Effect of Motivational Interviewing and Exercise on Chronic Low Back Pain: A Systematic Review and Meta-Analysis.

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2025-03-01 DOI:10.1002/msc.70048

Olayinka Akinrolie, Uchechukwu B Abioke, Francis O Kolawole, Nicole Askin, Ebuka M Anieto, Serena A Itua, Oluwatoyin G Akin, Blessing Eromosele, Opeyemi A Idowu, Henrietta O Fawole

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Abstract

Background: The prevalence of chronic low back pain (CLBP) and its concomitant cost implications have continued to rise across the globe. Currently, there is no effective treatment for CLBP that leads to long-term improvement. Hence, there is growing recognition of the need for behaviour techniques including motivational interviewing (MI) to address CLBP.

Objective: To determine the effect of MI and exercise on pain in individuals with CLBP.

Method: We searched for trials in seven databases from inception to April 2024. Trials were included if MI was used alone or in addition to an exercise programme for improving CLBP in adults aged (≥ 18 years).

Results: From 3062 records retrieved, we included three randomized controlled trials (RCTs). Only one study was rated as having a low risk of bias. There is no evidence to support the benefit of MI and exercise on improving pain (SMD-0.23, 95% CI-0.55 to 0.09, I² = 0%, p = 0.16), disability (MD-1.80, 95% CI-4.55 to 0.94, I² = 85%, p = 0.20) and physical functioning (SMD 0.00, 95% CI-1.31 to 1.32, I² = 93%, p = 0.99).

Conclusion: There is insufficient evidence to support the effect of MI and exercise on pain in individuals with CLBP. More large-scale RCTs are needed in evaluating the effectiveness of MI and exercise in individuals with CLBP.

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动机性访谈和运动对慢性腰痛的影响：系统回顾和meta分析。

背景：慢性腰痛（CLBP）的患病率及其伴随的成本影响在全球范围内持续上升。目前，没有有效的治疗CLBP导致长期改善。因此，越来越多的人认识到需要行为技术，包括动机访谈（MI）来解决CLBP。目的：探讨心肌梗死和运动对CLBP患者疼痛的影响。方法：在7个数据库中检索自成立至2024年4月的试验。在成人（≥18岁）中，如果单独使用心肌梗死或在运动方案的基础上使用心肌梗死来改善CLBP，则纳入试验。结果：从检索到的3062份记录中，我们纳入了3项随机对照试验（RCTs）。只有一项研究被评为低偏倚风险。没有证据支持心肌梗死和运动在改善疼痛（SMD-0.23, 95% CI-0.55 - 0.09, I2 = 0%, p = 0.16）、残疾（MD-1.80, 95% CI-4.55 - 0.94, I2 = 85%, p = 0.20）和身体功能（SMD- 0.00, 95% CI-1.31 - 1.32, I2 = 93%, p = 0.99）方面的益处。结论：没有足够的证据支持心肌梗死和运动对CLBP患者疼痛的影响。需要更多的大规模随机对照试验来评估心肌梗死和运动对CLBP患者的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Musculoskeletal Care RHEUMATOLOGY-

CiteScore

2.30

自引率

7.70%

发文量

期刊介绍： Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.