Motor control exercise for acute nonspecific low back

Motor control exercise for acute non-specific low back pain Macedo et al (2016) Trusted evidence. Informed decisions. Better health. This document is licensed under a Creative Commons Attribution Non. Commercial. No. Derivatives 4. 0 International License: http: //creativecommons. org/licenses/by-nc-nd/4. 0/ That means this document can be used and shared as long as IWH is credited as the source, the contents are not modified, and the contents are used for non-commercial purposes. If you wish to modify and/or use the contents for commercial purposes, please contact ip@iwh. on. ca.

Motor control exercise for acute non-specific low back pain Macedo et al (2016) Overview of the study Objectives: • To evaluate the effectiveness of motor control exercises (MCE) for patients with acute non-specific LBP Methods: • Evidence current up to 2 April 2015 • Participants: Adults reporting acute or subacute non-specific LBP • Intervention: MCE performed alone or when it was added as a supplement to other interventions • Outcomes: o Primary: Pain and disability o Secondary: Function, quality of life, adverse events and recurrence

Motor control exercise for acute non-specific low back pain Macedo et al (2016) Results & Conclusions • 3 trials (197 participants) Intervention Evidence No difference compared to spinal manipulative therapy for pain relief or improved disability at short term follow-up MCE Quality of evidence Low Compared to other exercise, no difference for pain and disability at short-term and intermediate follow-up Low Moderate Added to medical management, no improvements for pain and disability at short-term follow-up Very low Decreases the risk of recurrence at one year Very low Ø Adverse events: not reported Ø There is evidence of very low to moderate quality indicating no clinically importance differences in outcome in MCE compared to otherapies. It is uncertain whether MCE can prevent recurrences of LBP