LUOMAJOKI, Hannu Antero, Maria Beatriz BONET BELTRAN, Silvia CAREDDU und Christoph Michael BAUER, 2018. Effectiveness of movement control exercise on patients with non-specific low back pain and movement control impairment : a systematic review and meta-analysis. Musculoskeletal Science and Practice. 2018. Bd. 36, S. 1–11. DOI 10.1016/j.msksp.2018.03.008

Luomajoki, Hannu Antero, Maria Beatriz Bonet Beltran, Silvia Careddu, and Christoph Michael Bauer. 2018. “Effectiveness of Movement Control Exercise on Patients with Non-Specific Low Back Pain and Movement Control Impairment : A Systematic Review and Meta-Analysis.” Musculoskeletal Science and Practice 36: 1–11. https://doi.org/10.1016/j.msksp.2018.03.008.

Luomajoki, Hannu Antero, et al. “Effectiveness of Movement Control Exercise on Patients with Non-Specific Low Back Pain and Movement Control Impairment : A Systematic Review and Meta-Analysis.” Musculoskeletal Science and Practice, vol. 36, 2018, pp. 1–11, https://doi.org/10.1016/j.msksp.2018.03.008.