Unit:
Κατεύθυνση Εργοσπιρομετρία και Καρδιοαναπνευστική ΑποκατάστασηLibrary of the School of Health Sciences
Supervisors info:
Σεραφείμ Νανάς, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Βασιλειάδης Ιωάννης, Επίκουρος Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Αναστάσιος Φιλίππου, Αν. Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Η αποτελεσματικότητα του manual therapy σε αναπνευστικές και κλινικές παραμέτρους ασθενών με χρόνιο οσφυϊκό πόνο: συστηματική ανασκόπηση
Translated title:
The effectiveness of manual therapy in improving clinical and respiratory parameters in patients with chronic low back pain: a systematic review
Summary:
Patients with chronic low back pain (CLBP) exhibit also respiratory dysfunction. Deficient motor control affects negatively the mechanics and biochemistry of breathing (pH-homeostasis) and an impaired/ineffective breathing pattern has been recognized as the main source of many unexplained symptoms in patients suffering from chronic low back pain (CLBP).
The aim of this systematic review was to collect and reveal evidence-based randomized controlled clinical trials investigating the effectiveness of manual therapy in improving respiratory and clinical parameters in patients with CLBP.
Methods: The systematic review was conducted via searching and selection of randomized controlled clinical trials, using specific keywords, in the scientific databases Pubmed, Scopus, and PEDro (Physiotherapy Evidence Database), from the earliest accessible –till December 2020. The related studies published in English language were extracted, evaluated and rated independently by two assessors using PEDro scale, while inspection of the results was performed by a third assessor.
Results: 128 clinical trials were collected from Pubmed, 232from Scopus, and 386 from PEDro database. From the total number of studies collected, 730 studies were excluded because they did not meet the inclusion criteria or were found in more than one database (duplicates). Twenty clinical trials were finally included for further evaluation in this systematic review and the methodological quality of these studies was found to be moderate according to the PEDro scale.
Conclusion: The existing clinical studies investigating therapeutic interventions for the improvement of respiratory dysfunction in patients with chronic low back pain are characterized by moderate methodological quality.
Thus, more high-quality randomized controlled clinical trials are needed, especially those that will utilize respiratory re-education and exercise of respiratory muscles as a therapeutic intervention, for the improvement of respiratory and clinical parameters in patients with CLBP.
Main subject category:
Health Sciences
Keywords:
Chronic low back pain, Manual therapy, Breathing exercises, Respiratory dysfunction, Breathing reeducation, Clinical trial, Breathing education, Clinical trials
