Choi, Wansuk
(Department of Physical Therapy, International University of Korea)
,
Choi, Taeseok
(Department of Physical Therapy, Howon University)
,
An, Hojung
(Department of Physical Therapy, Dongnam Health University)
,
Kim, Jisung
(Department of Physical Therapy, Suwon Women's University)
,
Heo, Seoyoon
(Department of Occupational Therapy, School of medical and Health Care, Kyungbok University)
Background: The effect of mobilization on lumbar back pain has been fully described in several clinical aspects, but evidence for muscle strength would be still less clear. Objective: To assess the effect of lumbar mobilization on lower limb strength in healthy individuals. Methods and Analysis: Hea...
Background: The effect of mobilization on lumbar back pain has been fully described in several clinical aspects, but evidence for muscle strength would be still less clear. Objective: To assess the effect of lumbar mobilization on lower limb strength in healthy individuals. Methods and Analysis: Healthy people aged 18-65 will be included regardless of race or sex. Original peer-reviewed primary reporting randomized controlled trials (RCTs) will be included. Electronic databases, such as MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, Pedro, CINAHL, ClinicalTrials.gov will be searched from inception until July 30. Only studies published in English will be included in this review. Two reviewers will complete the screening for eligibility independently, and the other two reviewers will also complete the risks of data extraction and bias assessment independently. Lower Limb strength will be assessed as primary outcome, and particular intervention or participant characteristics will be assessed as the secondary outcomes. Meta-analysis will be conducted using Review Manager 5.3.3, and evidence level will be assessed using the method for Grading of Recommendations Assessment, Development and Evaluation. Outcomes will be presented as the weighted mean difference or standardized mean difference with 95% CI. If I2 ≤ 50%, P>.1, the fixed effect model will be used, otherwise, random-effects model will be used. Ethics and dissemination: This review might not be necessary ethical approval because it does not require individual patient's data; these findings will be published in conference presentations or peer-reviewed journal articles. PROSPERO registration number: CRD42020150144.
Background: The effect of mobilization on lumbar back pain has been fully described in several clinical aspects, but evidence for muscle strength would be still less clear. Objective: To assess the effect of lumbar mobilization on lower limb strength in healthy individuals. Methods and Analysis: Healthy people aged 18-65 will be included regardless of race or sex. Original peer-reviewed primary reporting randomized controlled trials (RCTs) will be included. Electronic databases, such as MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Web of Science, Pedro, CINAHL, ClinicalTrials.gov will be searched from inception until July 30. Only studies published in English will be included in this review. Two reviewers will complete the screening for eligibility independently, and the other two reviewers will also complete the risks of data extraction and bias assessment independently. Lower Limb strength will be assessed as primary outcome, and particular intervention or participant characteristics will be assessed as the secondary outcomes. Meta-analysis will be conducted using Review Manager 5.3.3, and evidence level will be assessed using the method for Grading of Recommendations Assessment, Development and Evaluation. Outcomes will be presented as the weighted mean difference or standardized mean difference with 95% CI. If I2 ≤ 50%, P>.1, the fixed effect model will be used, otherwise, random-effects model will be used. Ethics and dissemination: This review might not be necessary ethical approval because it does not require individual patient's data; these findings will be published in conference presentations or peer-reviewed journal articles. PROSPERO registration number: CRD42020150144.
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문제 정의
However, there are few attempts to consolidate the results of individual studies to quantify the impacts of lumbar mobilization on muscle strength of lower extremity in healthy person. Therefore, the purpose of this study is to systematically review over randomized controlled trials (RCTs) comparing the effect of lumbar mobilization (intervention) with other interventions (comparisons) or sham (placebo) or for muscle strength of lower extremity in healthy individuals (participants).
제안 방법
Detailed search strategies for each database were developed by Seoyoon Heo, who has previous experience of conducting systematic reviews, with input from Wansuk Choi, Hojung Ahn and one medical librarian. The search strategy contains relevant headings and key words based on previous literatures11 and is based on the concepts: (1) asymptomatic or healthy adults AND (2) lumbar mobilization interventions AND (3) lower limb strength outcomes AND (4) study designs. The term will be adapted in MEDLINE searches according to each database.
이론/모형
We will also calculated the relative risk and 95% CIs for each outcome for the dichotomous results. Potential heterogeneity will be assessed with the I2 statistic and Chi-squared test in this study. Heterogeneity will be categorized as low (0%–40%), moderate (30%–60%), substantial (50%–90%) and considerable (75%–100%).
참고문헌 (13)
Herman PM, Hurwitz EL, Shekelle PG, Whitley MD, Coulter ID. Clinical Scenarios for Which Spinal Mobilization and Manipulation Are Considered by an Expert Panel to be Inappropriate (and Appropriate) for Patients With Chronic Low Back Pain. Med Care. 2019;57(5):391-398.
Satpute K, Hall T, Bisen R, Lokhande P. The Effect of Spinal Mobilization With Leg Movement in Patients With Lumbar Radiculopathy-A Double-Blind Randomized Controlled Trial. Arch Phys Med Rehabil. 2019;100(5):828-836.
Cardinale M, Boccia G, Greenway T, Evans O, Rainoldi A. The acute effects of spinal manipulation on neuromuscular function in asymptomatic individuals: A preliminary study. Phys Ther Sport. 2015;16(2):121-126.
Sanders GD, Nitz AJ, Abel MG, et al. Effects of Lumbosacral Manipulation on Isokinetic Strength of the Knee Extensors and Flexors in Healthy Subjects: A Randomized, Controlled, Single-Blind Crossover Trial. J Chiropr Med. 2015;14(4):240-248.
Yuen TS, Lam PY, Lau MY, et al. Changes in Lower Limb Strength and Function Following Lumbar Spinal Mobilization. J Manipulative Physiol Ther. 2017;40(8):587-596.
Yerys S, Makofsky H, Byrd C, Pennachio J, Cinkay J. Effect of mobilization of the anterior hip capsule on gluteus maximus strength. J Man Manip Ther. 2002;10(4):218-224.
Grindstaff TL, Hertel J, Beazell JR, et al. Lumbopelvic joint manipulation and quadriceps activation of people with patellofemoral pain syndrome. J Athl Train. 2012;47(1):24-31.
Lo CN, NG J, Au CK, Lim ECW. The effectiveness of spinal manipulation in increasing muscle strength in healthy individuals: a systematic review and meta-analysis. J Manipulative Physiol Ther. 2019;42(2):148-158.
Higgins J, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0. http://handbook.cochrane.org. Published March, 2011. Accessed April 2, 2019.
Moher D, Shamseer L, Clarke M, et al. Preferred reporting items for systematic review and metaanalysis protocols (PRISMA-P) 2015 statement. Syst Rev. 2015;4(1):1.
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