Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Is adding pelvic floor muscle training to an exercise intervention more effective at improving pain in patients with non-specific low back pain? A systematic review of randomized controlled trials (2021) |
Auteurs : | Stéphanie Bernard ; Evelyne Gentilcore-Saulnier ; Hugo Massé-Alarie ; Hélène Moffet |
Type de document : | Article |
Dans : | Physiotherapy (Vol. 110, 2021) |
Article en page(s) : | p. 15-25 |
Note générale : | https://doi.org/10.1016/j.physio.2020.02.005 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Exercice physique ; Lombalgie ; Plancher pelvien ; Revue systématique ; Traitement par les exercices physiques |
Résumé : |
Background
Pelvic floor muscles (PFM) contribute to optimal control of the lumbopelvic spine. PFM function appears altered in some people with nonspecific low back pain (LBP). Objective To systematically review if adding PFM training (PFMT) to another exercise intervention can be more effective at improving pain and function in people with nonspecific LBP than without PFMT. Data sources The authors conducted a literature search on Medline, Embase, CINAHL, Cochrane Central and Web of Sciences up to October 2018. Eligibility criteria (1) Participants with nonspecific LBP; (2) additional PFMT to an exercise intervention; (3) comparison to the same intervention without PFMT; (4) included minimally one planned outcome; and (5) a randomized controlled trial. Two reviewers performed screening, data extraction (primary outcome; pain severity, secondary outcome; physical function) and risk of bias assessment. Synthesis methods Meta-analysis was performed using mean difference and 95% confidence intervals. Results Six studies were included (n = 200 participants). Participants with PFMT had lower pain severity in comparison with the group without PFMT (mean difference: −0.61, 95%CI [−0.91, −0.31], P Limitations Small groups and high heterogenicity limit our findings. Conclusion There is very low-quality evidence that there is a small benefit of adding PFMT to another exercise intervention on pain severity in nonspecific LBP. Longer duration for an integrated lumbopelvic exercise program including PFMT is likely to impact pain outcomes positively. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940620300195#! |