Physical therapy treatments for low back pain in children and adolescents: a meta-analysis.

Background: Low back pain (LBP) in adolescents is associated with LBP in later years. In recent years treatments have been administered to adolescents for LBP, but it is not known which physical therapy treatment is the most efficacious. By means of a meta-analysis, the current study investigated th...

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Detalles Bibliográficos
Autores: Calvo Muñoz, Inmaculada, Gómez Conesa, Antonia, Sánchez Meca, Julio
Tipo de recurso: artículo
Fecha de publicación:2013
País:España
Institución:Universidad Católica San Antonio de Murcia (UCAM)
Repositorio:RIUCAM. Repositorio Institucional de la Universidad Católica San Antonio de Murcia
OAI Identifier:oai:repositorio.ucam.edu:10952/9838
Acceso en línea:http://hdl.handle.net/10952/9838
Access Level:acceso abierto
Palabra clave:Adolescent
Child
Low back pain
Meta-analysis
Physical therapy
Effectiveness
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spelling Physical therapy treatments for low back pain in children and adolescents: a meta-analysis.Calvo Muñoz, InmaculadaGómez Conesa, AntoniaSánchez Meca, JulioAdolescentChildLow back painMeta-analysisPhysical therapyEffectivenessBackground: Low back pain (LBP) in adolescents is associated with LBP in later years. In recent years treatments have been administered to adolescents for LBP, but it is not known which physical therapy treatment is the most efficacious. By means of a meta-analysis, the current study investigated the effectiveness of the physical therapy treatments for LBP in children and adolescents. Methods: Studies in English, Spanish, French, Italian and Portuguese, and carried out by March 2011, were selected by electronic and manual search. Two independent researchers coded the moderator variables of the studies, and performed the effect size calculations. The mean effect size index used was the standardized mean change between the pretest and posttest, and it was applied separately for each combination of outcome measures, (pain, disability, flexibility, endurance and mental health) and measurement type (self-reports, and clinician assessments). Results: Eight articles that met the selection criteria enabled us to define 11 treatment groups and 5 control groups using the group as the unit of analysis. The 16 groups involved a total sample of 334 subjects at the posttest (221 in the treatment groups and 113 in the control groups). For all outcome measures, the average effect size of the treatment groups was statistically and clinically significant, whereas the control groups had negative average effect sizes that were not statistically significant. Conclusions: Of all the physical therapy treatments for LBP in children and adolescents, the combination of therapeutic physical conditioning and manual therapy is the most effective. The low number of studies and control groups, and the methodological limitations in this meta-analysis prevent us from drawing definitive conclusions in relation to the efficacy of physical therapy treatments in LBP.Terapia y RehabilitaciónCiencias de la SaludFisioterapia, Podología y Terapia Ocupacional2013info:eu-repo/semantics/articlehttp://hdl.handle.net/10952/9838reponame:RIUCAM. Repositorio Institucional de la Universidad Católica San Antonio de Murciainstname:Universidad Católica San Antonio de Murcia (UCAM)Inglésinfo:eu-repo/semantics/openAccessoai:repositorio.ucam.edu:10952/98382026-06-07T18:35:21Z
dc.title.none.fl_str_mv Physical therapy treatments for low back pain in children and adolescents: a meta-analysis.
title Physical therapy treatments for low back pain in children and adolescents: a meta-analysis.
spellingShingle Physical therapy treatments for low back pain in children and adolescents: a meta-analysis.
Calvo Muñoz, Inmaculada
Adolescent
Child
Low back pain
Meta-analysis
Physical therapy
Effectiveness
title_short Physical therapy treatments for low back pain in children and adolescents: a meta-analysis.
title_full Physical therapy treatments for low back pain in children and adolescents: a meta-analysis.
title_fullStr Physical therapy treatments for low back pain in children and adolescents: a meta-analysis.
title_full_unstemmed Physical therapy treatments for low back pain in children and adolescents: a meta-analysis.
title_sort Physical therapy treatments for low back pain in children and adolescents: a meta-analysis.
dc.creator.none.fl_str_mv Calvo Muñoz, Inmaculada
Gómez Conesa, Antonia
Sánchez Meca, Julio
author Calvo Muñoz, Inmaculada
author_facet Calvo Muñoz, Inmaculada
Gómez Conesa, Antonia
Sánchez Meca, Julio
author_role author
author2 Gómez Conesa, Antonia
Sánchez Meca, Julio
author2_role author
author
dc.subject.none.fl_str_mv Adolescent
Child
Low back pain
Meta-analysis
Physical therapy
Effectiveness
topic Adolescent
Child
Low back pain
Meta-analysis
Physical therapy
Effectiveness
description Background: Low back pain (LBP) in adolescents is associated with LBP in later years. In recent years treatments have been administered to adolescents for LBP, but it is not known which physical therapy treatment is the most efficacious. By means of a meta-analysis, the current study investigated the effectiveness of the physical therapy treatments for LBP in children and adolescents. Methods: Studies in English, Spanish, French, Italian and Portuguese, and carried out by March 2011, were selected by electronic and manual search. Two independent researchers coded the moderator variables of the studies, and performed the effect size calculations. The mean effect size index used was the standardized mean change between the pretest and posttest, and it was applied separately for each combination of outcome measures, (pain, disability, flexibility, endurance and mental health) and measurement type (self-reports, and clinician assessments). Results: Eight articles that met the selection criteria enabled us to define 11 treatment groups and 5 control groups using the group as the unit of analysis. The 16 groups involved a total sample of 334 subjects at the posttest (221 in the treatment groups and 113 in the control groups). For all outcome measures, the average effect size of the treatment groups was statistically and clinically significant, whereas the control groups had negative average effect sizes that were not statistically significant. Conclusions: Of all the physical therapy treatments for LBP in children and adolescents, the combination of therapeutic physical conditioning and manual therapy is the most effective. The low number of studies and control groups, and the methodological limitations in this meta-analysis prevent us from drawing definitive conclusions in relation to the efficacy of physical therapy treatments in LBP.
publishDate 2013
dc.date.none.fl_str_mv 2013
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv http://hdl.handle.net/10952/9838
url http://hdl.handle.net/10952/9838
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv reponame:RIUCAM. Repositorio Institucional de la Universidad Católica San Antonio de Murcia
instname:Universidad Católica San Antonio de Murcia (UCAM)
instname_str Universidad Católica San Antonio de Murcia (UCAM)
reponame_str RIUCAM. Repositorio Institucional de la Universidad Católica San Antonio de Murcia
collection RIUCAM. Repositorio Institucional de la Universidad Católica San Antonio de Murcia
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