Effectiveness of ozone therapy compared to other therapies for low back pain: a systematic review with meta-analysis of randomized clinical trials
Abstract Background and objectives: Low back pain is a prevalent disease in the adult population, whose quality of life is considerably affected. In order to solve this problem, several therapies have been developed, of which ozone therapy is an example. Our objective in this study was to determine...
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| Format: | Article |
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Sociedade Brasileira de Anestesiologia
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| Series: | Revista Brasileira de Anestesiologia |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000500493&tlng=pt |
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| author | Raul Ribeiro de Andrade Olavo Barbosa de Oliveira-Neto Luciano Timbó Barbosa Isabelle Oliveira Santos Célio Fernando de Sousa-Rodrigues Fabiano Timbó Barbosa |
| author_facet | Raul Ribeiro de Andrade Olavo Barbosa de Oliveira-Neto Luciano Timbó Barbosa Isabelle Oliveira Santos Célio Fernando de Sousa-Rodrigues Fabiano Timbó Barbosa |
| author_sort | Raul Ribeiro de Andrade |
| collection | DOAJ |
| description | Abstract Background and objectives: Low back pain is a prevalent disease in the adult population, whose quality of life is considerably affected. In order to solve this problem, several therapies have been developed, of which ozone therapy is an example. Our objective in this study was to determine the effectiveness of ozone therapy for lumbar pain relief in adult patients compared to other therapies (steroid and placebo). Method: We used randomized clinical trials to compare the effectiveness of ozone and other therapies for lumbar pain relief in adults (Prospero: CRD42018090807). Two independent reviewers searched the Medline (1966–April/2018), Scopus (2011–May/2018), Lilacs (1982–May/2018), and EMBASE (1974–March/2018) databases. We use the terms ozone and pain as descriptors. The primary variable was pain relief and the secondary ones were complication, degree of satisfaction, quality of life and recurrence of pain. Results: Of the 779 identified articles, six selected clinical trials show that ozone therapy is more effective for lumbar pain relief; however, they were mostly classified as having a high or uncertain risk of bias (Cochrane Handbook). The meta-analysis regarding the effectiveness of pain relief did not show a significant difference between groups in the three-month period (RR = 1.98, 95% CI: 0.46–8.42, p= 0.36; 366 participants). It also showed greater effectiveness of the ozone therapy at six months compared to other therapies (steroid and placebo) (RR = 2.2, 95% CI: 1.87–2.60, p< 0.00001; 717 participants). Conclusions: The systematic review has shown that ozone therapy used for six months for lumbar pain relief is more effective than other therapies; however, this result is not definitive as data from studies with moderate to high risk of bias were used. |
| first_indexed | 2024-12-20T23:37:42Z |
| format | Article |
| id | doaj.art-78b012faa3834203ac2e037580bacf4a |
| institution | Directory Open Access Journal |
| issn | 1806-907X |
| language | English |
| last_indexed | 2024-12-20T23:37:42Z |
| publisher | Sociedade Brasileira de Anestesiologia |
| record_format | Article |
| series | Revista Brasileira de Anestesiologia |
| spelling | doaj.art-78b012faa3834203ac2e037580bacf4a2022-12-21T19:23:09ZengSociedade Brasileira de AnestesiologiaRevista Brasileira de Anestesiologia1806-907X10.1016/j.bjane.2019.06.007Effectiveness of ozone therapy compared to other therapies for low back pain: a systematic review with meta-analysis of randomized clinical trialsRaul Ribeiro de AndradeOlavo Barbosa de Oliveira-NetoLuciano Timbó BarbosaIsabelle Oliveira SantosCélio Fernando de Sousa-RodriguesFabiano Timbó BarbosaAbstract Background and objectives: Low back pain is a prevalent disease in the adult population, whose quality of life is considerably affected. In order to solve this problem, several therapies have been developed, of which ozone therapy is an example. Our objective in this study was to determine the effectiveness of ozone therapy for lumbar pain relief in adult patients compared to other therapies (steroid and placebo). Method: We used randomized clinical trials to compare the effectiveness of ozone and other therapies for lumbar pain relief in adults (Prospero: CRD42018090807). Two independent reviewers searched the Medline (1966–April/2018), Scopus (2011–May/2018), Lilacs (1982–May/2018), and EMBASE (1974–March/2018) databases. We use the terms ozone and pain as descriptors. The primary variable was pain relief and the secondary ones were complication, degree of satisfaction, quality of life and recurrence of pain. Results: Of the 779 identified articles, six selected clinical trials show that ozone therapy is more effective for lumbar pain relief; however, they were mostly classified as having a high or uncertain risk of bias (Cochrane Handbook). The meta-analysis regarding the effectiveness of pain relief did not show a significant difference between groups in the three-month period (RR = 1.98, 95% CI: 0.46–8.42, p= 0.36; 366 participants). It also showed greater effectiveness of the ozone therapy at six months compared to other therapies (steroid and placebo) (RR = 2.2, 95% CI: 1.87–2.60, p< 0.00001; 717 participants). Conclusions: The systematic review has shown that ozone therapy used for six months for lumbar pain relief is more effective than other therapies; however, this result is not definitive as data from studies with moderate to high risk of bias were used.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000500493&tlng=ptLow back painOzoneEffectiveness of treatmentQuality of life |
| spellingShingle | Raul Ribeiro de Andrade Olavo Barbosa de Oliveira-Neto Luciano Timbó Barbosa Isabelle Oliveira Santos Célio Fernando de Sousa-Rodrigues Fabiano Timbó Barbosa Effectiveness of ozone therapy compared to other therapies for low back pain: a systematic review with meta-analysis of randomized clinical trials Revista Brasileira de Anestesiologia Low back pain Ozone Effectiveness of treatment Quality of life |
| title | Effectiveness of ozone therapy compared to other therapies for low back pain: a systematic review with meta-analysis of randomized clinical trials |
| title_full | Effectiveness of ozone therapy compared to other therapies for low back pain: a systematic review with meta-analysis of randomized clinical trials |
| title_fullStr | Effectiveness of ozone therapy compared to other therapies for low back pain: a systematic review with meta-analysis of randomized clinical trials |
| title_full_unstemmed | Effectiveness of ozone therapy compared to other therapies for low back pain: a systematic review with meta-analysis of randomized clinical trials |
| title_short | Effectiveness of ozone therapy compared to other therapies for low back pain: a systematic review with meta-analysis of randomized clinical trials |
| title_sort | effectiveness of ozone therapy compared to other therapies for low back pain a systematic review with meta analysis of randomized clinical trials |
| topic | Low back pain Ozone Effectiveness of treatment Quality of life |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-70942019000500493&tlng=pt |
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