The relationships between spinal amplitude of movement, pain and disability in low back pain: A systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان:	The relationships between spinal amplitude of movement, pain and disability in low back pain: A systematic review and meta-analysis.
المؤلفون:	Nzamba J; Division of Physiotherapy, School of Health Professions, Bern University of Applied Sciences, Bern, Switzerland., Van Damme S; Department of Experimental-Clinical and Health Psychology, Ghent University, Ghent, Belgium., Favre J; Swiss BioMotion Lab, Department of Musculoskeletal Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland., Christe G; Swiss BioMotion Lab, Department of Musculoskeletal Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.; Department of Physiotherapy, HESAV School of Health Sciences, HES-SO University of Applied Sciences and Arts Western Switzerland, Lausanne, Switzerland.
المصدر:	European journal of pain (London, England) [Eur J Pain] 2024 Jan; Vol. 28 (1), pp. 37-53. Date of Electronic Publication: 2023 Jul 21.
نوع المنشور:	Meta-Analysis; Systematic Review; Journal Article; Review
اللغة:	English
بيانات الدورية:	Publisher: Wiley Country of Publication: England NLM ID: 9801774 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-2149 (Electronic) Linking ISSN: 10903801 NLM ISO Abbreviation: Eur J Pain Subsets: MEDLINE
أسماء مطبوعة:	Publication: 2012- : Chichester, UK : Wiley Original Publication: London ; Philadelphia : Saunders, c1997-
مواضيع طبية MeSH:	Low Back Pain*, Humans ; Cross-Sectional Studies ; Movement ; Bias ; Pain Measurement
مستخلص:	Background and Objectives: The role of spinal movement alterations in low back pain (LBP) remains unclear. This systematic review and meta-analyses examined the relationships between spinal amplitude of movement, disability and pain intensity in patients with LBP. Databases and Data Treatment: We searched PubMed, CINAHL, Embase, Pedro and Web of Science for relevant articles until 14th March 2023. Risk of bias was assessed with the Quality in Prognostic Studies Tool. We analysed the relationships between amplitude of movement, disability and pain intensity with standard correlational meta-analyses and meta-analytic structural equation modelling (MASEM) in cross-sectional and longitudinal data. Results: A total of 106 studies (9001 participants) were included. In cross-sectional data, larger amplitude of movement was associated with lower disability (pooled coefficient: -0.25, 95% confidence interval: [-0.29 to -0.21]; 69/5899 studies/participants) and pain intensity (-0.13, [-0.17 to -0.09]; 74/5806). An increase in amplitude of movement was associated with a decrease in disability (-0.23, [-0.31 to -0.15]; 33/2437) and pain intensity (-0.25, [-0.33 to -0.17]; 38/2172) in longitudinal data. MASEM revealed similar results and, in addition, showed that amplitude of movement had a very small influence on the pain intensity-disability relationship. Conclusions: These results showed a significant but small association between amplitude of movement and disability or pain intensity. Moreover, they demonstrated a direct association between an increase in amplitude of movement and a decrease in pain intensity or disability, supporting interventions aiming to reduce protective spinal movements in patients with LBP. Significance: The large meta-analyses performed in this work revealed an association between reductions in spinal amplitude of movement and increased levels of disability and pain intensity in people with LBP. Moreover, it highlighted that LBP recovery is associated with a reduction in protective motor behaviour (increased amplitude of movement), supporting the inclusion of spinal movement in the biopsychosocial understanding and management of LBP. (© 2023 The Authors. European Journal of Pain published by John Wiley & Sons Ltd on behalf of European Pain Federation - EFIC ®.)
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تواريخ الأحداث:	Date Created: 20230721 Date Completed: 20231216 Latest Revision: 20240103
رمز التحديث:	20240104
DOI:	10.1002/ejp.2162
PMID:	37475698
قاعدة البيانات:	MEDLINE

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تدمد:	1532-2149
DOI:	10.1002/ejp.2162