- Title
- Exercise alone and exercise combined with education both prevent episodes of low back pain and related absenteeism: systematic review and network meta-analysis of randomised controlled trials (RCTs) aimed at preventing back pain
- Creator
- Huang, Rongzhong; Ning, Jie; Chuter, Vivienne H.; Taylor, Jeffrey Bruce; Christophe, Demoulin; Meng, Zengdong; Xu, Yu; Jiang, Lihong
- Relation
- British Journal of Sports Medicine Vol. 54, Issue 13, p. 766-770
- Publisher Link
- http://dx.doi.org/10.1136/bjsports-2018-100035
- Publisher
- B M J Group
- Resource Type
- journal article
- Date
- 2020
- Description
- Objectives: We aimed to investigate which prevention strategies for low back pain (LBP) are most effective. Design: We completed a Bayesian network meta-analysis to summarise the comparative effectiveness of LBP prevention strategies. The primary outcomes were an episode of LBP and LBP-associated work absenteeism represented as ORs with associated 95% credibility intervals (CrIs). We ranked all prevention strategies with surface under the cumulative ranking curve (SUCRA) analysis. Data sources: PubMed, EMBASE and CENTRAL databases were searched along with manual searches of retrieved articles. We only included randomised controlled trials (RCTs) that reported an episode of LBP and/or LBP-associated work absenteeism evaluating LBP prevention strategies were included. Eligibility criteria for selecting studies: Data were independently extracted by two investigators, and RCT quality was assessed using the Cochrane Risk of Bias tool. Results and summary: Forty RCTs were included. Exercise combined with education (OR: 0.59, CrI: 0.41 to 0.82) and exercise alone (OR: 0.59, CrI: 0.36 to 0.92) both prevented LBP episodes; exercise combined with education and education alone both had large areas under the curve (SUCRA: 81.3 and 79.4, respectively). Additionally, exercise (OR: 0.04, CrI: 0.00 to 0.34) prevented LBP-associated work absenteeism, with exercise and the combination of exercise and education ranking highest (SUCRA: 99.0 and 60.2, respectively). Conclusions: Exercise alone and exercise combined with education can prevent episodes of LBP and LBP-related absenteeism. Trial registration number PROSPERO 42017056884.
- Subject
- low back pain (LBP); exercise; randomised controlled trials (RCT); absenteeism
- Identifier
- http://hdl.handle.net/1959.13/1461169
- Identifier
- uon:46127
- Identifier
- ISSN:0306-3674
- Language
- eng
- Reviewed
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