Posterior-Chain Resistance Training Compared to General Exercise and Walking Programmes for the Treatment of Chronic Low Back Pain in the General Population: A Systematic Review and Meta-Analysis

Tataryn, Nicholas; Simas, Vini; Catterall, Tailah; Furness, James; Keogh, Justin W. L.

doi:10.1186/s40798-021-00306-w

Sports Medicine - Open

Table 5 Best level of evidence synthesis PCRT vs GE

From: Posterior-Chain Resistance Training Compared to General Exercise and Walking Programmes for the Treatment of Chronic Low Back Pain in the General Population: A Systematic Review and Meta-Analysis

Study	Study quality^a	Effect statistic (95% CI)	Descriptor of magnitude	Level of evidence ^b
Pain
VAS and NPRS
6–8 weeks
Aasa et al. 2015 [30]	Good	− 0.13 [− 0.60, 0.34]	Trivial	Moderate
Atalay et al. 2017 [36]	Fair	− 0.33 [− 1.21, 0.56]	Small
Cai et al. 2015 [31]	Good	− 0.30 [− 0.85, 0.25]	Small
Suh et al. 2019 [35]	Good	− 0.50 [− 1.34, 0.34]	Moderate
Overall 6–8 weeks		− 0.26 [− 0.56, 0.05]	Small
12–16 weeks
Cortell-Tormo et al. 2018 [14]	Good	− 0.83 [− 1.67, 0.01]	Large	Strong
Hurley et al. 2015 [32]	Good	0.17 [− 0.16, 0.50]	Small
Jackson et al. 2011 [MA] [33]	Good	− 0.92 [− 1.68, − 0.16]	Large
Jackson et al. 2011 [OA] [33]	Good	− 0.91 [− 1.67, − 0.15]	Large
Kell et al. 2009 [34]	Good	− 0.87 [− 1.85, 0.10]	Large
Overall 12–16 weeks		− 0.61 [− 1.21, 0.00]	Moderate
Overall pain		− 0.41 [− 0.72, − 0.10]	Small	Strong
Disability
ODI and PSFS
6–8 weeks
Aasa et al. 2015 [30]	Good	− 0.38 [− 0.85, 0.09]	Small	Moderate
Atalay et al. 2017 [36]	Fair	− 0.22 [− 1.10, 0.66]	Small
Cai et al. 2015 [31]	Good	0.15 [− 0.40, 0.70]	Trivial
Suh et al. 2019 [35]	Good	− 0.05 [− 0.88, 0.77]	Trivial
Overall 6–8 weeks		− 0.15 [− 0.46, 0.16]	Trivial
12–16 weeks
Cortell-Tormo et al. 2018 [14]	Good	− 0.91 [− 1.76, − 0.06]	Large	Strong
Hurley et al. 2015 [32]	Good	− 0.02 [− 0.35, 0.31]	Trivial
Jackson et al. 2011 [MA] [33]	Good	− 0.74 [− 1.49, 0.00]	Moderate
Jackson et al. 2011 [OA] [33]	Good	− 0.75 [− 1.49, − 0.00]	Moderate
Kell et al. 2009 [34]	Good	− 0.75 [− 1.72, 0.21]	Moderate
Overall 12–16 weeks		− 0.53 [− 0.97, − 0.09]	Moderate
Overall LOD		− 0.31 [− 0.56, − 0.06]	Small	Strong
Strength
6–8 weeks
Aasa et al. 2015 [30]	Good	0.19 [− 0.28, 0.66]	Trivial	Conflicting
Atalay et al. 2017 [36]	Fair	0.41 [− 0.48, 1.30]	Small
Cai et al. 2015 [31]	Good	0.51 [− 0.04, 1.07]	Moderate
Overall 6–8 weeks		0.34 [0.00, 0.67]	Small
12–16 weeks
Jackson et al. 2011 [MA] [33]	Good	0.67 [− 0.07, 1.41]	Moderate	Strong
Jackson et al. 2011 [OA] [33]	Good	0.67 [− 0.07, 1.40]	Moderate
Kell et al. 2009 [34]	Good	0.68 [− 0.28, 1.64]	Moderate
Overall 12–16 weeks		0.67 [0.21, 1.13]	Moderate
Overall strength		0.45 [0.18, 0.72]	Small	Strong

PCRT posterior chain resistance training; GE general exercise; CI confidence intervals; VAS visual analogue scale; NPRS Numerical Pain Rating Scale; ODI Oswestry Disability Index; PSFS Patient-Specific Functional Scale
^aStudy quality determined from quality assessment using Furlan et al. [22]
^bLevel of evidence approach criteria is shown in Table 2. Descriptors – intervention favoured

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