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Effectiveness of Sling Exercise for Chronic Low Back Pain: A Systematic Review
Authors:Jin-Su Lee  Seung-Hoon Yang  Yun-Hyung Koog  Hyun-Ju Jun  Se-Hun Kim     Ki-Jong Kim  
Affiliation:1) Department of Physical Therapy, Graduate School of Dongshin University, Republic of Korea;2) Department of Physical Therapy, Vision University, Republic of Korea;3) Honam Research Center, Medifarm Hospital, Republic of Korea;4) Department of Physical Therapy, Dongshin University Oriental Hospital, Republic of Korea;5) Department of Physical Therapy, Cheongam College, Republic of Korea
Abstract:[Purpose] This study investigated effects of sling exercise for patients with chroniclow back pain. [Methods] We reviewed all relevant papers indexed in PubMed, SCOPUS, andthe Cochrane Registered Trials. Eligible trials were randomized controlled trials thatcompared sling exercise with any type of treatment. We extracted data on muscle thickness,muscle activation, pain, and disability, and assessed the methodological quality of thedata. Seven studies met our inclusion criteria. [Results] When sling exercise had animpact on activation of the trunk muscles, increasing the trunk muscle thickness, and thereduction in pain and disability had been assessed shortly after the final exercisesession, it was more effective than general exercise at activating trunk muscles, but notmore effective at increasing trunk muscle thickness and improving pain and disability thangeneral exercise. [Conclusion] As sling therapy studies are based on a small number oftrials, we cannot draw conclusions about the therapeutic effects of sling exercise. Whensegmental stabilizing exercise and individually designed programs are added to slingexercise, it increases the effectiveness of sling exercise at improving low back pain.This should be the focus of future studies.Key words: Sling exercise, Chronic low back pain, Systematic review
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