Comparative efficacy of 12 non-drug interventions on non-specific chronic low back pain in nurses: A systematic review and network meta-analysis

Autor:	Suzhai Tian, Chenxu Lv, Limei Tang, Weige Sun, Haijiao Zhang
Rok vydání:	2021
Předmět:	medicine.medical_specialty Network Meta-Analysis Psychological intervention MEDLINE Nurses Physical Therapy Sports Therapy and Rehabilitation CINAHL law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine Humans Orthopedics and Sports Medicine 030212 general & internal medicine business.industry Yoga Rehabilitation Confidence interval Exercise Therapy Strictly standardized mean difference Meta-analysis Physical therapy Health education Chronic Pain business Low Back Pain 030217 neurology & neurosurgery
Zdroj:	Journal of back and musculoskeletal rehabilitation. 34(4)
ISSN:	1878-6324
Popis:	BACKGROUND: Many non-drug interventions for decreasing non-specific chronic low back pain (NSCLBP) in nurses have been extensively studied, but the most effective approach is still unclear. OBJECTIVE: This systematic review and network meta-analysis evaluated the efficacies of 12 non-drug interventions in reducing NSCLBP in nurses. METHODS: PubMed, ScienceDirect, Web of Science, Cochrane, EMBASE, CINAHL, Medline, WANFANG, VIP, China Knowledge Integrated, and SinoMed were searched from their establishment to July 2019. Randomized controlled trials (RCTs) comparing non-drug interventions for NSCLBP in nurses were included and analyzed using Stata v15 statistical software. RESULTS: A total of 31 RCTs (n= 7116) and 12 non-drug interventions were included. The first three results with the highest surface areas under the curve ranking area (SUCRAs) were low back exercise plus healthy education, single low back exercise, and yoga (SUCRAs: 79.4%, 76.2%, and 75.1%, respectively). In addition, single yoga was inferior to protective equipment (standardized mean difference [SMD] = 3.88, 95% confidence interval [CI]: 0.92 to 6.84) and multidisciplinary intervention (SMD =-4.06, 95% CI: -7.33 to -0.78). CONCLUSIONS: Low back exercise plus health education may be the best approach to reduce NSCLBP in nurses. Considering the heterogeneity, our findings need to be confirmed in future multicenter large sample RCTs in different countries.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::039e6d958c00368d5de11cf40db31dbb https://pubmed.ncbi.nlm.nih.gov/33896808 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
Nepřihlášeným uživatelům se plný text nezobrazuje	K zobrazení výsledku je třeba se přihlásit.