The impact of continuous use of lumbosacral orthoses on trunk motor performance: a systematic review with meta-analysis
Abstract Background Context The lumbosacral orthosis (LSO) is prescribed by general practitioners for the management of low back pain. It may be speculated that continuous use of the LSO for a prolonged period reduces mechanical loading to the trunk muscle in daily living and results in impairments...
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| Veröffentlicht in: | The spine journal 2017-06, Vol.17 (6), p.889-900 |
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| creator | Takasaki, Hiroshi, PhD Miki, Takahiro, BSc |
| description | Abstract Background Context The lumbosacral orthosis (LSO) is prescribed by general practitioners for the management of low back pain. It may be speculated that continuous use of the LSO for a prolonged period reduces mechanical loading to the trunk muscle in daily living and results in impairments of the trunk muscle. Purpose To investigate whether the trunk motor performances are impaired by continuous use of the lumbosacral orthosis. Study Design/Setting Systematic review with meta-analysis. Methods Systematic search in the PubMed, EMBASE, MEDLINE, CINAHL, SCOPUS and Cochrane library, from inception to November 2016. Inclusion criteria were: 1) the use of the LSO for ≥2 days; 2) the use of a soft LSO designed for musculoskeletal conditions; 3) no co-intervention except education; and 4) measures of trunk motor performance. The following studies were excluded: 1) studies with insufficient data; and 2) studies with poor methodological quality ( |
| doi_str_mv | 10.1016/j.spinee.2017.03.003 |
| format | Article |
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It may be speculated that continuous use of the LSO for a prolonged period reduces mechanical loading to the trunk muscle in daily living and results in impairments of the trunk muscle. Purpose To investigate whether the trunk motor performances are impaired by continuous use of the lumbosacral orthosis. Study Design/Setting Systematic review with meta-analysis. Methods Systematic search in the PubMed, EMBASE, MEDLINE, CINAHL, SCOPUS and Cochrane library, from inception to November 2016. Inclusion criteria were: 1) the use of the LSO for ≥2 days; 2) the use of a soft LSO designed for musculoskeletal conditions; 3) no co-intervention except education; and 4) measures of trunk motor performance. The following studies were excluded: 1) studies with insufficient data; and 2) studies with poor methodological quality (<9/16) in the modified McMaster Critical Review Form for Quantitative Studies. The GRADE system was used to determine the quality of evidence. Results Data of eight studies were analyzed. The most common measures for motor performances were the maximum strength of the trunk flexors and extensors and the endurance and fatigability of the trunk extensors. In all measures, 95% CIs of the pooled standardized mean difference between the control/pre-intervention group and the intervention/post-intervention group included zero. Further, quality of evidence ranged from low to very low in the GRADE system in all findings of the meta-analyses. Conclusions The meta-analyses demonstrated no negative effect by continuous use of the LSO for 1-6 months. However, the quality of evidence ranged from low to very low and more high quality trials are required to draw a definitive conclusion on the impact of continuous use of LSO on trunk motor performances.</description><identifier>ISSN: 1529-9430</identifier><identifier>EISSN: 1878-1632</identifier><identifier>DOI: 10.1016/j.spinee.2017.03.003</identifier><identifier>PMID: 28323240</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Humans ; Lumbosacral region ; Lumbosacral Region - physiology ; Muscle ; Muscle Contraction ; Muscle Fatigue ; Orthopedics ; Orthotic devices ; Orthotic Devices - adverse effects ; Orthotic Devices - standards ; Skeletal ; Torso ; Torso - physiology</subject><ispartof>The spine journal, 2017-06, Vol.17 (6), p.889-900</ispartof><rights>Elsevier Inc.</rights><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-19c4f39293018c066ac816c3c7b181020c6e41cf9c9b97a3931ae21e5375d9673</citedby><cites>FETCH-LOGICAL-c417t-19c4f39293018c066ac816c3c7b181020c6e41cf9c9b97a3931ae21e5375d9673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.spinee.2017.03.003$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28323240$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Takasaki, Hiroshi, PhD</creatorcontrib><creatorcontrib>Miki, Takahiro, BSc</creatorcontrib><title>The impact of continuous use of lumbosacral orthoses on trunk motor performance: a systematic review with meta-analysis</title><title>The spine journal</title><addtitle>Spine J</addtitle><description>Abstract Background Context The lumbosacral orthosis (LSO) is prescribed by general practitioners for the management of low back pain. It may be speculated that continuous use of the LSO for a prolonged period reduces mechanical loading to the trunk muscle in daily living and results in impairments of the trunk muscle. Purpose To investigate whether the trunk motor performances are impaired by continuous use of the lumbosacral orthosis. Study Design/Setting Systematic review with meta-analysis. Methods Systematic search in the PubMed, EMBASE, MEDLINE, CINAHL, SCOPUS and Cochrane library, from inception to November 2016. Inclusion criteria were: 1) the use of the LSO for ≥2 days; 2) the use of a soft LSO designed for musculoskeletal conditions; 3) no co-intervention except education; and 4) measures of trunk motor performance. The following studies were excluded: 1) studies with insufficient data; and 2) studies with poor methodological quality (<9/16) in the modified McMaster Critical Review Form for Quantitative Studies. The GRADE system was used to determine the quality of evidence. Results Data of eight studies were analyzed. The most common measures for motor performances were the maximum strength of the trunk flexors and extensors and the endurance and fatigability of the trunk extensors. In all measures, 95% CIs of the pooled standardized mean difference between the control/pre-intervention group and the intervention/post-intervention group included zero. Further, quality of evidence ranged from low to very low in the GRADE system in all findings of the meta-analyses. Conclusions The meta-analyses demonstrated no negative effect by continuous use of the LSO for 1-6 months. However, the quality of evidence ranged from low to very low and more high quality trials are required to draw a definitive conclusion on the impact of continuous use of LSO on trunk motor performances.</description><subject>Humans</subject><subject>Lumbosacral region</subject><subject>Lumbosacral Region - physiology</subject><subject>Muscle</subject><subject>Muscle Contraction</subject><subject>Muscle Fatigue</subject><subject>Orthopedics</subject><subject>Orthotic devices</subject><subject>Orthotic Devices - adverse effects</subject><subject>Orthotic Devices - standards</subject><subject>Skeletal</subject><subject>Torso</subject><subject>Torso - physiology</subject><issn>1529-9430</issn><issn>1878-1632</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU-P1DAMxSsEYv_AN0AoRy4dnKSTNhyQ0ApYpJU4sJyjjMfVZLZtSpzuaL49Gc3CgQsnW9Z7tt7PVfVGwkqCNO_3K57DRLRSINsV6BWAflZdyq7tamm0el76tbK1bTRcVFfMewDoWqleVheq00qrBi6rw_2ORBhnj1nEXmCccpiWuLBYmE6TYRk3kT0mP4iY8i4ysYiTyGmZHsQYc0xiptTHNPoJ6YPwgo-cafQ5oEj0GOggDiHvxEjZ137yw5EDv6pe9H5gev1Ur6ufXz7f39zWd9-_frv5dFdjI9tcS4tNr62yGmSHYIzHThrU2G5kJ0EBGmok9hbtxrZeWy09KUlr3a631rT6unp33jun-Gshzm4MjDQMfqKS0hVc1hhpOl2kzVmKKTIn6t2cwujT0UlwJ-Ru787I3Qm5A-0K8mJ7-3Rh2Yy0_Wv6w7gIPp4FVHIWHMkxBiqstiERZreN4X8X_l2AQ5gC-uGBjsT7uKRCtWRxrBy4H6e3n74uWw1gwejffNyqWg</recordid><startdate>20170601</startdate><enddate>20170601</enddate><creator>Takasaki, Hiroshi, PhD</creator><creator>Miki, Takahiro, BSc</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20170601</creationdate><title>The impact of continuous use of lumbosacral orthoses on trunk motor performance: a systematic review with meta-analysis</title><author>Takasaki, Hiroshi, PhD ; Miki, Takahiro, BSc</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-19c4f39293018c066ac816c3c7b181020c6e41cf9c9b97a3931ae21e5375d9673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Humans</topic><topic>Lumbosacral region</topic><topic>Lumbosacral Region - physiology</topic><topic>Muscle</topic><topic>Muscle Contraction</topic><topic>Muscle Fatigue</topic><topic>Orthopedics</topic><topic>Orthotic devices</topic><topic>Orthotic Devices - adverse effects</topic><topic>Orthotic Devices - standards</topic><topic>Skeletal</topic><topic>Torso</topic><topic>Torso - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Takasaki, Hiroshi, PhD</creatorcontrib><creatorcontrib>Miki, Takahiro, BSc</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Takasaki, Hiroshi, PhD</au><au>Miki, Takahiro, BSc</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of continuous use of lumbosacral orthoses on trunk motor performance: a systematic review with meta-analysis</atitle><jtitle>The spine journal</jtitle><addtitle>Spine J</addtitle><date>2017-06-01</date><risdate>2017</risdate><volume>17</volume><issue>6</issue><spage>889</spage><epage>900</epage><pages>889-900</pages><issn>1529-9430</issn><eissn>1878-1632</eissn><abstract>Abstract Background Context The lumbosacral orthosis (LSO) is prescribed by general practitioners for the management of low back pain. It may be speculated that continuous use of the LSO for a prolonged period reduces mechanical loading to the trunk muscle in daily living and results in impairments of the trunk muscle. Purpose To investigate whether the trunk motor performances are impaired by continuous use of the lumbosacral orthosis. Study Design/Setting Systematic review with meta-analysis. Methods Systematic search in the PubMed, EMBASE, MEDLINE, CINAHL, SCOPUS and Cochrane library, from inception to November 2016. Inclusion criteria were: 1) the use of the LSO for ≥2 days; 2) the use of a soft LSO designed for musculoskeletal conditions; 3) no co-intervention except education; and 4) measures of trunk motor performance. The following studies were excluded: 1) studies with insufficient data; and 2) studies with poor methodological quality (<9/16) in the modified McMaster Critical Review Form for Quantitative Studies. The GRADE system was used to determine the quality of evidence. Results Data of eight studies were analyzed. The most common measures for motor performances were the maximum strength of the trunk flexors and extensors and the endurance and fatigability of the trunk extensors. In all measures, 95% CIs of the pooled standardized mean difference between the control/pre-intervention group and the intervention/post-intervention group included zero. Further, quality of evidence ranged from low to very low in the GRADE system in all findings of the meta-analyses. Conclusions The meta-analyses demonstrated no negative effect by continuous use of the LSO for 1-6 months. However, the quality of evidence ranged from low to very low and more high quality trials are required to draw a definitive conclusion on the impact of continuous use of LSO on trunk motor performances.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>28323240</pmid><doi>10.1016/j.spinee.2017.03.003</doi><tpages>12</tpages></addata></record> |
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| subjects | Humans Lumbosacral region Lumbosacral Region - physiology Muscle Muscle Contraction Muscle Fatigue Orthopedics Orthotic devices Orthotic Devices - adverse effects Orthotic Devices - standards Skeletal Torso Torso - physiology |
| title | The impact of continuous use of lumbosacral orthoses on trunk motor performance: a systematic review with meta-analysis |
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