The Archives of Bone and Joint Surgery، جلد ۸، شماره ۴، صفحات ۰-۰

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عنوان انگلیسی Effectiveness of Proprioceptive Neuromuscular Facilitation on Pain Intensity and Functional Disability in Patients with Low Back Pain: A Systematic Review and Meta-Analysis
چکیده انگلیسی مقاله Purpose: The objective of this study was to investigate the effectiveness of proprioceptive neuromuscular facilitation (PNF) training on back pain and disability in patients with low back pain (LBP). Methods: Five electronic databases including Pubmed/Medline (NLM), Scopus, Google Scholar, PEDro, and Cochrane CENTRAL were searched up to October 31, 2018. Clinical trials with concurrent comparison group(s) that compared the effectiveness of PNF training with any other physical therapy intervention were selected. Publication language was restricted to English language articles. Methodologic quality was assessed using the PEDro scale. We expressed pooled effects of continuous variables as Hedges’s g. Results: We identified 20 eligible studies with 965 LBP patients. A large effect size (SMD=-2.14, 95% CI= -3.23 to -1.05) and significant effect were determined, favoring the use of PNF training to alleviate back pain in patients with LBP. In addition, large effect size and significant results were also found for the effect of PNF training on disability improvement (SMD=-2.68, 95% CI=-3.36 to -2.00) in LBP population. A qualitative synthesis of results showed that PNF training can significantly improve sagittal spine ROM. Statistical heterogeneity analysis showed that there was considerable heterogeneity among the included studies for the primary outcomes (I2 ≥ 86.6%). Conclusion: There are low quality of evidence and weak strength of recommendation that PNF training has positive effects on back pain and disability in LBP people. Further high-quality research regarding long-term effects of PNF training versus validated control intervention in a clinical setting is recommendable. Level of Evidence: Ia
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نویسندگان مقاله | Mohammadreza Pourahmadi
Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran


| Mohamad Sahebalam
Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran


| Rasool Bagheri
Neuromuscular Rehabilitation Research Center, Department of Physiotherapy, Semnan University of Medical Sciences, Semnan, Iran



نشانی اینترنتی http://abjs.mums.ac.ir/article_16109.html
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زبان مقاله منتشر شده en
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نوع مقاله منتشر شده SYSTEMATIC REVIEW
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