Vibration therapy to improve pain and function in patients with chronic low back pain: a systematic review and meta-analysis
Abstract Background Vibration therapy (VT), a treatment of musculoskeletal disorders, has been developed for clinical applications in the past decade. However, its effect on relieving chronic low back pain (CLBP) and improving lumbar function is still illusive, lacking sufficient evidence-based medi...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-04217-2 |
| _version_ | 1797557740786155520 |
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| author | Qiang Li Pan Liu Zongbao Wang Xin Li |
| author_facet | Qiang Li Pan Liu Zongbao Wang Xin Li |
| author_sort | Qiang Li |
| collection | DOAJ |
| description | Abstract Background Vibration therapy (VT), a treatment of musculoskeletal disorders, has been developed for clinical applications in the past decade. However, its effect on relieving chronic low back pain (CLBP) and improving lumbar function is still illusive, lacking sufficient evidence-based medical data. Objective This systematic review aimed to evaluate the efficacy of vibration therapy on pain and function in people with CLBP. Methods PubMed, Cochrane Library, Web of Science, Embase, CNKI, Wanfang Date, VIP, and CBM were applied to search for clinical randomized controlled trials (RCTs) on vibration therapy for people with CLBP. The electronic databases were searched from the establishment of the database until July 1, 2023. Two researchers assessed the quality of the included studies and extracted data. The outcome indicators included the pain intensity index, Oswestry dysfunction index (ODI) score, and Roland–Morris dysfunction questionnaire (RMDQ) score. GRADE was used to evaluate the certainty of evidence of each outcome indicator. The meta-analysis was conducted using RevMan 5.3 software. Results Fourteen papers met the inclusion criteria with 860 subjects (VT group n = 432 and control group n = 428). VT for patients with CLBP reduced the pain intensity index [SMD = − 0.71, 95% CI (− 1.02, − 0.39), I 2 = 76%, P < 0.0001], the ODI score value [MD = − 4.24, 95% CI (− 8.10, − 0.38), I 2 = 88%, P = 0.03], and the RMDQ score value [MD = − 2.21, 95% CI (− 3.41, − 1.01), I 2 = 0%, P = 0.0003]. Subgroup analysis displayed that the pain intensity index was lower in the whole-body vibration (WBV) group than in the control group [SMD = − 0.49, 95% CI (− 0.79, − 0.19), I 2 = 58%, P = 0.001] and the local vibration (LV) group [SMD = − 1.07, 95% CI (− 1.60, − 0.53), I 2 = 76%, P < 0.0001]. The ODI scores in the WBV group were lower than those in the control group [MD = − 3.30, 95% CI (− 5.76, − 0.83), I 2 = 36%, P = 0.009]. There was no statistically significant difference in ODI scores between the LV group and the control group [MD = − 5.78, 95% CI (− 16.23, 4.66), I 2 = 97%, P = 0.28]. Conclusion The data from this study suggest that VT can reduce pain and improve lumbar function in patients with CLBP. However, we still need to carefully interpret the results of this study, as the certainty of evidence was low, and the clinical relevance of the results is questionable. Further RCTs are needed in the future to ascertain this. |
| first_indexed | 2024-03-10T17:20:42Z |
| format | Article |
| id | doaj.art-b4ce0948403f416c9afc486be84cd96a |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-10T17:20:42Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-b4ce0948403f416c9afc486be84cd96a2023-11-20T10:20:55ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-09-0118111210.1186/s13018-023-04217-2Vibration therapy to improve pain and function in patients with chronic low back pain: a systematic review and meta-analysisQiang Li0Pan Liu1Zongbao Wang2Xin Li3School of Acupuncture and Massage, Anhui University of Chinese MedicineAnhui Provincial Hospital of Integrated Chinese and Western Medicine (The Third Affiliated Hospital of Anhui University of Chinese Medicine)Anhui Provincial Hospital of Integrated Chinese and Western Medicine (The Third Affiliated Hospital of Anhui University of Chinese Medicine)School of Acupuncture and Massage, Anhui University of Chinese MedicineAbstract Background Vibration therapy (VT), a treatment of musculoskeletal disorders, has been developed for clinical applications in the past decade. However, its effect on relieving chronic low back pain (CLBP) and improving lumbar function is still illusive, lacking sufficient evidence-based medical data. Objective This systematic review aimed to evaluate the efficacy of vibration therapy on pain and function in people with CLBP. Methods PubMed, Cochrane Library, Web of Science, Embase, CNKI, Wanfang Date, VIP, and CBM were applied to search for clinical randomized controlled trials (RCTs) on vibration therapy for people with CLBP. The electronic databases were searched from the establishment of the database until July 1, 2023. Two researchers assessed the quality of the included studies and extracted data. The outcome indicators included the pain intensity index, Oswestry dysfunction index (ODI) score, and Roland–Morris dysfunction questionnaire (RMDQ) score. GRADE was used to evaluate the certainty of evidence of each outcome indicator. The meta-analysis was conducted using RevMan 5.3 software. Results Fourteen papers met the inclusion criteria with 860 subjects (VT group n = 432 and control group n = 428). VT for patients with CLBP reduced the pain intensity index [SMD = − 0.71, 95% CI (− 1.02, − 0.39), I 2 = 76%, P < 0.0001], the ODI score value [MD = − 4.24, 95% CI (− 8.10, − 0.38), I 2 = 88%, P = 0.03], and the RMDQ score value [MD = − 2.21, 95% CI (− 3.41, − 1.01), I 2 = 0%, P = 0.0003]. Subgroup analysis displayed that the pain intensity index was lower in the whole-body vibration (WBV) group than in the control group [SMD = − 0.49, 95% CI (− 0.79, − 0.19), I 2 = 58%, P = 0.001] and the local vibration (LV) group [SMD = − 1.07, 95% CI (− 1.60, − 0.53), I 2 = 76%, P < 0.0001]. The ODI scores in the WBV group were lower than those in the control group [MD = − 3.30, 95% CI (− 5.76, − 0.83), I 2 = 36%, P = 0.009]. There was no statistically significant difference in ODI scores between the LV group and the control group [MD = − 5.78, 95% CI (− 16.23, 4.66), I 2 = 97%, P = 0.28]. Conclusion The data from this study suggest that VT can reduce pain and improve lumbar function in patients with CLBP. However, we still need to carefully interpret the results of this study, as the certainty of evidence was low, and the clinical relevance of the results is questionable. Further RCTs are needed in the future to ascertain this.https://doi.org/10.1186/s13018-023-04217-2Vibration therapyChronic low back painRandomized controlled trial |
| spellingShingle | Qiang Li Pan Liu Zongbao Wang Xin Li Vibration therapy to improve pain and function in patients with chronic low back pain: a systematic review and meta-analysis Journal of Orthopaedic Surgery and Research Vibration therapy Chronic low back pain Randomized controlled trial |
| title | Vibration therapy to improve pain and function in patients with chronic low back pain: a systematic review and meta-analysis |
| title_full | Vibration therapy to improve pain and function in patients with chronic low back pain: a systematic review and meta-analysis |
| title_fullStr | Vibration therapy to improve pain and function in patients with chronic low back pain: a systematic review and meta-analysis |
| title_full_unstemmed | Vibration therapy to improve pain and function in patients with chronic low back pain: a systematic review and meta-analysis |
| title_short | Vibration therapy to improve pain and function in patients with chronic low back pain: a systematic review and meta-analysis |
| title_sort | vibration therapy to improve pain and function in patients with chronic low back pain a systematic review and meta analysis |
| topic | Vibration therapy Chronic low back pain Randomized controlled trial |
| url | https://doi.org/10.1186/s13018-023-04217-2 |
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