Role of low-intensity pulsed ultrasound on lumbar spondylolysis: A systematic review.

Fahad Tanveer,Syed Asadullah Arslan,Syed Amir Gilani,Haider Darain,Asif Hanif,Ashfaq Ahmad

doi:10.47391/jpma.3320

Fahad Tanveer, Syed Asadullah Arslan + Show 4 more

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https://doi.org/10.47391/jpma.3320

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Abstract

To systematically review the role of low-intensity pulsed ultrasound on lumbar spondylolysis. Literature search was conducted on PubMed, Embase, CINAHL, Web of Science, PEDro and Scopus databases to identify relevant studies published between 2010 and 2020 by using medical subject headings and applying Booleans, such as low-intensity pulsed ultrasound OR interventional ultrasound AND lumbar spine OR lumbar region AND spondylolysis OR stress fracture. Unpublished studies were hand-searched in the journals, abstracts of conferences were reviewed, and citation index was used for searching experts in the field and then contacting them for information. Studies included were the ones that had at least one of the following outcomes: bone union rate, treatment period to bone union and time to return to previous activities. Of the 243 studies identified, 228(94%) were full text articles and only 2(0.8%) studies were critically appraised for qualitative synthesis based on bone union rate, treatment period to bone union, and time to return to previous activities. Low-intensity pulsed ultrasound was found to be effective for bone union and a useful therapy for quick return to playing sports in patients with lumbar spondylolysis.

Highlights

Low-back pain (LBP) has emerged as an expensive health problem in many countries.[1]
2(0.8%) studies were critically appraised for qualitative synthesis based on bone union rate, treatment period to bone union, and time to return to previous activities
Pr ov is io na lly Conclusion: Low-intensity pulsed ultrasound was found to be effective for bone union and a useful therapy for quick return to playing sports in patients with lumbar spondylolysis

Summary

Introduction

Low-back pain (LBP) has emerged as an expensive health problem in many countries.[1] Lumbar spondylolysis, which is the defect or abnormality of the pars interarticularis and a common LBP cause[2], mostly occurs in males bilaterally at the fifth lumbar vertebra[3]. It has a prevalence of 5% in children age

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Conclusion