The effectiveness of mindfulness-based stress reduction intervention on physical function in individuals with chronic low back pain: Systematic review and meta-analysis of randomized controlled trials |
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| Affiliation: | 1. Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal Hospital, Bangalore, India;2. Department of Spine Care, Manipal Hospital, Old Airport Road, Bangalore, Karnataka, India;1. Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran;2. Department of Cardiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran;3. Department of Clinical Pharmacy and Pharmacy Practice, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran;4. Infectious Diseases and Tropical Medicine Research Center, Isfahan University of Medical Sciences, Isfahan, Iran;5. Pharmaceutical Sciences Research Center, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran;6. Student Research Committee, School of Pharmacy and Pharmaceutical Sciences, Isfahan University of Medical Sciences, Isfahan, Iran;1. VISN 19 Whole Health Flagship Site, Located at VA Salt Lake City Health Care System, 500 Foothill Drive, Salt Lake City, UT, 84148, USA;2. Department of Psychiatry, University of Utah, 501 Chipeta Way, Salt Lake City, UT, 84108, USA;3. Department of Animal, Dairy and Veterinary Sciences, Utah State University, 0500 Old Main Hill, Logan, UT, 84322, USA;4. A Helping Hoof Equine Therapy, PLLC, 354 Wrathall, Grantsville, UT, 84029, USA;1. Department of Medical Services and Techniques, Kelkit Sema Doğan Vocational School of Health Services, Gümüşhane University, Gümüşhane, Turkey;2. Nursing Department, Faculty of Health Sciences, Karadeniz Technical University, Trabzon, Turkey;1. Toros University, Faculty of Health Sciences, Department of Nursing, Mersin, Turkey;2. İnönü University, Faculty of Nursing, Malatya, Turkey;3. Malatya Turgut Özal University Faculty of Health Sciences, Department of Nursing, Malatya, Turkey;4. İnönü University, Medicine School, Nephrology, Malatya, Turkey;1. Department of Obstetric and Gynecology Nursing, Faculty of Nursing, Atatürk University, Erzurum, Turkey;2. Department of Surgical Nursing, Faculty of Nursing, Atatürk University, Erzurum, Turkey;1. College of Nursing, Fujian University of Traditional Chinese Medicine, Fuzhou, PR China;2. College of Pharmacy, Fujian University of Traditional Chinese Medicine, Fuzhou, PR China;3. College of Acupuncture and Massage, Fujian University of Traditional Chinese Medicine, Fuzhou, PR China |
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| Abstract: | BackgroundMindfulness-based stress reduction (MBSR) is often used as a complementary treatment for chronic low back pain (CLBP), but its effects on the physical function component of the outcome are not addressed. This systematic review aims to examine the effectiveness of MBSR on outcomes of physical functions in CLBP individuals.MethodsDatabases searched included PubMed/MEDLINE, PEDro, The Cochrane Database of Systematic Reviews, Web of Science, Scopus, CINAHL, Embase, and other sources (Google Scholar, ProQuest, Research Gate) from inception to January 2022. Randomized controlled trials (RCTs) comparing MBSR with additional interventions that evaluated physical function among CLBP individuals were included. Two independent reviewers performed data extraction. The risk of bias was assessed using the Cochrane risk-of-bias tool.ResultsSix RCTs involving CLBP individuals were eligible for review. The between-group differences in RMDQ for the MBSR therapies against comparator therapies were significant at eight weeks follow-up (3 RCTs; MD, −1.28 [CI, −2.04 to −0.53]) and six months follow-up (2 RCTs; MD, −0.16 [CI, −1.01 to 0.69]).ConclusionMBSR therapy improves physical function at 8 weeks and 6 months follow-up in CLBP individuals. Further high-quality RCTs are warranted for the long-term effect of MBSR therapy on physical function outcomes. |
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| Keywords: | Chronic low back pain Mindfulness-based stress reduction therapy Physical function |
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