Effects of suspension exercise training in the treatment of lumbar disk herniation: a systematic review and meta-analysis

The study aimed to systematically evaluate the efficacy of suspension exercise training (SET) in the treatment of lumbar intervertebral disk herniation and provide a scientific basis for clinical treatment. Databases such as CNKI, Chinese Wanfang, PubMed, Cochrane, the Web of Science, and Embase were searched up to June 2024. A quality assessment was performed using the Cochrane Collaboration's risk-of-bias guidelines, and a meta-analysis was conducted using RevMan 5.4 and Stata 17.0. A total of 11 studies involving 943 patients were included. Suspension exercise training significantly improved the lumbar disk herniation (LDH) visual analog scale (VAS) score (mean difference (MD) = -0.96; 95% confidence interval (CI), -1.10 to-0.82; < 0.00001, = 23%), the Japanese Orthopedic Association (JOA) score (MD = 3.29, 95% CI, 1.67 to 4.90;