PDF(Pubmed)
Abstract：
BACKGROUND: Low back pain (LBP) is a leading cause of disability. Neuromobilization (NM) as a physical therapy technique, offers some degree of symptom improvement. However, some studies have shown that NM can significantly reduce the symptoms of LBP, while others have failed to find similar positive effects.
OBJECTIVE: This study aims to investigate the effectiveness of NM for LBP.
METHODS: A literature search was conducted across five databases (MEDLINE, Embase, Cochrane Library, PubMed, and Web of Science) from their inception to December 2023. Study main measures assessed pain, disability, and straight leg raise angle to determine the degree of improvement in patients.
RESULTS: Seven randomized controlled trials were included in the analysis. The findings indicated that NM interventions in patients with LBP were more effective than control groups in improving Visual Analog Scale scores (mean difference = 0.62, 95% CI (0.03, 1.21)) and Oswestry Disability Index scores (mean difference = 7.54, 95% CI (4.98, 10.10)). There was no significant difference in straight leg raise results (mean difference = 0.18, 95% CI (-0.08, 0.44)).
CONCLUSIONS: NM demonstrated effectiveness in improving Visual Analog Scale and Oswestry Disability Index outcomes in patients with LBP, but straight leg raise outcomes are still uncertain and until more high-quality studies are included, the effectiveness of NM for SLR remains unknown.
OBJECTIVE: This study aims to investigate the effectiveness of NM for LBP.
METHODS: A literature search was conducted across five databases (MEDLINE, Embase, Cochrane Library, PubMed, and Web of Science) from their inception to December 2023. Study main measures assessed pain, disability, and straight leg raise angle to determine the degree of improvement in patients.
RESULTS: Seven randomized controlled trials were included in the analysis. The findings indicated that NM interventions in patients with LBP were more effective than control groups in improving Visual Analog Scale scores (mean difference = 0.62, 95% CI (0.03, 1.21)) and Oswestry Disability Index scores (mean difference = 7.54, 95% CI (4.98, 10.10)). There was no significant difference in straight leg raise results (mean difference = 0.18, 95% CI (-0.08, 0.44)).
CONCLUSIONS: NM demonstrated effectiveness in improving Visual Analog Scale and Oswestry Disability Index outcomes in patients with LBP, but straight leg raise outcomes are still uncertain and until more high-quality studies are included, the effectiveness of NM for SLR remains unknown.
摘要：
背景：下腰痛（LBP）是导致残疾的主要原因。神经动员（NM）作为一种物理治疗技术，提供一定程度的症状改善。然而,一些研究表明，NM可以显着减轻LBP的症状，而其他人则未能找到类似的积极影响。
目的：本研究旨在探讨NM治疗LBP的有效性。
方法：在五个数据库中进行了文献检索(MEDLINE，Embase,科克伦图书馆,PubMed,和WebofScience)从成立到2023年12月。研究主要措施评估疼痛，残疾,和直腿抬高角度，以确定患者的改善程度。
结果：七项随机对照试验纳入分析。结果表明，NM干预在改善LBP患者的视觉模拟量表评分（平均差异=0.62，95％CI（0.03，1.21））和Oswestry残疾指数评分（平均差异=7.54，95％CI（4.98，10.10））方面比对照组更有效。直腿抬高结果没有显着差异（平均差异=0.18，95％CI（-0.08，0.44））。
结论：NM在改善LBP患者的视觉模拟量表和Oswestry残疾指数结局方面显示出有效性，但是直腿抬高的结果仍然不确定，直到包括更多高质量的研究，NM对SLR的有效性仍然未知。
目的：本研究旨在探讨NM治疗LBP的有效性。
方法：在五个数据库中进行了文献检索(MEDLINE，Embase,科克伦图书馆,PubMed,和WebofScience)从成立到2023年12月。研究主要措施评估疼痛，残疾,和直腿抬高角度，以确定患者的改善程度。
结果：七项随机对照试验纳入分析。结果表明，NM干预在改善LBP患者的视觉模拟量表评分（平均差异=0.62，95％CI（0.03，1.21））和Oswestry残疾指数评分（平均差异=7.54，95％CI（4.98，10.10））方面比对照组更有效。直腿抬高结果没有显着差异（平均差异=0.18，95％CI（-0.08，0.44））。
结论：NM在改善LBP患者的视觉模拟量表和Oswestry残疾指数结局方面显示出有效性，但是直腿抬高的结果仍然不确定，直到包括更多高质量的研究，NM对SLR的有效性仍然未知。
