Segmental Stabilisation and Non-specific Low Back Pain: A Literature Review.
Item
- Title
- Segmental Stabilisation and Non-specific Low Back Pain: A Literature Review.
- Author(s)
- Rudling, I
- Abstract
- Background: Segmental instability has been proposed as a subgroup within non-specific low back pain (LBP), accounting for a major proportion of all LBP. Current treatment approaches in treating instability involve exercises to strengthen and retain the co-contraction of the spinal stability muscles Current studies suggest the benefit of segmental instability exercises in reducing pain and disability, however previous systematic reviews have highlighted areas for future research and improvements. Objective: To review the current studies on segmental stabilisation exercise and chronic non-specific low back pain to evaluate whether previous recommendations have been put in place, and what their implications are for Design: Structured Literature Review Method: A systematic search was conducted on the ScienceDirect, SWETSWISE, Cochrane Library and MEDLINE databases to identify relevant studies The titles, abstracts and main body were screened and studies that meet the inclusion and exclusion criteria were selected. The selected studies were then critically evaluated using the Strength of Recommendation Taxonomy (SORT) and the author's own criteria based upon previous systematic review recommendations The journal impact factor and guidelines for reporting were also retrieved to evaluate the relationship between study quality, journal impact factor and guidelines for reporting. Results: 1339 studies were identified from the search strategy, 12 studies met the inclusion and exclusion criteria and were selected for this review. The overall quality of the studies were poor to moderate with a mode of 2b on the SORT score and a mode of 1 out of B in the devised criteria The majority of the reviewed studies did not meet most of the recommendations. Study quality seemed to improve with time and there seems to be a positive trend between journal impact factors and study score. Discussion: The majority of the recommendations by previous systematic reviews were not met by the individual studies. There is a general lack in therapist and patient blinding and this increases the chance of bias, there is also a general lack of follow up. Segmental instability testing and adverse events reporting were common recommendations that were not met. Conclusion: There is a general need for future research to improve the quality of their studies via blinding and follow up procedures The evidence for the clinical application of segmental stabilisation exercises is moderate. Results have demonstrated improvements in pain and function. However the overall picture of the use of stabilisation exercise is lacking due to a lack of follow up, blinding, reporting of adverse reactions and post intervention testing of instability.
- presented at
- European School of Osteopathy
- Date Accepted
- 2015
- Date Submitted
- 2.12.2016 16:55:00
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 15919
- Inst-Identifier
- 1229
- Keywords
- Literature review, Low back pain, Segmental instability, Stabilisation exercise
- Recommended
- 0
- Item sets
- Thesis
Rudling, I, “Segmental Stabilisation and Non-specific Low Back Pain: A Literature Review.”, Osteopathic Research Web, accessed May 4, 2025, https://www.osteopathicresearch.org/s/orw/item/562