Abstract

Sling exercise for chronic low back pain: a systematic review and meta-analysis

Highlights

  • Low back pain (LBP) is a very common disorder [1], with approximately 84% of adults experiencing an episode of low back pain (LBP) at some point during their lifetimes [2] and variable recurrence rates (5% to 60%) [3]

  • Self-reported pain and back pain specific functional status were evaluated in a randomized controlled trial [38], in which 82 patients receiving sling exercise (SE) and another 82 patients receiving physical agents combined with drug therapy were included

  • In this trial [38], self-reported pain was determined using numerical pain rating scale (NPRS), and back pain specific functional status was determined using modified Oswestry disability index (M-Oswestry disability index (ODI)). This trial [38] showed significant differences between SE and physical agents combined with drug therapy for either selfreported pain [–15.00 point (CI = –19.64 to –10.36)] or back pain specific functional status [–10.00 point (CI = –13.70 to –6.30)] at short-term follow-up period

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Summary

Introduction

Low back pain (LBP) is a very common disorder [1], with approximately 84% of adults experiencing an episode of LBP at some point during their lifetimes [2] and variable recurrence rates (5% to 60%) [3]. In the United States, back pain-related lost productive work time in workers aged between 40 and 65 years costs employers an estimated $7.40 billion per year [20]; and an estimated $50 billion is spent annually on LBP treatments [21]. In Australia, direct medical costs associated with LBP treatments are estimated at more than $1 billion per year, with additional $8 billion covering indirect expenses [22]. Chronic LBP accounts for three-quarters of the total direct and indirect costs of medical care and lost productivity associated with LBP [27]. This study aimed to review the effects of SE on chronic LBP

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