Quality of systematic reviews on specific spinal stabilization exercise for chronic low back pain

Douglas E. Haladay, Sayers John Miller, III, John Henry Challis, Craig R. Denegar

Research output: Contribution to journalReview article

19 Citations (Scopus)

Abstract

STUDY DESIGN: Systematic literature review. OBJECTIVE: To evaluate the quality of systematic reviews (SRs) on specific stabilization exercises for chronic low back pain (LBP). TTBACKGROUND: Multiple SRs regarding the effectiveness of lumbar stabilization exercises for people with chronic LBP have been published. As more SRs are published, the more it is recognized that, like other forms of research, methodological quality affects the validity of, and conclusions drawn from, the data. METHODS: A search of MEDLINE, CINAHL, and Embase was completed. Additionally, the PEDro database was screened and hand searching was completed. Included SRs had to contain randomized controlled trials examining a specific stabilization exercise program for the treatment of chronic LBP. Additionally, the assessed outcome measures had to include pain and/or disability measures. Literature reviews and clinical practice guidelines were excluded. Three reviewers independently assessed each SR for methodological quality. RESULTS: The search produced 665 SRs for review, of which 8 fulfilled the inclusion criteria. Consensus quality assessment scores ranged from 13/26 to 26/26, with an average of 20.7 points. Percent agreement and kappa values for individual criteria scores ranged from 50% to 92% and 0.25 to 0.85, respectively. Agreement was moderate to substantial across individual items, except for criterion 1. The intraclass correlation coefficient for overall score was 0.98 (95% confidence interval: 0.96, 0.99). CONCLUSION: This review of SRs identified several high-quality reviews that indicated some benefit of specific stabilization exercise programs for patients with nonspecific chronic LBP.

Original languageEnglish (US)
Pages (from-to)242-250
Number of pages9
JournalJournal of Orthopaedic and Sports Physical Therapy
Volume43
Issue number4
DOIs
StatePublished - Apr 1 2013

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Low Back Pain
Exercise
Practice Guidelines
MEDLINE
Consensus
Randomized Controlled Trials
Outcome Assessment (Health Care)
Databases
Confidence Intervals
Pain
Research
Therapeutics

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

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title = "Quality of systematic reviews on specific spinal stabilization exercise for chronic low back pain",
abstract = "STUDY DESIGN: Systematic literature review. OBJECTIVE: To evaluate the quality of systematic reviews (SRs) on specific stabilization exercises for chronic low back pain (LBP). TTBACKGROUND: Multiple SRs regarding the effectiveness of lumbar stabilization exercises for people with chronic LBP have been published. As more SRs are published, the more it is recognized that, like other forms of research, methodological quality affects the validity of, and conclusions drawn from, the data. METHODS: A search of MEDLINE, CINAHL, and Embase was completed. Additionally, the PEDro database was screened and hand searching was completed. Included SRs had to contain randomized controlled trials examining a specific stabilization exercise program for the treatment of chronic LBP. Additionally, the assessed outcome measures had to include pain and/or disability measures. Literature reviews and clinical practice guidelines were excluded. Three reviewers independently assessed each SR for methodological quality. RESULTS: The search produced 665 SRs for review, of which 8 fulfilled the inclusion criteria. Consensus quality assessment scores ranged from 13/26 to 26/26, with an average of 20.7 points. Percent agreement and kappa values for individual criteria scores ranged from 50{\%} to 92{\%} and 0.25 to 0.85, respectively. Agreement was moderate to substantial across individual items, except for criterion 1. The intraclass correlation coefficient for overall score was 0.98 (95{\%} confidence interval: 0.96, 0.99). CONCLUSION: This review of SRs identified several high-quality reviews that indicated some benefit of specific stabilization exercise programs for patients with nonspecific chronic LBP.",
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Quality of systematic reviews on specific spinal stabilization exercise for chronic low back pain. / Haladay, Douglas E.; Miller, III, Sayers John; Challis, John Henry; Denegar, Craig R.

In: Journal of Orthopaedic and Sports Physical Therapy, Vol. 43, No. 4, 01.04.2013, p. 242-250.

Research output: Contribution to journalReview article

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AU - Miller, III, Sayers John

AU - Challis, John Henry

AU - Denegar, Craig R.

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N2 - STUDY DESIGN: Systematic literature review. OBJECTIVE: To evaluate the quality of systematic reviews (SRs) on specific stabilization exercises for chronic low back pain (LBP). TTBACKGROUND: Multiple SRs regarding the effectiveness of lumbar stabilization exercises for people with chronic LBP have been published. As more SRs are published, the more it is recognized that, like other forms of research, methodological quality affects the validity of, and conclusions drawn from, the data. METHODS: A search of MEDLINE, CINAHL, and Embase was completed. Additionally, the PEDro database was screened and hand searching was completed. Included SRs had to contain randomized controlled trials examining a specific stabilization exercise program for the treatment of chronic LBP. Additionally, the assessed outcome measures had to include pain and/or disability measures. Literature reviews and clinical practice guidelines were excluded. Three reviewers independently assessed each SR for methodological quality. RESULTS: The search produced 665 SRs for review, of which 8 fulfilled the inclusion criteria. Consensus quality assessment scores ranged from 13/26 to 26/26, with an average of 20.7 points. Percent agreement and kappa values for individual criteria scores ranged from 50% to 92% and 0.25 to 0.85, respectively. Agreement was moderate to substantial across individual items, except for criterion 1. The intraclass correlation coefficient for overall score was 0.98 (95% confidence interval: 0.96, 0.99). CONCLUSION: This review of SRs identified several high-quality reviews that indicated some benefit of specific stabilization exercise programs for patients with nonspecific chronic LBP.

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