Non-rigid lumbar supports for the management of non-specific low back pain : A literature review and meta-analysis

Journal article

Gignoux, Paul, Lanhers, Charlotte, Dutheil, Frédéric, Boutevillain, Laura, Pereira, Bruno and Coudeyre, Emmanuel. (2022). Non-rigid lumbar supports for the management of non-specific low back pain : A literature review and meta-analysis. Annals of Physical and Rehabilitation Medicine. 65(1), pp. 1-9. https://doi.org/10.1016/j.rehab.2020.05.010
AuthorsGignoux, Paul, Lanhers, Charlotte, Dutheil, Frédéric, Boutevillain, Laura, Pereira, Bruno and Coudeyre, Emmanuel
Abstract

Background
Clinical practice guidelines for non-specific low back pain do not recommend the use of non-rigid lumbar supports (NRLSs) despite the publication of several positive randomized controlled studies.

Objective
We conducted a systematic review with meta-analysis to assess the efficacy of NRLSs in the treatment and prevention of non-specific low back pain.

Methods
We searched for reports of randomized controlled trials in PubMed, Cochrane Library, EMBASE, Science Direct and Pedro databases. Data were analyzed by disease stage (acute, subacute, and chronic) and type of prevention (primary and secondary). The analysis of methodological quality involved the Physiotherapy Evidence Database (PEDro) scale.

Results
Of the 1581 records retrieved, only 4 full-text articles were included, with 777 patients: 378 in the NRLS group, and 348 in the control group. NRLSs conferred greater amelioration of disability (effect size −0.54, 95% CI −0.90; −0.17) and pain (−0.29, −0.46; −0.12) than standard management. Insufficient data prevented a comparison of the efficiency for acute, subacute and recurrent low back pain as well as meta-regression of responder phenotypes (sociodemographic and other patient characteristics).

Conclusion
We demonstrated the overall efficacy of NRLSs for both disability and pain. However, further studies are needed to assess which patients can benefit the most from lumbar supports based on patient phenotype and the characteristics of low back pain.

PROSPERO (CRD4201810985)

KeywordsLow back pain; Acute ; Chronic; Subacute; Lumbar support ; Meta-analysis; Prevention
Year01 Jan 2022
JournalAnnals of Physical and Rehabilitation Medicine
Journal citation65 (1), pp. 1-9
PublisherElsevier Masson SAS
ISSN1877-0657
Digital Object Identifier (DOI)https://doi.org/10.1016/j.rehab.2020.05.010
Web address (URL)https://www.sciencedirect.com/science/article/pii/S1877065720301202?via%3Dihub
Open accessPublished as non-open access
Research or scholarlyResearch
Page range1-9
Publisher's version
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All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Print08 Feb 2022
Publication process dates
Accepted02 May 2020
Deposited14 Nov 2024
Supplemental file
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All rights reserved
File Access Level
Controlled
Additional information

© 2020 Elsevier Masson SAS. All rights reserved.

Place of publicationFrance
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