Efficacy of neuromobilization in the treatment of low back pain: Systematic review and meta-analysis.

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  • Author(s): Chen Q;Chen Q; Wang Z; Wang Z; Chen X; Chen X; Du J; Du J; Zhang S; Zhang S
  • Source:
    PloS one [PLoS One] 2024 May 07; Vol. 19 (5), pp. e0302930. Date of Electronic Publication: 2024 May 07 (Print Publication: 2024).
  • Publication Type:
    Journal Article; Meta-Analysis; Systematic Review; Research Support, Non-U.S. Gov't
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
    • Publication Information:
      Original Publication: San Francisco, CA : Public Library of Science
    • Subject Terms:
      Low Back Pain*/therapy; Humans ; Treatment Outcome ; Physical Therapy Modalities ; Randomized Controlled Trials as Topic ; Pain Measurement
    • 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.
      Data Sources: 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.
      Competing Interests: The authors have declared that no competing interests exist.
      (Copyright: © 2024 Chen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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    • Publication Date:
      Date Created: 20240507 Date Completed: 20240507 Latest Revision: 20240521
    • Publication Date:
      20240522
    • Accession Number:
      PMC11075829
    • Accession Number:
      10.1371/journal.pone.0302930
    • Accession Number:
      38713706