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Quality of Systematic Reviews on Specific Spinal Stabilization Exercise for Chronic Low Back Pain.
MedLine Citation:
PMID:  23321935     Owner:  NLM     Status:  Publisher    
STUDY DESIGN: Systematic literature review. OBJECTIVE: To evaluate the quality of systematic reviews (SRs) on specific stabilization exercises for chronic low back pain (LBP). BACKGROUND: Multiple SRs regarding the effectiveness of lumbar stabilization exercises for people with chronic LBP have been published. As more SRs are published, it has become increasingly recognized that, like other forms of research, methodological quality affects the validity of and conclusions drawn from the data. METHODS AND MEASURES: 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, outcome measures assessed must have included 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 and ultimately, eight SRs fulfilled the inclusion criteria. Consensus quality assessment scores ranged from 13 to 26/26, with an average of 20.7 points. Percent agreement and kappa values for individual criteria scores ranged from 0.50 to 0.92 and 0.25 to 0.85 respectively. Agreement was moderate to substantial across individual items, except for criteria 1. The ICC for overall score was 0.98 (95% confidence interval: 0.96-0.99). CONCLUSIONS: This review of SRs identified several high quality reviews which indicate some benefit of specific stabilization exercise programs for patients with non-specific chronic LBP. LEVEL OF EVIDENCE: Therapy, level 1a.J Orthop Sports Phys Ther. Epub 14 January 2013. doi:10.2519/jospt.2013.4346.
Douglas E Haladay; Sayers J Miller; John Challis; Craig R Denegar
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-1-14
Journal Detail:
Title:  The Journal of orthopaedic and sports physical therapy     Volume:  -     ISSN:  1938-1344     ISO Abbreviation:  J Orthop Sports Phys Ther     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2013-1-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7908150     Medline TA:  J Orthop Sports Phys Ther     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
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