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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
Yu'ang Liu Yu'ang Liu Silang Huang Silang Huang *Xinxin Zhang Xinxin Zhang *Huangying Liao Huangying Liao *Weiguo Liu Weiguo Liu *Zhi Zhang Zhi Zhang *
  • College of Physical Education and Health, Guangxi Normal University., Guilin, China

The final, formatted version of the article will be published soon.

    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

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.