Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis

Background: The aim of this systematic review and meta-analysis was to evaluate the global postural re-education (GPR) program’s effectiveness compared to other exercise programs in subjects with persistent chronic low back pain. Methods: A systematic review and meta-analysis were carried out using...

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Autores principales:	Gloria Gonzalez-Medina, Veronica Perez-Cabezas, Carmen Ruiz-Molinero, Gema Chamorro-Moriana, Jose Jesus Jimenez-Rejano, Alejandro Galán-Mercant
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	chronic low back pain global postural re-education disability physical therapy pain Medicine R
Acceso en línea:	https://doaj.org/article/f67f46816b26407bb7e8511c60bd1400
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id	oai:doaj.org-article:f67f46816b26407bb7e8511c60bd1400
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spelling	oai:doaj.org-article:f67f46816b26407bb7e8511c60bd14002021-11-25T18:01:47ZEffectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis10.3390/jcm102253272077-0383https://doaj.org/article/f67f46816b26407bb7e8511c60bd14002021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5327https://doaj.org/toc/2077-0383Background: The aim of this systematic review and meta-analysis was to evaluate the global postural re-education (GPR) program’s effectiveness compared to other exercise programs in subjects with persistent chronic low back pain. Methods: A systematic review and meta-analysis were carried out using PRISMA2020. An electronic search of scientific databases was performed from their inception to January 2021. Randomized controlled trials that analyzed pain and patient-reported outcomes were included in this review. Four meta-analyses were performed. The outcomes analyzed were disability due to back pain and pain. The risk of bias and quality of evidence were evaluated. The final search was conducted in March. Results: Seven trials were included, totaling 334 patients. The results showed improvement in pain measured by Visual Analogue Scale (VAS) (Standardised Mean Difference (SMD) = −0.69; 95% Confidence Interval (CI), −1.01 to −0.37; <i>p</i> < 0.0001), Numerical Pain Scale (NRS) (SMD = −0.40; 95% CI, −0.87 to 0.06); <i>p</i> = 0.022), VAS + NRS (SMD = −1.32; 95% CI, −1.87 to −0.77; <i>p</i> < 0.0001) and function (Roland Morris Disability Questionnaire (RMDQ)) (SMD = −0.55; 95% CI, −0.83 to −0.27; <i>p</i> < 0.0001) after GPR treatment. Conclusion: This meta-analysis provides reliable evidence that GPR may be an effective method for treating LBP by decreasing pain and improving function, with strong evidence.Gloria Gonzalez-MedinaVeronica Perez-CabezasCarmen Ruiz-MolineroGema Chamorro-MorianaJose Jesus Jimenez-RejanoAlejandro Galán-MercantMDPI AGarticlechronic low back painglobal postural re-educationdisabilityphysical therapypainMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5327, p 5327 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic low back pain global postural re-education disability physical therapy pain Medicine R
spellingShingle	chronic low back pain global postural re-education disability physical therapy pain Medicine R Gloria Gonzalez-Medina Veronica Perez-Cabezas Carmen Ruiz-Molinero Gema Chamorro-Moriana Jose Jesus Jimenez-Rejano Alejandro Galán-Mercant Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis
description	Background: The aim of this systematic review and meta-analysis was to evaluate the global postural re-education (GPR) program’s effectiveness compared to other exercise programs in subjects with persistent chronic low back pain. Methods: A systematic review and meta-analysis were carried out using PRISMA2020. An electronic search of scientific databases was performed from their inception to January 2021. Randomized controlled trials that analyzed pain and patient-reported outcomes were included in this review. Four meta-analyses were performed. The outcomes analyzed were disability due to back pain and pain. The risk of bias and quality of evidence were evaluated. The final search was conducted in March. Results: Seven trials were included, totaling 334 patients. The results showed improvement in pain measured by Visual Analogue Scale (VAS) (Standardised Mean Difference (SMD) = −0.69; 95% Confidence Interval (CI), −1.01 to −0.37; <i>p</i> < 0.0001), Numerical Pain Scale (NRS) (SMD = −0.40; 95% CI, −0.87 to 0.06); <i>p</i> = 0.022), VAS + NRS (SMD = −1.32; 95% CI, −1.87 to −0.77; <i>p</i> < 0.0001) and function (Roland Morris Disability Questionnaire (RMDQ)) (SMD = −0.55; 95% CI, −0.83 to −0.27; <i>p</i> < 0.0001) after GPR treatment. Conclusion: This meta-analysis provides reliable evidence that GPR may be an effective method for treating LBP by decreasing pain and improving function, with strong evidence.
format	article
author	Gloria Gonzalez-Medina Veronica Perez-Cabezas Carmen Ruiz-Molinero Gema Chamorro-Moriana Jose Jesus Jimenez-Rejano Alejandro Galán-Mercant
author_facet	Gloria Gonzalez-Medina Veronica Perez-Cabezas Carmen Ruiz-Molinero Gema Chamorro-Moriana Jose Jesus Jimenez-Rejano Alejandro Galán-Mercant
author_sort	Gloria Gonzalez-Medina
title	Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis
title_short	Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis
title_full	Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis
title_fullStr	Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis
title_full_unstemmed	Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis
title_sort	effectiveness of global postural re-education in chronic non-specific low back pain: systematic review and meta-analysis
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/f67f46816b26407bb7e8511c60bd1400
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Effectiveness of Global Postural Re-Education in Chronic Non-Specific Low Back Pain: Systematic Review and Meta-Analysis

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