Evidence map›Paper›PMID 32971921›Full record

ArticleJournal of clinical medicine2020

Motor Control Stabilisation Exercise for Patients with Non-Specific Low Back Pain: A Prospective Meta-Analysis with Multilevel Meta-Regressions on Intervention Effects.

Daniel Niederer, Tilman Engel, Lutz Vogt, Adamantios Arampatzis, Winfried Banzer, Heidrun Beck, María Moreno Catalá, Michael Brenner-Fliesser, Claas Güthoff, Thore Haag and 8 more

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Ultrasound Imaging as a Visual Biofeedback Tool in Rehabilitation: An Updated Systematic Review.International journal of environmental research and public health · 2021
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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

18 authors.

Daniel NiedererDepartment of Sports Medicine and Exercise Physiology, Goethe University Frankfurt, 60487 Frankfurt am Main, Germany.ORCID 0000-0002-7690-5418
Tilman EngelUniversity Outpatient Clinic, Centre of Sports Medicine, University of Potsdam, 14469 Potsdam, Germany.ORCID 0000-0001-6988-5626
Lutz VogtDepartment of Sports Medicine and Exercise Physiology, Goethe University Frankfurt, 60487 Frankfurt am Main, Germany.
Adamantios ArampatzisDepartment of Training and Movement Sciences, Humboldt-Universität zu Berlin, 10115 Berlin, Germany.ORCID 0000-0002-4985-0335
Winfried BanzerDepartment of Preventive and Sports Medicine, Institute of Occupational, Social and Environmental Medicine, Goethe University Frankfurt, 60590 Frankfurt am Main, Germany.
Heidrun BeckUniversity Hospital Carl Gustav Carus at Technical University Dresden, 01307 Dresden, Germany.
María Moreno CataláDepartment of Training and Movement Sciences, Humboldt-Universität zu Berlin, 10115 Berlin, Germany.
Michael Brenner-FliesserSociology of Physical Activity and Health, University of Potsdam, 14469 Potsdam, Germany.
Claas GüthoffCentre for Clinical Research, Department of Trauma and Orthopaedic Surgery, Unfallkrankenhaus Berlin, 12683 Berlin, Germany.
Thore HaagOrthopädiezentrum Theresie, 80339 München, Germany.
Alexander HönningCentre for Clinical Research, Department of Trauma and Orthopaedic Surgery, Unfallkrankenhaus Berlin, 12683 Berlin, Germany.
Ann-Christin PfeiferPain Management, Center of Orthopaedics and Trauma Surgery, Heidelberg University Hospital, 69118 Heidelberg, Germany.
Petra PlatenDepartment of Sports Medicine and Sports Nutrition, Ruhr-University Bochum, 44801 Bochum, Germany.
Marcus SchiltenwolfPain Management, Center of Orthopaedics and Trauma Surgery, Heidelberg University Hospital, 69118 Heidelberg, Germany.ORCID 0000-0003-0835-4172
Christian SchneiderOrthopädiezentrum Theresie, 80339 München, Germany.
Katharina TrompeterDepartment of Sports Medicine and Sports Nutrition, Ruhr-University Bochum, 44801 Bochum, Germany.
Pia-Maria WippertSociology of Physical Activity and Health, University of Potsdam, 14469 Potsdam, Germany.ORCID 0000-0001-7221-4073
Frank MayerUniversity Outpatient Clinic, Centre of Sports Medicine, University of Potsdam, 14469 Potsdam, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Low-to-moderate quality meta-analytic evidence shows that motor control stabilisation exercise (MCE) is an effective treatment of non-specific low back pain. A possible approach to overcome the weaknesses of traditional meta-analyses would be that of a prospective meta-analyses. The aim of the present analysis was to generate high-quality evidence to support the view that motor control stabilisation exercises (MCE) lead to a reduction in pain intensity and disability in non-specific low back pain patients when compared to a control group. In this prospective meta-analysis and sensitivity multilevel meta-regression within the MiSpEx-Network, 18 randomized controlled study arms were included. Participants with non-specific low back pain were allocated to an intervention (individualized MCE, 12 weeks) or a control group (no additive exercise intervention). From each study site/arm, outcomes at baseline, 3 weeks, 12 weeks, and 6 months were pooled. The outcomes were current pain (NRS or VAS, 11 points scale), characteristic pain intensity, and subjective disability. A random effects meta-analysis model for continuous outcomes to display standardized mean differences between intervention and control was performed, followed by sensitivity multilevel meta-regressions. Overall, 2391 patients were randomized; 1976 (3 weeks, short-term), 1740 (12 weeks, intermediate), and 1560 (6 months, sustainability) participants were included in the meta-analyses. In the short-term, intermediate and sustainability, moderate-to-high quality evidence indicated that MCE has a larger effect on current pain (SMD = -0.15, -0.15, -0.19), pain intensity (SMD = -0.19, -0.26, -0.26) and disability (SMD = -0.15, -0.27, -0.25) compared with no exercise intervention. Low-quality evidence suggested that those patients with comparably intermediate current pain and older patients may profit the most from MCE. Motor control stabilisation exercise is an effective treatment for non-specific low back pain. Sub-clinical intermediate pain and middle-aged patients may profit the most from this intervention.

Indexed as

chronic low back painexerciseLBPlumbagolumbalgiameta-analysismotor control exercisenonspecificsensorimotorstabilizationunspecific low back pain

Identifiers

PMID32971921
PMCPMC7564352

What OpenQuestion holds

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Registered trials

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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.