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SYSTEMATIC REVIEW article
Front. Neurol.
Sec. Neurorehabilitation
Volume 15 - 2024 |
doi: 10.3389/fneur.2024.1455505
This article is part of the Research Topic Integrated Clinical Management and Neurorehabilitation for Lumbosacral Spinal Diseases View all 11 articles
Effects of suspension exercise training in the treatment of lumbar disc herniation:A systematic review and meta-analysis
Provisionally accepted- College of Physical Education and Health, Guangxi Normal University., Guilin, China
Objective: To systematically evaluate the efficacy of suspension exercise training in the treatment of lumbar intervertebral disc herniation and provide a scientific basis for clinical treatment. Methods: The CNKI, Chinese Wanfang databases, PubMed, Cochrane , Web of Science, and Embase were searched up to June 2024. Quality assessment was performed using the Cochrane Collaboration's risk-of-bias guidelines, Meta-analysis was performed using RevMan 5.4 and Stata 17.0. Results: A total of 11 studies with 943 patients were included, and suspension exercise training significantly improved lumbar disc herniation visual analogue scale (VAS) score (MD = -0.96, 95% CI, -1.10 to -0.82; P <0.00001,I 2 = 23%)、Japanese Orthopaedic Association (JOA) score (MD = 3.29, 95% CI, 1.67 to 4.90; P < 0.0001,I 2 = 92%) and Oswestry disability index (ODI) score (MD = -5.41, 95% CI, -7.41 to -3.40; P < 0.00001,I 2 = 86%). Subgroup analysis of the JOA score showed better efficacy using suspension exercise training combined with traditional Chinese medicine (MD = 4.29, 95% CI, 2.73 to 5.86; P < 0.00001, I 2 = 80%) versus suspension exercise training combined with non-TCM (MD = 0.96, 95% CI, 0.49 to 1.43; P < 0.0001, I 2 = 0%). Conclusion: Suspension exercise training significantly improved the VAS score, JOA score, and ODI score of patients with lumbar disc herniation, but there was a high degree of heterogeneity in the JOA score and ODI score, and further validation is needed in the future for the different populations of lumbar disc herniation, the specific location of its occurrence, and the combined modality of suspension exercise training.
Keywords: suspension exercise training, Lumbar disc herniation, Pain, Meta-analysis, review
Received: 28 Jun 2024; Accepted: 25 Oct 2024.
Copyright: © 2024 Liu, Huang, Zhang, Liao, Liu and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Silang Huang, College of Physical Education and Health, Guangxi Normal University., Guilin, China
Xinxin Zhang, College of Physical Education and Health, Guangxi Normal University., Guilin, China
Huangying Liao, College of Physical Education and Health, Guangxi Normal University., Guilin, China
Weiguo Liu, College of Physical Education and Health, Guangxi Normal University., Guilin, China
Zhi Zhang, College of Physical Education and Health, Guangxi Normal University., Guilin, China
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