Systematic review on the effect of core stability training for the patients with non-specific low back pain
10.3760/cma.j.cn115682-20190807-02824
- VernacularTitle:核心稳定训练在非特异性腰背痛患者中应用效果的系统评价
- Author:
Yu CHEN
1
;
Chunmei LUO
;
Juan WANG
;
Yawen LI
;
Ting ZENG
Author Information
1. 陆军军医大学第二附属医院新桥医院骨科，重庆 400037
- Keywords:
Meta-analysis;
Rehabilitation;
Pain;
Core stability training;
Low back pain;
Systematic review
- From:
Chinese Journal of Modern Nursing
2020;26(9):1176-1182
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To systematically evaluate the rehabilitation efficacy of core stability training versus general exercises or manual therapy in patients with non-specific low back pain.Methods:The Medline, EMBASE, PubMed, Cochrane Central Register of Controlled Trials (CENTRAL) , PsycINFO, China Biology Medicine (CBM) , CNKI, VIP and Wanfang database were searched by computer, and the retrieval time was from the establishment of the database to 20th October, 2018. All randomized controlled trials (RCT) and clinical control studies of the rehabilitation effects of core stability training on patients with non-specific low back pain were collected. According to the inclusion and exclusion criteria, 2 researchers independently searched the literature, screened the literature and evaluated the quality of the included literature. And the data were extracted for Meta-analysis using Revman 5.3 software.Results:A total of 14 articles were included, all of which were RCTs. The results of Meta-analysis showed that the comparison of pain improvement between core stability training group and general exercise training group was ( Z=4.67, P<0.001) [ OR=1.01, 95% CI (-1.43, -0.59) ], and the evidence showed statistical significance ( P<0.05) . The comparison of Oswestry Disability Index scores of patients after core stability training and general exercise training was ( Z=5.03, P<0.01) [ OR=-7.18, 95% CI (-9.98, -4.38) ], and the evidence showed statistical significance ( P<0.05) . The comparison results of other indicators were not statistically significant ( P>0.05) . Conclusions:The core stability training group and manual therapy group can effectively reduce pain in patients with non-specific low back pain, and core stability training can promote the relief of dysfunction in patients with non-specific low back pain, and core stability training should be encouraged as part of musculoskeletal rehabilitation for patients with non-specific low back pain.
