Lorena K B Amaral1, Mateus B Souza2, Mariana G M Campos3, Vanessa A Mendonça4, Alessandra Bastone5, Leani S M Pereira6, Rodrigo O Mascarenhas7, Vinicius C Oliveira8. 1. Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri. Rodovia MGT 367, Km 583, 5000, Campus JK, CEP: 39.100-000, Diamantina, Brazil. Electronic address: lorenababetto@gmail.com. 2. Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rodovia MGT 367, Km 583, 5000, Campus JK, CEP: 39.100-000, Diamantina, Brazil. Electronic address: mateusbastos1993@gmail.com. 3. Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rodovia MGT 367, Km 583, 5000, Campus JK, CEP: 39.100-000, Diamantina, Brazil. Electronic address: marigabrich18@gmail.com. 4. Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rodovia MGT 367, Km 583, 5000, Campus JK, CEP: 39.100-000, Diamantina, Brazil. Electronic address: vaafisio@hotmail.com. 5. Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rodovia MGT 367, Km 583, 5000, Campus JK, CEP: 39.100-000, Diamantina, Brazil. Electronic address: ale.bastone@gmail.com. 6. Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Av. Pres. Antônio Carlos, 6627, Campus Pampulha, CEP 31270-901, Belo Horizonte, Brazil. Electronic address: leanismp.bh@terra.com.br. 7. Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri. Rodovia MGT 367, Km 583, 5000, Campus JK, CEP: 39.100-000, Diamantina, Brazil. Electronic address: rodmasc@yahoo.com.br. 8. Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rodovia MGT 367, Km 583, 5000, Campus JK, CEP: 39.100-000, Diamantina, Brazil. Electronic address: vcunhaoliveira@gmail.com.
Abstract
PURPOSE: This systematic review aimed to investigate the effectiveness of conservative therapy in older people with nonspecific low back pain. MATERIALS AND METHODS: 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. RESULTS: 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. CONCLUSION: 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.
PURPOSE: This systematic review aimed to investigate the effectiveness of conservative therapy in older people with nonspecific low back pain. MATERIALS AND METHODS: 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. RESULTS: 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. CONCLUSION: 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.
Authors: Hélio José Coelho-Júnior; Marco Carlos Uchida; Anna Picca; Roberto Bernabei; Francesco Landi; Riccardo Calvani; Matteo Cesari; Emanuele Marzetti Journal: Aging Clin Exp Res Date: 2021-02-15 Impact factor: 3.636
Authors: Laísa B Maia; Letícia G Amarante; Débora F M Vitorino; Rodrigo O Mascarenhas; Ana Cristina R Lacerda; Bianca M Lourenço; Vinícius C Oliveira Journal: Braz J Phys Ther Date: 2021-07-22 Impact factor: 3.377