Efficacy of conservative therapy in older people with nonspecific low back pain: A systematic review with meta-analysis and GRADE recommendations
•Low back pain is prevalent in older people affecting independence and autonomy.•Evidence of conservative therapy for older people with low back pain is scarce.•This review found that exercise has a short-term effect on disability.•Trigger point acupuncture has also short-term effects on disability...
Gespeichert in:
| Veröffentlicht in: | Archives of gerontology and geriatrics 2020-09, Vol.90, p.104177-104177, Article 104177 |
|---|---|
| Hauptverfasser: | , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 104177 |
|---|---|
| container_issue | |
| container_start_page | 104177 |
| container_title | Archives of gerontology and geriatrics |
| container_volume | 90 |
| creator | Amaral, Lorena K.B. Souza, Mateus B. Campos, Mariana G.M. Mendonça, Vanessa A. Bastone, Alessandra Pereira, Leani S.M. Mascarenhas, Rodrigo O. Oliveira, Vinicius C. |
| description | •Low back pain is prevalent in older people affecting independence and autonomy.•Evidence of conservative therapy for older people with low back pain is scarce.•This review found that exercise has a short-term effect on disability.•Trigger point acupuncture has also short-term effects on disability and pain.
This systematic review aimed to investigate the effectiveness of conservative therapy in older people with nonspecific low back pain.
Searches were conducted on Medline, Amed, Embase, Cochrane, Psycinfo and Pedro databases up to 2020. Risk of bias were assessed using the 0−10 PEDro scale. Weighted mean differences (WMDs) or mean differences (MDs) with 95 % confidence intervals (CIs) were reported for each conservative therapy, and strength of the current evidence was assessed using the GRADE approach.
Eleven original trials were included investigating effects on disability, pain, coping, quality of life, strength, balance, depression, falls, sleep quality, mobility, body mass index, percentage body fat, trunk muscle mass and waist-to-hip ratio. Moderate quality evidence showed short-term effects of trigger point acupuncture on disability (WMD = 5.0 points [95 % CI 3.5–6.4] on a 25-point scale) and pain (WMD = 35.9 points [95 % CI 22.2–49.7] on a 101-point scale), and of exercise on disability (WMD = 1.7 points [95 % CI 0.3–3.0]) when compared with control (placebo, sham, waiting list or no intervention). Moderate quality evidence showed no short-term effect of exercise on coping (95 % CI −5.0 to 14.6). Moreover, evidence for other important outcomes in older people is scarce and we did not find any trial investigating pharmacological therapies.
Findings support partially exercise and trigger point acupuncture to improve disability and/or pain. Future trials with appropriate sample sizes are likely to impact on the estimates and need to clarify medium- and long-term effects. |
| doi_str_mv | 10.1016/j.archger.2020.104177 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2424993378</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0167494320301710</els_id><sourcerecordid>2424993378</sourcerecordid><originalsourceid>FETCH-LOGICAL-c365t-64b0c24c5d9017dfc264199cd4dd54288b967dc4cf3ac04a8a0cd2891b663dba3</originalsourceid><addsrcrecordid>eNqFkUGP0zAQhS0EYsvCTwD5yCXFdlwn5oKq3bIgrYSE4Gw54wl1SeJgp63yM_jHuErhymmk0ffeaN4j5DVna864endY2wj7HxjXgonLTvKqekJWvK5EoXSlnpJV5qpCalnekBcpHRhjkgn1nNyUQtWCq3pFfu_a1oOFmYaWQhgSxpOd_AnptMdox5n6gYbOYaQjhrFDevbTng6ZHBF81tIunGlj4ScdrR_e0y1Nc5qwzy5AI548nhdNj5Mt7GC7OflE7eDow9ft_S4zEPoeB5cV2fYledbaLuGr67wl3z_uvt19Kh6_PHy-2z4WUKrNVCjZMBASNk4zXrkWhJJca3DSuY0Udd1oVTmQ0JYWmLS1ZeBErXmjVOkaW96St4vvGMOvI6bJ9D4Bdp0dMByTEVJIrcuyqjO6WVCIIaWIrRmj722cDWfm0oY5mGsb5tKGWdrIujfXE8emR_dP9Tf-DHxYAMyP5qSiSeBxAHQ-pzIZF_x_TvwBplSgjQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2424993378</pqid></control><display><type>article</type><title>Efficacy of conservative therapy in older people with nonspecific low back pain: A systematic review with meta-analysis and GRADE recommendations</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><creator>Amaral, Lorena K.B. ; Souza, Mateus B. ; Campos, Mariana G.M. ; Mendonça, Vanessa A. ; Bastone, Alessandra ; Pereira, Leani S.M. ; Mascarenhas, Rodrigo O. ; Oliveira, Vinicius C.</creator><creatorcontrib>Amaral, Lorena K.B. ; Souza, Mateus B. ; Campos, Mariana G.M. ; Mendonça, Vanessa A. ; Bastone, Alessandra ; Pereira, Leani S.M. ; Mascarenhas, Rodrigo O. ; Oliveira, Vinicius C.</creatorcontrib><description>•Low back pain is prevalent in older people affecting independence and autonomy.•Evidence of conservative therapy for older people with low back pain is scarce.•This review found that exercise has a short-term effect on disability.•Trigger point acupuncture has also short-term effects on disability and pain.
This systematic review aimed to investigate the effectiveness of conservative therapy in older people with nonspecific low back pain.
Searches were conducted on Medline, Amed, Embase, Cochrane, Psycinfo and Pedro databases up to 2020. Risk of bias were assessed using the 0−10 PEDro scale. Weighted mean differences (WMDs) or mean differences (MDs) with 95 % confidence intervals (CIs) were reported for each conservative therapy, and strength of the current evidence was assessed using the GRADE approach.
Eleven original trials were included investigating effects on disability, pain, coping, quality of life, strength, balance, depression, falls, sleep quality, mobility, body mass index, percentage body fat, trunk muscle mass and waist-to-hip ratio. Moderate quality evidence showed short-term effects of trigger point acupuncture on disability (WMD = 5.0 points [95 % CI 3.5–6.4] on a 25-point scale) and pain (WMD = 35.9 points [95 % CI 22.2–49.7] on a 101-point scale), and of exercise on disability (WMD = 1.7 points [95 % CI 0.3–3.0]) when compared with control (placebo, sham, waiting list or no intervention). Moderate quality evidence showed no short-term effect of exercise on coping (95 % CI −5.0 to 14.6). Moreover, evidence for other important outcomes in older people is scarce and we did not find any trial investigating pharmacological therapies.
Findings support partially exercise and trigger point acupuncture to improve disability and/or pain. Future trials with appropriate sample sizes are likely to impact on the estimates and need to clarify medium- and long-term effects.</description><identifier>ISSN: 0167-4943</identifier><identifier>EISSN: 1872-6976</identifier><identifier>DOI: 10.1016/j.archger.2020.104177</identifier><identifier>PMID: 32682168</identifier><language>eng</language><publisher>Netherlands: Elsevier B.V</publisher><subject>Aged ; Aged, 80 and over ; Conservative interventions ; Conservative Treatment ; Effectiveness ; Elderly ; Exercise ; Exercise Therapy ; Humans ; Idiopathic ; Low Back Pain - therapy ; Quality of Life ; Spinal pain</subject><ispartof>Archives of gerontology and geriatrics, 2020-09, Vol.90, p.104177-104177, Article 104177</ispartof><rights>2020 Elsevier B.V.</rights><rights>Copyright © 2020 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-64b0c24c5d9017dfc264199cd4dd54288b967dc4cf3ac04a8a0cd2891b663dba3</citedby><cites>FETCH-LOGICAL-c365t-64b0c24c5d9017dfc264199cd4dd54288b967dc4cf3ac04a8a0cd2891b663dba3</cites><orcidid>0000-0001-6012-8995 ; 0000-0001-7253-4392 ; 0000-0001-6271-7558 ; 0000-0002-8658-3774</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.archger.2020.104177$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32682168$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Amaral, Lorena K.B.</creatorcontrib><creatorcontrib>Souza, Mateus B.</creatorcontrib><creatorcontrib>Campos, Mariana G.M.</creatorcontrib><creatorcontrib>Mendonça, Vanessa A.</creatorcontrib><creatorcontrib>Bastone, Alessandra</creatorcontrib><creatorcontrib>Pereira, Leani S.M.</creatorcontrib><creatorcontrib>Mascarenhas, Rodrigo O.</creatorcontrib><creatorcontrib>Oliveira, Vinicius C.</creatorcontrib><title>Efficacy of conservative therapy in older people with nonspecific low back pain: A systematic review with meta-analysis and GRADE recommendations</title><title>Archives of gerontology and geriatrics</title><addtitle>Arch Gerontol Geriatr</addtitle><description>•Low back pain is prevalent in older people affecting independence and autonomy.•Evidence of conservative therapy for older people with low back pain is scarce.•This review found that exercise has a short-term effect on disability.•Trigger point acupuncture has also short-term effects on disability and pain.
This systematic review aimed to investigate the effectiveness of conservative therapy in older people with nonspecific low back pain.
Searches were conducted on Medline, Amed, Embase, Cochrane, Psycinfo and Pedro databases up to 2020. Risk of bias were assessed using the 0−10 PEDro scale. Weighted mean differences (WMDs) or mean differences (MDs) with 95 % confidence intervals (CIs) were reported for each conservative therapy, and strength of the current evidence was assessed using the GRADE approach.
Eleven original trials were included investigating effects on disability, pain, coping, quality of life, strength, balance, depression, falls, sleep quality, mobility, body mass index, percentage body fat, trunk muscle mass and waist-to-hip ratio. Moderate quality evidence showed short-term effects of trigger point acupuncture on disability (WMD = 5.0 points [95 % CI 3.5–6.4] on a 25-point scale) and pain (WMD = 35.9 points [95 % CI 22.2–49.7] on a 101-point scale), and of exercise on disability (WMD = 1.7 points [95 % CI 0.3–3.0]) when compared with control (placebo, sham, waiting list or no intervention). Moderate quality evidence showed no short-term effect of exercise on coping (95 % CI −5.0 to 14.6). Moreover, evidence for other important outcomes in older people is scarce and we did not find any trial investigating pharmacological therapies.
Findings support partially exercise and trigger point acupuncture to improve disability and/or pain. Future trials with appropriate sample sizes are likely to impact on the estimates and need to clarify medium- and long-term effects.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Conservative interventions</subject><subject>Conservative Treatment</subject><subject>Effectiveness</subject><subject>Elderly</subject><subject>Exercise</subject><subject>Exercise Therapy</subject><subject>Humans</subject><subject>Idiopathic</subject><subject>Low Back Pain - therapy</subject><subject>Quality of Life</subject><subject>Spinal pain</subject><issn>0167-4943</issn><issn>1872-6976</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUGP0zAQhS0EYsvCTwD5yCXFdlwn5oKq3bIgrYSE4Gw54wl1SeJgp63yM_jHuErhymmk0ffeaN4j5DVna864endY2wj7HxjXgonLTvKqekJWvK5EoXSlnpJV5qpCalnekBcpHRhjkgn1nNyUQtWCq3pFfu_a1oOFmYaWQhgSxpOd_AnptMdox5n6gYbOYaQjhrFDevbTng6ZHBF81tIunGlj4ScdrR_e0y1Nc5qwzy5AI548nhdNj5Mt7GC7OflE7eDow9ft_S4zEPoeB5cV2fYledbaLuGr67wl3z_uvt19Kh6_PHy-2z4WUKrNVCjZMBASNk4zXrkWhJJca3DSuY0Udd1oVTmQ0JYWmLS1ZeBErXmjVOkaW96St4vvGMOvI6bJ9D4Bdp0dMByTEVJIrcuyqjO6WVCIIaWIrRmj722cDWfm0oY5mGsb5tKGWdrIujfXE8emR_dP9Tf-DHxYAMyP5qSiSeBxAHQ-pzIZF_x_TvwBplSgjQ</recordid><startdate>202009</startdate><enddate>202009</enddate><creator>Amaral, Lorena K.B.</creator><creator>Souza, Mateus B.</creator><creator>Campos, Mariana G.M.</creator><creator>Mendonça, Vanessa A.</creator><creator>Bastone, Alessandra</creator><creator>Pereira, Leani S.M.</creator><creator>Mascarenhas, Rodrigo O.</creator><creator>Oliveira, Vinicius C.</creator><general>Elsevier B.V</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><orcidid>https://orcid.org/0000-0001-6012-8995</orcidid><orcidid>https://orcid.org/0000-0001-7253-4392</orcidid><orcidid>https://orcid.org/0000-0001-6271-7558</orcidid><orcidid>https://orcid.org/0000-0002-8658-3774</orcidid></search><sort><creationdate>202009</creationdate><title>Efficacy of conservative therapy in older people with nonspecific low back pain: A systematic review with meta-analysis and GRADE recommendations</title><author>Amaral, Lorena K.B. ; Souza, Mateus B. ; Campos, Mariana G.M. ; Mendonça, Vanessa A. ; Bastone, Alessandra ; Pereira, Leani S.M. ; Mascarenhas, Rodrigo O. ; Oliveira, Vinicius C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-64b0c24c5d9017dfc264199cd4dd54288b967dc4cf3ac04a8a0cd2891b663dba3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Conservative interventions</topic><topic>Conservative Treatment</topic><topic>Effectiveness</topic><topic>Elderly</topic><topic>Exercise</topic><topic>Exercise Therapy</topic><topic>Humans</topic><topic>Idiopathic</topic><topic>Low Back Pain - therapy</topic><topic>Quality of Life</topic><topic>Spinal pain</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Amaral, Lorena K.B.</creatorcontrib><creatorcontrib>Souza, Mateus B.</creatorcontrib><creatorcontrib>Campos, Mariana G.M.</creatorcontrib><creatorcontrib>Mendonça, Vanessa A.</creatorcontrib><creatorcontrib>Bastone, Alessandra</creatorcontrib><creatorcontrib>Pereira, Leani S.M.</creatorcontrib><creatorcontrib>Mascarenhas, Rodrigo O.</creatorcontrib><creatorcontrib>Oliveira, Vinicius C.</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>Archives of gerontology and geriatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Amaral, Lorena K.B.</au><au>Souza, Mateus B.</au><au>Campos, Mariana G.M.</au><au>Mendonça, Vanessa A.</au><au>Bastone, Alessandra</au><au>Pereira, Leani S.M.</au><au>Mascarenhas, Rodrigo O.</au><au>Oliveira, Vinicius C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Efficacy of conservative therapy in older people with nonspecific low back pain: A systematic review with meta-analysis and GRADE recommendations</atitle><jtitle>Archives of gerontology and geriatrics</jtitle><addtitle>Arch Gerontol Geriatr</addtitle><date>2020-09</date><risdate>2020</risdate><volume>90</volume><spage>104177</spage><epage>104177</epage><pages>104177-104177</pages><artnum>104177</artnum><issn>0167-4943</issn><eissn>1872-6976</eissn><abstract>•Low back pain is prevalent in older people affecting independence and autonomy.•Evidence of conservative therapy for older people with low back pain is scarce.•This review found that exercise has a short-term effect on disability.•Trigger point acupuncture has also short-term effects on disability and pain.
This systematic review aimed to investigate the effectiveness of conservative therapy in older people with nonspecific low back pain.
Searches were conducted on Medline, Amed, Embase, Cochrane, Psycinfo and Pedro databases up to 2020. Risk of bias were assessed using the 0−10 PEDro scale. Weighted mean differences (WMDs) or mean differences (MDs) with 95 % confidence intervals (CIs) were reported for each conservative therapy, and strength of the current evidence was assessed using the GRADE approach.
Eleven original trials were included investigating effects on disability, pain, coping, quality of life, strength, balance, depression, falls, sleep quality, mobility, body mass index, percentage body fat, trunk muscle mass and waist-to-hip ratio. Moderate quality evidence showed short-term effects of trigger point acupuncture on disability (WMD = 5.0 points [95 % CI 3.5–6.4] on a 25-point scale) and pain (WMD = 35.9 points [95 % CI 22.2–49.7] on a 101-point scale), and of exercise on disability (WMD = 1.7 points [95 % CI 0.3–3.0]) when compared with control (placebo, sham, waiting list or no intervention). Moderate quality evidence showed no short-term effect of exercise on coping (95 % CI −5.0 to 14.6). Moreover, evidence for other important outcomes in older people is scarce and we did not find any trial investigating pharmacological therapies.
Findings support partially exercise and trigger point acupuncture to improve disability and/or pain. Future trials with appropriate sample sizes are likely to impact on the estimates and need to clarify medium- and long-term effects.</abstract><cop>Netherlands</cop><pub>Elsevier B.V</pub><pmid>32682168</pmid><doi>10.1016/j.archger.2020.104177</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-6012-8995</orcidid><orcidid>https://orcid.org/0000-0001-7253-4392</orcidid><orcidid>https://orcid.org/0000-0001-6271-7558</orcidid><orcidid>https://orcid.org/0000-0002-8658-3774</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0167-4943 |
| ispartof | Archives of gerontology and geriatrics, 2020-09, Vol.90, p.104177-104177, Article 104177 |
| issn | 0167-4943 1872-6976 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2424993378 |
| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Aged Aged, 80 and over Conservative interventions Conservative Treatment Effectiveness Elderly Exercise Exercise Therapy Humans Idiopathic Low Back Pain - therapy Quality of Life Spinal pain |
| title | Efficacy of conservative therapy in older people with nonspecific low back pain: A systematic review with meta-analysis and GRADE recommendations |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-13T02%3A00%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Efficacy%20of%20conservative%20therapy%20in%20older%20people%20with%20nonspecific%20low%20back%20pain:%20A%20systematic%20review%20with%20meta-analysis%20and%20GRADE%20recommendations&rft.jtitle=Archives%20of%20gerontology%20and%20geriatrics&rft.au=Amaral,%20Lorena%20K.B.&rft.date=2020-09&rft.volume=90&rft.spage=104177&rft.epage=104177&rft.pages=104177-104177&rft.artnum=104177&rft.issn=0167-4943&rft.eissn=1872-6976&rft_id=info:doi/10.1016/j.archger.2020.104177&rft_dat=%3Cproquest_cross%3E2424993378%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2424993378&rft_id=info:pmid/32682168&rft_els_id=S0167494320301710&rfr_iscdi=true |