Effects of different trunk training methods for chronic low back pain: A meta-analysis

Dhananjaya SUTANTO, Robin S. T. HO, Tsz Chun Eric POON, Yijian YANG, Stephen H. S. WONG

Research output: Contribution to journalArticlespeer-review

Abstract

We conducted a systematic review and meta-analysis comparing motor control, isometric, and isotonic trunk training intervention for pain, disability, and re-injury risk reduction in chronic low back pain patients. The EMBASE, MEDLINE, CENTRAL, PsycINFO, SPORTDiscus, and CINAHL databases were searched from inception until 25 February 2021 for chronic low back pain intervention based on any trunk training. Outcomes include the Oswestry Disability Index (ODI) and Roland Morris Disability Questionnaire (RMDQ) for disability, the Numerical Pain Rating Scale (NPRS) for pain, and the Sorensen Test (ST) for future risk of re-injury. Isometric training was superior to the control with a mean difference (MD) = −1.66, 95% confidence interval (CI) [−2.30, −1.01] in pain reduction; MD = −7.94, 95% CI [−10.29, −5.59] in ODI; MD = −3.21, 95% CI [−4.83, −1.60] in RMDQ; and MD = 56.35 s, 95% CI [51.81 s, 60.90 s] in ST. Motor control was superior to the control with a MD = −2.44, 95% CI [−3.10, −1.79] in NPRS; MD = −8.32, 95% CI [−13.43, −3.22] in ODI; and MD = −3.58, 95% CI [−5.13, −2.03] in RMDQ. Isometric and motor control methods can effectively reduce pain and disability, with the isometric method reducing re-injury risk. Copyright © 2022 by the authors.
Original languageEnglish
Article number2863
JournalInternational Journal of Environmental Research and Public Health
Volume19
Issue number5
DOIs
Publication statusPublished - 01 Mar 2022

Citation

Sutanto, D., Ho, R. S. T., Poon, E. T. C., Yang, Y., & Wong, S. H. S. (2022). Effects of different trunk training methods for chronic low back pain: A meta-analysis. International Journal of Environmental Research and Public Health, 19(5). Retrieved from https://doi.org/10.3390/ijerph19052863

Keywords

  • Low back pain
  • Rehabilitation
  • Exercise therapy

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