1. Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis
- Author
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Gonzalez-Medina, Gloria, Perez-Cabezas, Veronica, Ruiz-Molinero, Carmen, Chamorro-Moriana, Gema, Jimenez-Rejano, Jose Jesus, Galán-Mercant, Alejandro, [Gonzalez-Medina,G, Ruiz-Molinero,C, Galán-Mercant,A] Department Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Cadiz, Cadiz, Spain. [Gonzalez-Medina,G, Ruiz-Molinero,C] Research Group: CTS-986 Physical Therapy and Health (FISA), Institute of Research in Social Sustainable Development (INDESS), Cadiz, Spain. [Perez-Cabezas,V, Galán-Mercant,A] Biomedical Research and Innovation Institute of Cadiz (INiBICA), Research Group: [CTS1038] eMpOwering Health by Physical Activity, Exercise and Nutrition (MOVEIT), Research Unit, Puerta del Mar University Hospital, Cadiz, Spain. [Chamorro-Moriana,G, Jimenez-Rejano,JJ] Department of Physiotherapy, University of Seville, Seville, Spain. [Chamorro-Moriana,G, Jimenez-Rejano,JJ] Research Group [CTS305] 'Area of Physiotherapy CTS305', University of Seville, Seville, Spain, and This research was partially financially supported by the Erasmus+ Strategic Partnership for Higher Education Programme (Key Action 203) [Grant number: 2018-1-PL01-KA203-051055].
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Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Study Characteristics as Topic::Clinical Trials as Topic::Controlled Clinical Trials as Topic::Randomized Controlled Trials as Topic [Medical Subject Headings] ,Disability ,Escala visual analógica ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Data Collection::Questionnaires [Medical Subject Headings] ,Pain ,Disciplines and Occupations::Natural Science Disciplines::Physics::Electronics [Medical Subject Headings] ,Dolor de la región lumbar ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Statistics as Topic::Confidence Intervals [Medical Subject Headings] ,Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans [Medical Subject Headings] ,Modalidades de fisioterapia ,Global postural re-education ,Visual analogue scale ,Chronic low back pain ,Diseases::Pathological Conditions, Signs and Symptoms::Signs and Symptoms::Pain::Back Pain::Low Back Pain [Medical Subject Headings] ,Dolor ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Diagnosis::Diagnostic Techniques and Procedures::Visual Analog Scale [Medical Subject Headings] ,Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Physical Therapy Modalities::Exercise Therapy [Medical Subject Headings] ,Physical therapy - Abstract
Background: The aim of this systematic review and meta-analysis was to evaluate the global postural re-education (GPR) program’s effectiveness compared to other exercise programs in subjects with persistent chronic low back pain. Methods: A systematic review and meta-analysis were carried out using PRISMA2020. An electronic search of scientific databases was performed from their inception to January 2021. Randomized controlled trials that analyzed pain and patient-reported outcomes were included in this review. Four meta-analyses were performed. The outcomes analyzed were disability due to back pain and pain. The risk of bias and quality of evidence were evaluated. The final search was conducted in March. Results: Seven trials were included, totaling 334 patients. The results showed improvement in pain measured by Visual Analogue Scale (VAS) (Standardised Mean Difference (SMD) = −0.69; 95% Confidence Interval (CI), −1.01 to −0.37; p < 0.0001), Numerical Pain Scale (NRS) (SMD = −0.40; 95% CI, −0.87 to 0.06); p = 0.022), VAS + NRS (SMD = −1.32; 95% CI, −1.87 to −0.77; p < 0.0001) and function (Roland Morris Disability Questionnaire (RMDQ)) (SMD = −0.55; 95% CI, −0.83 to −0.27; p < 0.0001) after GPR treatment. Conclusion: This meta-analysis provides reliable evidence that GPR may be an effective method for treating LBP by decreasing pain and improving function, with strong evidence. Yes
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- 2021