Evidence map›Paper›PMID 21162726›Full record

ArticleBMC musculoskeletal disorders2010

Effectiveness of a 'Global Postural Reeducation' program for persistent low back pain: a non-randomized controlled trial.

Francesca Bonetti, Stefania Curti, Stefano Mattioli, Raffaele Mugnai, Carla Vanti, Francesco S Violante, Paolo Pillastrini

3 registry-linked trialsAbstract readControlled Clinical TrialMulticenter Study
In one paragraph

Article in BMC musculoskeletal disorders, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 22 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT00789204 phase1completednot on this map

Effectiveness of a "Global Posture Reeducation" Program for Patients With Low Back Pain

TypeinterventionalSponsorUniversity of BolognaRan2008 to 2009Enrolled100ConditionsLow Back PainArmsGlobal Postural Re-education, Standard Exercise Training
NCT04555668 nacompletednot on this mapstarted 2020, after this paper: background citation

Effect of Global Postural Reeducation Program With Hamstring Stretch for Patients With Low Back Pain

TypeinterventionalSponsorRiphah International UniversityRan2020 to 2020Enrolled78ConditionsBack PainArmsGlobal Postural Reeducation Program, Hamstring Stretch Program
NCT06928597 narecruitingnot on this mapstarted 2025, after this paper: background citation

Global Postural Reeducation (GPR) in the Treatment of Patients With Non-Specific Chronic Low Back Pain: A Randomized Sham-Controlled Clinical Trial

TypeinterventionalSponsorFederal University of BahiaRan2025 to 2026Enrolled42ConditionsLow Back PainArmsGlobal Postural Reeducation, Global Postural Reeducation Sham
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Effects of Global Postural Reeducation on gait kinematics in parkinsonian patients: a pilot randomized three-dimensional motion analysis study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2016
    Trial
  6. Article
  7. Effectiveness of Global Postural Reeducation in Postural Changes and Postural Stability in Young Adults.International journal of environmental research and public health · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Article
  13. Article
  14. Acute Effects of Global Postural Re-Education on Non-Specific Low Back Pain. Does Time-of-Day Play a Role?International journal of environmental research and public health · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Francesca BonettiSection of Occupational Medicine, Department of Internal Medicine, Geriatrics and Nephrology, University of Bologna, Bologna, Italy.
Stefania Curti
Stefano Mattioli
Raffaele Mugnai
Carla Vanti
Francesco S Violante
Paolo Pillastrini

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe aim of this non-randomized controlled trial was to evaluate the effectiveness of a Global Postural Reeducation (GPR) program as compared to a Stabilization Exercise (SE) program in subjects with persistent low back pain (LBP) at short- and mid-term follow-up (ie. 3 and 6 months).

methodsAccording to inclusion and exclusion criteria, 100 patients with a primary complaint of persistent LBP were enrolled in the study: 50 were allocated to the GPR group and 50 to the SE group. Primary outcome measures were Roland and Morris Disability Questionnaire (RMDQ) and Oswestry Disability Index (ODI). Secondary outcome measures were lumbar Visual Analogue Scale (VAS) and Fingertip-to-floor test (FFT). Data were collected at baseline and at 3/6 months by health care professionals unaware of the study. An intention to treat approach was used to analyze participants according to the group to which they were originally assigned.

resultsOf the 100 patients initially included in the study, 78 patients completed the study: 42 in the GPR group and 36 in the SE group. At baseline, the two groups did not differ significantly with respect to gender, age, BMI and outcome measures. Comparing the differences between groups at short- and mid-term follow-up, the GPR group revealed a significant reduction (from baseline) in all outcome measures with respect to the SE group.The ordered logistic regression model showed an increased likelihood of definitive improvement (reduction from baseline of at least 30% in RMDQ and VAS scores) for the GPR group compared to the SE group (OR 3.9, 95% CI 2.7 to 5.7).

conclusionsOur findings suggest that a GPR intervention in subjects with persistent LBP induces a greater improvement on pain and disability as compared to a SE program. These results must be confirmed by further studies with higher methodological standards, including randomization, larger sample size, longer follow-up and subgrouping of the LBP subjects.

trial registrationNCT00789204.

Indexed as

Exercise TherapyPatient Education as TopicPostureAdultDisability EvaluationFemaleFollow-Up StudiesHumansLogistic ModelsLow Back PainMaleMiddle AgedOutcome Assessment, Health CarePain MeasurementTreatment Outcome

Identifiers

PMID21162726
PMCPMC3020172

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.