Effectiveness of Proprioceptive Neuromuscular Facilitation on Pain Intensity and Functional Disability in Patients with Low Back Pain: A Systematic Review and Meta-Analysis | ||
The Archives of Bone and Joint Surgery | ||
مقاله 3، دوره 8، شماره 4، مهر 2020، صفحه 479-501 اصل مقاله (3.44 M) | ||
نوع مقاله: SYSTEMATIC REVIEW | ||
شناسه دیجیتال (DOI): 10.22038/abjs.2020.45455.2245 | ||
نویسندگان | ||
Mohammadreza Pourahmadi* 1؛ Mohamad Sahebalam1؛ Rasool Bagheri2 | ||
1Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran | ||
2Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran | ||
چکیده | ||
Background: This systematic review aimed to investigate the effectiveness of proprioceptive neuromuscular facilitation (PNF) training on back pain intensity and functional disability in people with low back pain (LBP). Methods: Totally, five electronic databases, including PubMed/Medline (NLM), Scopus, Google Scholar, PEDro, and Cochrane Central Register of Controlled Clinical Trials were searched up to October 31, 2018. Clinical trials with a concurrent comparison group (s) that compared the effectiveness of PNF training with any other physical therapy intervention were selected. Publication language was restricted to English language articles. Methodologic quality was assessed using the PEDro scale. The measures of continuous variables were summarized as Hedges’s g. Results: In total, 20 eligible trials were identified with 965 LBP patients. A large effect size (standardized mean difference [SMD]=-2.14, 95% confidence interval [CI]=3.23 to -1.05) and significant effect were observed favoring the use of PNF training to alleviate back pain intensity in patients with LBP. Moreover, large effect size and the significant result were also determined for the effect of PNF training on functional disability improvement (SMD=-2.68, 95% CI=-3.36 to -2.00) in population with LBP. A qualitative synthesis of results indicated that PNF training can significantly improve sagittal spine ROM. Statistical heterogeneity analysis showed that there was considerable statistical heterogeneity among the selected trials for the primary outcomes (I2 ≥ 86.6%). Conclusion: There is a low quality of evidence and weak strength of recommendation that PNF training has positive effects on back pain and disability in LBP people. Further high-quality randomized clinical trials regarding long-term effects of PNF training versus validated control intervention in a clinical setting is recommendable. Level of evidence: I | ||
کلیدواژهها | ||
Low back pain؛ Meta-analysis؛ PNF؛ Proprioceptive neuromuscular facilitation؛ Review | ||
مراجع | ||
1. Hartvigsen J, Hancock MJ, Kongsted A, Louw Q, Ferreira ML, Genevay S, et al. What low back pain is and why we need to pay attention. The Lancet. 2018 Jun 9;391(10137):2356-67. 2. O’Sullivan K, O’Sullivan PB, O’Keeffe M. The Lancet series on low back pain: reflections and clinical implications. BMJ Publishing Group Ltd and British Association of Sport and Exercise Medicine; 2019. 3. James SL, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. The Lancet 2018;392(10159):1789-858. 4. Lee JH, Hoshino Y, Nakamura K, Kariya Y, Saita K, Ito K. Trunk muscle weakness as a risk factor for low back pain: a 5-year prospective study. Spine. 1999;24(1):54-7. 5. Malmivaara A, Esmail R, Koes B. Exercise therapy for low back pain: a systematic review within the framework of the cochrane collaboration back review group. Spine 2000;25(21):2784-96. 6. Nourbakhsh MR, Arab AM. Relationship between mechanical factors and incidence of low back pain. Journal of Orthopaedic & Sports Physical Therapy. 2002;32(9):447-60. 7. Areeudomwong P, Wongrat W, Neammesri N, Thongsakul T. A randomized controlled trial on the long‐term effects of proprioceptive neuromuscular facilitation training, on pain‐related outcomes and back muscle activity, in patients with chronic low back pain. Musculoskeletal care. 2017;15(3):218-29. 8. Qaseem A, Wilt TJ, McLean RM, Forciea MA. Clinical Guidelines Committee of the American College of P. Noninvasive treatments for acute, subacute, and chronic low back pain: a clinical practice guideline from the American College of Physicians. Ann Intern Med. 2017;166(7):514-30. 9. Falla D, Hodges PW. Individualized exercise interventions for spinal pain. Exercise and sport sciences reviews. 2017;45(2):105-15. 10. van Tulder MW, Koes BW, Metsemakers JF, Bouter LM. Chronic low back pain in primary care: a prospective study on the management and course. Family Practice. 1998;15(2):126-32. 11. Bekkering GE, Hendriks HJ, Koes BW, Oostendorp RA, Ostelo RW, Thomassen JM, et al. Dutch physiotherapy guidelines for low back pain. Physiotherapy. 2003;89(2):82-96. 12. Adler SS, Beckers D, Buck M. PNF in practice. 4th edition ed. Berlin: Springer-Medizin; 2014. 13. Voss DE, Ionta MK, Myers BJ, Knott M. Proprioceptive neuromuscular facilitation: patterns and techniques. Philadelphia, PA: Harper & Row; 1985. 14. Johnson GS, Johnson VS. The application of the principles and procedures of PNF for the care of lumbar spinal instabilities. Journal of Manual & Manipulative Therapy. 2002;10(2):83-105. 15. Knott M, Voss DE. Proprioceptive neuromuscular facilitation: patterns and techniques. 2 ed. Philadelphia: Hoeber Medical Division, Harper & Row; 1968. 16. Smedes F, Heidmann M, Schäfer C, Fischer N, Stępień A. The proprioceptive neuromuscular facilitationconcept; the state of the evidence, a narrative review. Physical Therapy Reviews. 2016;21(1):17-31. 17. Sharman MJ, Cresswell AG, Riek S. Proprioceptive neuromuscular facilitation stretching. Sports Medicine. 2006;36(11):929-39. 18. Park K, Seo K. The effects on the pain index and lumbar flexibility of obese patients with low back pain after PNF scapular and PNF pelvic patterns. Journal of physical therapy science. 2014;26(10):1571-4. 19. Victoria GD, Carmen E-V, Alexandru S, Antoanela O, Florin C, Daniel D. The PNF (proprioceptive neuromuscular facilitation) stretching technique-A brief review. Ovidius University Annals, Series Physical Education & Sport/Science, Movement & Health 2013;13(2):623-8. 20. Sullivan PE, Markos PD. Clinical decision making in therapeutic exercise. Norwalk, Connecticut: Appleton & Lange; 1995. 21. Kofotolis N, Kellis E. Effects of two 4-week proprioceptive neuromuscular facilitation programs on muscle endurance, flexibility, and functional performance in women with chronic low back pain. Physical therapy. 2006;86(7):1001-12.. 22. Maicki T, Bilski J, Szczygieł E, Trąbka R. PNF and manual therapy treatment results of patients with cervical spine osteoarthritis. Journal of back and musculoskeletal rehabilitation. 2017;30(5):1095- 101. 23. Pourahmadi MR, Taghipour M, Takamjani IE, Sanjari MA, Mohseni-Bandpei MA, Keshtkar AA. Motor control exercise for symptomatic lumbar disc herniation: protocol for a systematic review and meta-analysis. BMJ open. 2016;6(9). 24. Byström MG, Rasmussen-Barr E, Grooten WJ. Motor control exercises reduces pain and disability in chronic and recurrent low back pain: a meta-analysis. Spine. 2013;38(6):E350-8. 25. Tong MH, Mousavi SJ, Kiers H, Ferreira P, Refshauge K, van Dieën J. Is there a relationship between lumbar proprioception and low back pain? A systematic review with meta-analysis. Archives of physical medicine and rehabilitation. 2017;98(1):120-36. 26. Lederman E. Neuromuscular rehabilitation in manual and physical therapy. Churchill Livingstone. 2010;128. 27. George AJ, Kumar D, Nikhil NP. Effectiveness of trunk proprioceptive neuromuscular facilitation training in mechanical low back pain. Int J Curr Res. 2013;5(7):1965-8. 28. McCaskey MA, Wirth B, Schuster-Amft C, de Bruin ED. Postural sensorimotor training versus sham exercise in physiotherapy of patients with chronic non-specific low back pain: An exploratory randomised controlled trial. PloS one. 2018;13(3). 29. Kofotolis ND, Vlachopoulos SP, Kellis E. Sequentially allocated clinical trial of rhythmic stabilization exercises and TENS in women with chronic low back pain. Clinical Rehabilitation. 2008;22(2):99-111. 30. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and metaanalyses: the PRISMA statement. International journal of surgery 2010;8(5):336-41. 31. Morrison A, Polisena J, Husereau D, Moulton K, Clark M, Fiander M, et al. The effect of English-language restriction on systematic review-based metaanalyses: a systematic review of empirical studies. International journal of technology assessment in health care. 2012;28(2):138-44. 32. Hoy D, March L, Brooks P, Blyth F, Woolf A, Bain C, et al. The global burden of low back pain: estimates from the Global Burden of Disease 2010 study. Annals of the rheumatic diseases. 2014;73(6):968-74. 33. Van Tulder M, Becker A, Bekkering T, Breen A, Gil del Real MT, Hutchinson A, et al. Chapter 3 European guidelines for the management of acute nonspecific low back pain in primary care. European spine journal 2006;15:s169-s91. 34. Saragiotto BT, Maher CG, Yamato TP, Costa LO, Costa LC, Ostelo RW, et al. Motor control exercise for chronic non‐specific low‐back pain. Cochrane Database of Systematic Reviews. 2016(1). 35. Bagg MK, McLachlan AJ, Maher CG, Kamper SJ, Williams CM, Henschke N, et al. Paracetamol, NSAIDS and opioid analgesics for chronic low back pain: a network meta‐analysis. Cochrane Database of Systematic Reviews. 2018(6). 36. Verhagen AP, de Vet HC, de Bie RA, Kessels AG, Boers M, Bouter LM, et al. The Delphi list: a criteria list for quality assessment of randomized clinical trials for conducting systematic reviews developed by Delphi consensus. Journal of clinical epidemiology. 1998;51(12):1235-41. 37. Altman DG. Practical statistics for medical research (p. 404). London: Chapman & Hall; 1991. 38. Harris RJ, Deeks JJ, Altman DG, Bradburn MJ, Harbord RM, Sterne JA. Metan: fixed-and random-effects metaanalysis. The Stata Journal. 2008;8(1):3-28. 39. Rubinstein SM, Terwee CB, Assendelft WJ, de Boer MR, van Tulder MW. Spinal manipulative therapy for acute low‐back pain. The Cochrane Library 2012:CD008880. 40. Higgins J, Green S. Cochrane handbook for systematic reviews of intervention s5.2.0 (updated June 2017). The Cochrane Collaboration. Available from training. cochrane.org/handbook; 2017. 41. Deeks J, Higgins J, Altman D. analysing data and undertaking meta-analysis. In: Higgins J, Green S, editors. handbook for systematic reviews. Wiley- Blackwell; 2011, p. 243–96. 42. Lau J, Ioannidis JP, Terrin N, Schmid CH, Olkin I. The case of the misleading funnel plot. Bmj. 2006;333(7568):597-600.. 43. Duval S, Tweedie R. Trim and fill: a simple funnel‐plot– based method of testing and adjusting for publication bias in meta‐analysis. Biometrics. 2000;56(2):455-63. 44. Patsopoulos NA, Evangelou E, Ioannidis JP. Sensitivity of between-study heterogeneity in meta-analysis: proposed metrics and empirical evaluation. International journal of epidemiology. 2008;37(5):1148-57. 45. Guyatt GH, Oxman AD, Vist GE, Kunz R, Falck-Ytter Y, Alonso-Coello P, et al. GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. Bmj. 2008;336(7650):924-6. 46. Huang Q, Li D, Zhang J, Yang D, Huo M, Maruyama H. Comparison of the efficacy of different long-term interventions on chronic low back pain using the cross-sectional area of the multifidus muscle and the thickness of the transversus abdominis muscle as evaluation indicators. Journal of physical therapy science. 2014;26(12):1851-4. 47. Chapman C, Bakkum BW. Chiropractic management of a US Army veteran with low back pain and piriformis syndrome complicated by an anatomical anomaly of the piriformis muscle: a case study. Journal of chiropractic medicine. 2012;11(1):24-9. 48. Park SE, Wang JS. Effect of joint mobilization using KEOMT and PNF on a patient with CLBP and a lumbar transitional vertebra: a case study. Journal of physical therapy science. 2015;27(5):1629-32. 49. Rameshchandra Patel R. Effect of proprioceptive neuromuscular facilitation on core strength in healthy females: An experimental study. International Journal of Multidisciplinary Research and Development 2017;4(5):65-9. 50. Jeon JK. The effects of combination patterns exercise of proprioceptive neuromuscular facilitation on balance in chronic low back pain elderly patients. Journal of Digital Convergence. 2013;11(4):361-8. 51. Kim K, Kim EK, Lee DK. Effects of PNF patterns exercise on pain, functional disability and fear avoidance belief in chronic low back pain patients. Journal of Korean Physical Therapy. 2014;26(2):110-6. 52. Amodeo J, Bresso N, Calati J, Duca A. AquaLogix vs.“standard” aquatic equipment in cardinal and multi-planar (PNF) patterns with patients who have non-descript low back pain. InConference Poster & Research Presentation Sessions (p. 14). 53. Zaworski K, Latosiewicz R. The effectiveness of manual therapy and proprioceptive neuromuscular facilitation (PNF) compared with traditional kinesiotherapy in the treatment of non-specific low back pain. Annals of Physical and Rehabilitation Medicine 2018;61:e15. 54. Byuon S, Son H. The effects of proprioceptive neuromuscular facilitation and stabilizing exercise on trunk repositioning errors. Journal of physical therapy science. 2012;24(10):1017-20. 55. Franklin CV, Kalirathinam D, Palekar T, Nathani N. Effectiveness of PNF training for chronic low back pain. J Nurs Health Sci. 2013;2(4):41-52. 56. Hosseinifar M, Akbari A, Ghiasi F, Shamsoaldini N, Shahraki R. The effects of proprioceptive neuromuscular facilitation exercises on pain, function, lumbar mobility, and lumbar lordosis in patients with non-specific chronic low back pain. International Journal of Pharmaceutical Research & Allied Sciences 2016;5(4):250-61. 57. Jadeja T, Vyas N, Sheth MS. To study the effect of proprioceptive neuromuscular facilitation on back muscle strength, pain and quality of life in subjects with chronic low back pain – An experimental study. International Journal of Physiotherapy 2015;2(5):778-85. 58. Kim B-R, Lee H-J. Effects of proprioceptive neuromuscular facilitation-based abdominal muscle strengthening training on pulmonary function, pain, and functional disability index in chronic low back pain patients. Journal of exercise rehabilitation 2017;13(4):486. 59. Kotteeswaran K, Snigdha J, Alagesan J. Effect of proprioceptive neuromuscular facilitation stretching and dynamic soft tissue mobilization on hamstring flexibility in subjects with low back ache-single blinded randomised controlled study. International Journal of Pharma and Bio Sciences 2014;5(3):228-33. 60. Kumar A, Zutshi K, Narang N. Efficacy of trunk proprioceptive neuromuscular facilitation training on chronic low back pain. International Journal of Sports Science and Engineering. 2011;5(03):174-80. 61. Kumar P, Moitra M. Efficacy of muscle energy technique and pnf stretching compared to conventional physiotherapy in program of hamstring flexibility in chronic nonspecific low back pain. Quadriceps Femoris Strength Training: effect of Neuromuscular Electrical Stimulation Vs Isometric Exercise in Osteoarthritis of Knee. 2015;9(3):103. 62. Lee C-W, Hwangbo K, Lee I-S. The effects of combination patterns of proprioceptive neuromuscular facilitation and ball exercise on pain and muscle activity of chronic low back pain patients. Journal of physical therapy science 2014;26(1):93-6. 63. Malla S, Chahal A, Tiku RK, Kaul B. Effect of Motor Control Exercise on Swiss Ball and PNF Technique on Non-Specific Low Back Pain. International Journal of Medical Research & Health Sciences. 2018;7(4):114-24. 64. Mavromoustakos S, Beneka A, Malliou V, Adamidis A, Kellis E, Kagiaoglou A. Effects of a 6-week proprioceptive neuromuscular facilitation intervention on pain and disability in individuals with chronic low back pain. Journal of Physical Activity, Nutrition and Rehabilitation 2015. 65. Mistry GS, Vyas NJ, Sheth MS. Comparison Of The Effect Of Active Release Technique Versus Proprioceptive Neuromuscular Facilitation Stretching (Modified Hold-Relax) On Hamstring Flexibility In Patients Having Chronic Low Back Pain. Natl J Integr Res Med. 2015;6(5):66-70. 66. Olczak A, Kuliński W, Domaniecki J. The PNF method in the treatment of intervertebral disc disease. Fizjoterapia Polska 2008;8(3):241-52. 67. Tanvi A, Shalini G, Parul R, Gaurav S. Effect of proprioceptive neuromuscular facilitation program on muscle endurance, strength, pain, and functional performance in women with post-partum lumbopelvic pain. IOSR J Dent Med Sci. 2013;7:60-7. 68. Young KJ, Je CW, Hwa ST. Effect of proprioceptive neuromuscular facilitation integration pattern and swiss ball training on pain and balance in elderly patients with chronic back pain. Journal of physical therapy science. 2015;27(10):3237-40. 69. Lewis M, Peiris CL, Shields N. Long-term home and community-based exercise programs improve function in community-dwelling older people with cognitive impairment: a systematic review. Journal of physiotherapy. 2017;63(1):23-9. 70. Rattehalli RD, Zhao S, Li BG, Jayaram MB, Xia J, Sampson S. Risperidone versus placebo for schizophrenia. The Cochrane Database of Systematic Reviews. 2016;2016(12). 71. Moseley GL, Flor H. Targeting cortical representations in the treatment of chronic pain: a review. Neurorehabilitation and neural repair. 2012;26(6):646-52. 72. Röijezon U, Clark NC, Treleaven J. Proprioception in musculoskeletal rehabilitation. Part 1: Basic science and principles of assessment and clinical interventions. Manual therapy. 2015;20(3):368-77. 73. Yamashita TO, Cavanaugh JM, El-Bohy AA, Getchell TV, King AI. Mechanosensitive afferent units in the lumbar facet joint. The Journal of bone and joint surgery. American volume. 1990;72(6):865-70. 74. Merletti R, Parker PJ, editors. Electromyography: physiology, engineering, and non-invasive applications. John Wiley & Sons; 2004. 75. Crone C. Reciprocal inhibition in man. Danish medical bulletin. 1993;40(5):571-81.. 76. Pierrot-Deseilligny E, Burke D. The circuitry of the human spinal cord: its role in motor control and movement disorders. 4th ed. Cambridge Cambridge University Press; 2012. 77. Magnusson SP, Simonsen EB, Aagaard P, Dyhre- Poulsen P, McHugh MP, Kjaer M. Mechanical and physiological responses to stretching with and without preisometric contraction in human skeletal muscle. Archives of physical medicine and rehabilitation 1996;77(4):373-8. | ||
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