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Conservative Interventions for Non-Specific Low Back Pain in Tactical Populations: A Systematic Review of Randomized Controlled Trials

Author

Listed:
  • Eduardo Marins

    (Superior School, Federal University of Pelotas, Pelotas 96055630, Rio Grande do Sul, Brazil
    Federal Highway Police Department, Brasilia 70610909, Distrito Federal, Brazil)

  • Eduardo Caputo

    (Superior School, Federal University of Pelotas, Pelotas 96055630, Rio Grande do Sul, Brazil)

  • Marcelo da Silva

    (Superior School, Federal University of Pelotas, Pelotas 96055630, Rio Grande do Sul, Brazil)

  • Jay Dawes

    (Department of Health and Human Performance, Oklahoma State University, Stillwater, OK 74074, USA)

  • Robin Orr

    (Tactical Research Unit, Bond University, Robina, Queensland 4229, Australia)

  • Cristine Lima Alberton

    (Superior School, Federal University of Pelotas, Pelotas 96055630, Rio Grande do Sul, Brazil)

Abstract

Limited evidence exists about non-specific low back pain (NSLBP) interventions among tactical personnel (police officers, firefighters, or army forces). The aim was to identify and systematically review the findings of randomized control trials (RCTs) investigating conservative interventions for the treatment NSLBP in tactical personnel. A search of seven databases for randomized controlled trials RCTs were conducted. Two independent reviewers extracted data and assessed the risk of bias (PEDro scale). Five RCTs ( n = 387 military subjects; median PEDro score = 7/10) were included. The trials were highly heterogeneous, differing in pain and disability outcome measures, duration of NSLBP symptoms (acute, nonacute, nonchronic, and chronic), types of intervention (exercise, manual therapy, and physical therapy), types of control groups, and intervention durations (4–12 weeks). Two studies reported that strengthening exercise interventions were not effective for reducing pain or disability in military personnel with chronic or nonacute NSLBP. Manual therapy treatment was more effective than usual activities in current pain and pain typical symptoms in soldiers with acute NSLBP after four weeks. A multidimensional intervention reduced disability in military personnel with non-chronic NSLBP after four weeks. Strong evidence does not exist for the efficacy of any conservative interventions in the reduction of pain and disability in tactical populations with NSLBP.

Suggested Citation

  • Eduardo Marins & Eduardo Caputo & Marcelo da Silva & Jay Dawes & Robin Orr & Cristine Lima Alberton, 2020. "Conservative Interventions for Non-Specific Low Back Pain in Tactical Populations: A Systematic Review of Randomized Controlled Trials," Sustainability, MDPI, vol. 12(19), pages 1-22, September.
    • Handle: RePEc:gam:jsusta:v:12:y:2020:i:19:p:7922-:d:418898
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    References listed on IDEAS

    as
    1. Paul T E Cusack, 2020. "On Pain," Biomedical Journal of Scientific & Technical Research, Biomedical Research Network+, LLC, vol. 31(3), pages 24253-24254, October.
    2. Alessandro Liberati & Douglas G Altman & Jennifer Tetzlaff & Cynthia Mulrow & Peter C Gøtzsche & John P A Ioannidis & Mike Clarke & P J Devereaux & Jos Kleijnen & David Moher, 2009. "The PRISMA Statement for Reporting Systematic Reviews and Meta-Analyses of Studies That Evaluate Health Care Interventions: Explanation and Elaboration," PLOS Medicine, Public Library of Science, vol. 6(7), pages 1-28, July.
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