Evidence map›Paper›PMID 39984628›Full record

SynthesisScientific reports2025

Impact of isolated lumbar extension strength training on reducing nonspecific low back pain, disability, and improving function: a systematic review and meta-analysis.

Robert Trybulski, Wilk Michał, Smoter Małgorzata, Bartłomiej Bogdański, Marta Bichowska-Pawęska, Ireneusz Ryszkiel, Mariola Gepfert, Filipe Manuel Clemente

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. 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

8 authors.

Robert TrybulskiMedical Department Wojciech Korfanty, Upper Silesian Academy, Katowice, Poland. rtrybulski.provita@gmail.com.
Wilk MichałInstitute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland.
Smoter MałgorzataDepartment of Basic Physiotherapy, Gdansk University of Physical Education and Sport, Gdansk, Poland.
Bartłomiej BogdańskiDoctoral School, Gdansk University of Physical Education and Sport, Gdansk, Poland.
Marta Bichowska-PawęskaGdansk University of Physical Education and Sport, Gdansk, Poland.
Ireneusz RyszkielCollege of Medical Sciences, Medical University of Silesia, Katowice, Poland.
Mariola GepfertInstitute of Sport Sciences, Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland.
Filipe Manuel ClementeDepartment of Biomechanics and Sport Engineering, Gdansk University of Physical Education and Sport, Gdansk, Poland. filipe.clemente5@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonspecific low back pain (LBP), a prevalent condition with a lifetime prevalence of up to 84%, presents a considerable burden on individuals and healthcare systems. Isolated lumbar extension (ILEX) has been studied for its ability to exercise the lumbar region with more controlled activation of the erector spinae and other paravertebral muscles. It aims to serve as a specific resistance training method to improve outcomes related to pain, disability, and physical functionality in adults with nonspecific low back pain (LBP). This systematic review and meta-analysis aimed to evaluate and summarize the effects of ILEX in alleviating pain, reducing disability, and improving physical functionality in adults with chronic LBP. Searches were conducted on October 14, 2024, across key databases, including PubMed, Scopus, and Web of Science. Eligibility criteria included adults (> 18 years old) with chronic LBP participating in resistance training focused on ILEX, with comparators comprising true control or active control groups, all from randomized clinical trials. The RoB2 was used to assess the risk of bias in the studies, while the GRADE scale was employed to evaluate the certainty of the evidence. The meta-analysis calculated Hedges' g effect sizes (ES) with 95% CIs and PIs for main outcomes, using the DerSimonian and Laird random-effects model to address inter-study variability, I² for heterogeneity, and the extended Egger's test for publication bias, all performed with SPSS Software. After screening, a total of 8 randomized studies were included, with 381 participants overall. The results indicated a significant favorable effect of ILEX compared to the true control group in pain-related outcomes (ES = - 0.633, p = 0.004). However, there was a non-significant effect of ILEX compared to the true control group in disability-related outcomes (ES = - 0.292, p = 0.190) and isometric strength outcomes (ES = 0.967, p = 0.150). The GRADE scale indicated that the certainty of the evidence is very low.ILEX significantly reduces pain intensity in individuals with low back pain, indicating its potential as an effective intervention, but its impact on disability and physical functionality is less consistent, warranting cautious use alongside pelvic stabilization to optimize rehabilitation outcomes.

Indexed as

Low Back PainLumbosacral RegionResistance TrainingAdultHumansPersons with DisabilitiesRandomized Controlled Trials as TopicTreatment OutcomeExercise therapyLow back painPhysical therapy modalitiesResistance exercise

Identifiers

PMID39984628
PMCPMC11845604

What OpenQuestion holds

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Registered trials

None linked

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.