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Tytuł pozycji:

Is the combination of exercise therapy and health education more effective than usual medical care in the prevention of non-specific back pain? A systematic review with meta-analysis.

Tytuł:
Is the combination of exercise therapy and health education more effective than usual medical care in the prevention of non-specific back pain? A systematic review with meta-analysis.
Autorzy:
Hernandez-Lucas P; Faculty of Physiotherapy, University of Vigo, Pontevedra, Spain.
Leirós-Rodríguez R; SALBIS Research Group. Nursing and Physical Therapy Department, University of León. Astorga Ave, Ponferrada, Spain.
Lopez-Barreiro J; Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain.
García-Soidán JL; Faculty of Education and Sport Sciences, University of Vigo, Pontevedra, Spain.
Źródło:
Annals of medicine [Ann Med] 2022 Dec; Vol. 54 (1), pp. 3107-3116.
Typ publikacji:
Meta-Analysis; Systematic Review
Język:
English
Imprint Name(s):
Publication: London : Informa Healthcare
Original Publication: Helsinki : Finnish Medical Society Duodecim, 1989-
MeSH Terms:
Low Back Pain*/prevention & control
Low Back Pain*/psychology
Humans ; Exercise Therapy ; Back Pain/prevention & control ; Pain Measurement ; Health Education
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Contributed Indexing:
Keywords: Back pain; exercise therapy; health education; primary prevention; secondary prevention
Entry Date(s):
Date Created: 20221104 Date Completed: 20221108 Latest Revision: 20221122
Update Code:
20240105
PubMed Central ID:
PMC9639467
DOI:
10.1080/07853890.2022.2140453
PMID:
36331870
Raport
Background: Clinical practice guidelines emphasize the importance of the prevention and treatment of non-specific back pain through exercise therapy and health education. However, it has not yet been confirmed that the combination of exercise plus education is more effective than usual medical care.
Objective: The aim of this study was to determine if the combination of exercise plus education is more effective for the prevention of non-specific back pain than usual medical care.
Materials and Methods: A systematic search in PubMed, Scopus, Web of Science and Medline was conducted with the terms Back Pain, Neck Pain, Musculoskeletal Pain, Exercise, Exercise Therapy, Health Education, Cognitive Behavioral Therapy, Primary Prevention, Secondary Prevention and Clinical Trial. The inclusion criteria were: articles published from 2016 to 2021, the intervention included exercise and education, and the sample consisted of non-specific back pain patients.
Results: A total of 4 randomized controlled trials were selected (average PEDro score 6.5 points). The meta-analysis showed statistically significant differences in the pain intensity, standardized mean differences was found to be -0.75 (95% CI = -1.41 to -0.08; p  = 0.03); and in disability, standardized mean differences was found to be -0.24 (95% CI = -0.38 to -0.1; p  = 0.001).
Conclusions: Interventions combining exercise and education seem to have a greater preventive effect on non-specific back pain than usual medical care.Key messagesExercise therapy and health education combination prevent better non-specific back pain than usual care.Combining exercise with educational interventions has a higher improvement on disability and kinesophobia than usual care.

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