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Effect of Adjuvant Exercise Treatment on Chronic Low Back Pain: A Bayesian Network Meta-analysis
YANG Junchao, CHEN Junying, XU Chunyan, Qiu Junqiang
2022, 48 (4):
129-135.
doi: 10.15942/j.jcsu.2022.04.024
Objective: To systematically review the effect of adjuvant exercise treatment for patients with chronic low back pain (CLBP) by bayesian network meta-analysis (NMA). Methods: The PubMed, Embase, The Cochrane Library, CNKI and Wan Fang Data databases were electronically searched to collect randomized controlled trials (RCTs) on exercise for patients with CLBP from inception to May, 2020. Two reviewers respectively screened the literature, extracted data, and evaluated the risk of bias of the included studies using the RCTs RoB2, and then performed a Bayesian network meta-analysis using R software.Results: A total of 26 RCTs were included, including 2 001 CLBP patients. The effect of adjuvant exercise treatment in patients with CLBP were in the following rankings: Yoga [MD=-2.7,95%CI(-4.8,-0.61)], stabilization/motor control [MD=-1.1,95%CI(-2,-0.16)] and sling exercise [MD=-1.1,95%CI(-1.8,-0.40)]. The effect of adjuvant exercise treatment on function in patients with CLBP were in the following rankings: stabilization/motor control [MD=-5.30,95%CI(-10.00,-1.10)] and sling exercise [MD=-4.30,95%CI(-8.10,-0.51)].Conclusion: Current evidence suggests that yoga, stabilization/motor control and sling exercise, as adjuvant treatments in combination with conventional therapy, are more effective in patients with CLBP. More high-quality RCTs should be developed in the future for the adjuvant treatment of patients with CLBP.
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