Evidence map›Paper›PMID 40361738›Full record

ReviewHealthcare (Basel, Switzerland)2025

Pain and Disability Therapy with Stabilization Exercises in Patients with Chronic Low Back Pain: A Meta-Analysis.

Vanja Dimitrijević, Bojan Rašković, Nikola Jevtić, Siniša Nikolić, Dejan Viduka, Borislav Obradović

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. 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

6 authors.

Vanja DimitrijevićFaculty of Sports and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia.ORCID 0000-0003-3180-336X
Bojan RaškovićFaculty of Sports and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia.ORCID 0000-0002-9110-2103
Nikola JevtićScolio Centar, 21000 Novi Sad, Serbia.ORCID 0000-0002-7065-8401
Siniša NikolićInstitute of Physical Medicine, Rehabilitation and Orthopedic Surgery "Dr. Miroslav Zotović", 78000 Banja Luka, Bosnia and Herzegovina.ORCID 0000-0003-2294-024X
Dejan VidukaFaculty of Information Technologies, University Alfa BK, 11000 Belgrade, Serbia.ORCID 0000-0001-9147-8103
Borislav ObradovićFaculty of Sports and Physical Education, University of Novi Sad, 21000 Novi Sad, Serbia.

Funding

The Provincial Secretariat for Higher Education and Scientific Research of AP Vojvodina 142-451-2595
6 · The paper itself

Abstract

backgroundChronic low back pain is a leading cause of disability worldwide, necessitating effective interventions to alleviate pain and improve function. This meta-analysis aimed to evaluate the effectiveness of stabilization exercises for pain relief and disability reduction in patients with chronic low back pain.

methodsA meta-analysis was conducted following PRISMA and Cochrane guidelines. Randomized controlled trials evaluating stabilization exercises for chronic low back pain were included. Subgroup analyses were performed based on treatment duration, type of pain (specific vs. non-specific), study quality, and exercise type. Effect sizes were calculated using standardized mean differences (SMD), and evidence quality was assessed using the GRADE tool.

resultsA total of 23 studies involving 1132 participants were included. The meta-analysis revealed that longer treatment durations (8-12 weeks) showed the strongest effects on pain reduction (SMD = -0.88) and disability improvement (SMD = -0.85). For pain type, non-specific low back pain responded better (SMD = -0.81 for pain, -0.73 for disability) compared to specific LBP (SMD = -0.61 and -0.42, respectively). The 6-week duration also demonstrated moderate effects (SMD = -0.72 for pain). Core stability exercises had superior pain reduction (SMD = -0.90, large effect) compared to spinal stability exercises (SMD = -0.57), while spinal stability exercises showed higher-quality evidence for disability improvement (SMD = -0.56, high-quality) versus core stability (SMD = -0.62, low-quality).

conclusionStabilization exercises are a highly effective intervention for chronic low back pain, offering significant pain relief and functional improvement. They outperform other common interventions and should be prioritized in clinical practice, particularly in longer-duration, supervised programs. These findings provide strong evidence to guide treatment protocols and improve outcomes for patients with chronic low back pain.

Indexed as

back painconservative treatmentexercise therapylow back pain

Identifiers

PMID40361738
PMCPMC12072060

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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.