Archives of Physical Medicine and Rehabilitation
REVIEW ARTICLE (META-ANALYSIS)Region-specific Exercises vs General Exercises in the Management of Spinal and Peripheral Musculoskeletal Disorders: A Systematic Review With Meta-analyses of Randomized Controlled Trials
Section snippets
Methods
The study protocol is available online on PROSPERO: registration number is CRD42019145180.
Results
From the 11,352 potentially relevant articles identified through title and abstract review, 18 RCTs met the eligibility criteria after full-text review (fig 1). Characteristics of included studies are presented in table 1.7,31, 32, 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49
Discussion
The aim of this systematic review was to assess the efficacy of region-specific exercises compared with general exercise approaches for adults with various MSKDs. Eighteen RCTs were included with 16 trials pooled in different meta-analyses, with most of cohorts composed of participants with persistent or chronic neck or LBP; only 2 RCTs investigated the efficacy of region-specific exercises compared with general exercises for knee OA. One RCT was considered at a low risk of bias,39 and 1 was
Conclusions
Based on very low- to moderate-quality evidence, there are no clinically important differences between region-specific and general exercises regarding pain-, disability-, or health-related quality of life in the short-, mid-, or long-term follow-ups for adults with chronic low back or neck disorders. Evidence is lacking regarding region-specific exercises compared with general exercises for peripheral disorders. Addition of new trials to these analyses may change the current conclusions.
Suppliers
- a.
RoB 2; The Cochrane Collaboration.
- b.
RevMan 5.3; The Cochrane Collaboration.
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Cited by (6)
A specific BPS model for WMSDs: Revealing the influence degree and interaction of factors based on meta-analytic evaluation
2024, International Journal of Industrial ErgonomicsPhysical activity and low back pain: A critical narrative review
2023, Annals of Physical and Rehabilitation MedicineCitation Excerpt :Moreover, a systematic review of 100 randomly selected studies, highlighted the poor reporting quality of exercise interventions for LBP [32]. A recent systematic review (18 RCTs, 1719 participants) that compared the efficacy of region-specific exercises to general exercise in adults with musculoskeletal disorders found no differences between the approaches in terms of pain reduction and disability [13]. Nevertheless, a network meta-analysis of 89 studies including 5578 participants with CLBP compared the efficacy of different modes of exercise training on pain, trunk muscle strength, physical function and mental health [14].
The short-term effects of opioid and non-opioid pharmacotherapies on sleep in people with chronic low back pain: A systematic review and meta-analysis of randomized controlled trials
2022, Sleep Medicine ReviewsCitation Excerpt :Therefore, chronic LBP and sleep disturbance have significant healthcare costs and impair workforce capability. There are several pharmacological and non-pharmacological treatments shown to be effective in chronic LBP management [21–26]. Healthcare guidelines recommend non-pharmacological interventions such as exercise therapy and psychosocial interventions as first-line treatment options [27].
Effects of Tai-Chi on Quality of Life in People With Neurodegenerative Diseases. A systematic Review of Randomised Clinical Trials
2024, American Journal of Health PromotionSummarizing the effects of different exercise types in chronic neck pain – a systematic review and meta-analysis of systematic reviews
2023, BMC Musculoskeletal Disorders
Supported by Dr Desmeules’ Canadian Institutes of Health Research Program New Investigator Salary and Research Award in Clinical Rehabilitation (award no. 201609NCR-375311-130299).
Disclosures: none