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Non-rigid lumbar supports for the management of non-specific low back pain : A literature review and meta-analysis
Gignoux, Paul Lanhers, Charlotte Dutheil, Frédéric Boutevillain, Laura Pereira, Bruno Coudeyre, Emmanuel
Gignoux, Paul
Lanhers, Charlotte
Dutheil, Frédéric
Boutevillain, Laura
Pereira, Bruno
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)
Keywords
Low back pain, Acute, Chronic, Subacute, Lumbar support, Meta-analysis, Prevention
Date
2022
Type
Journal article
Journal
Book
Volume
65
Issue
1
Page Range
1-9
Article Number
ACU Department
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Dutheil_2022_Non-rigid_lumbar_supports_for_the_management.pdf
Adobe PDF, 1.12 MB
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