Dataset Information

Effectiveness of interferential current in patients with chronic non-specific low back pain: a systematic review with meta-analysis.

ABSTRACT:

Background

There is no systematic review assessing the effectiveness of interferential current (IC) in patients with low back pain.

Objective

To investigate the effectiveness of IC in patients with chronic non-specific low back pain.

Methods

The databases PUBMED, EMBASE, PEDro, Cochrane Library, CINAHL, and SCIELO were searched. Randomized controlled trials reporting pain intensity and disability in patients with chronic non-specific low back pain, in which IC was applied were included. Methodological quality was assessed using the PEDro scale. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) was used to evaluate the quality of evidence.

Results

Thirteen RCTs were considered eligible for this systematic review (pooled n = 1367). Main results showed moderate-quality evidence and moderate effect sizes that IC probably reduces pain intensity and disability compared to placebo immediately post-treatment (Pain: MD = -1.57 points; 95% CI -2.17, -0.98; Disability: MD = -1.51 points; 95% CI -2.57, -0.46), but not at intermediate-term follow-up. Low-quality evidence with small effect size showed that IC may reduce pain intensity (SMD = -0.32; 95% CI -0.61, -0.03, p = 0.03) compared to TENS immediately post-treatment, but not for disability. There is very low-quality evidence that IC combined with other interventions (massage or exercises) may not further reduce pain intensity and disability compared to the other interventions provided in isolation immediately post-treatment.

Conclusion

Moderate-quality evidence shows that IC is probably better than placebo for reducing pain intensity and disability immediately post-treatment in patients with chronic non-specific low back pain.

SUBMITTER: Rampazo EP

PROVIDER: S-EPMC10562668 | biostudies-literature | 2023 Sep

REPOSITORIES: biostudies-literature

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Publications

Effectiveness of interferential current in patients with chronic non-specific low back pain: a systematic review with meta-analysis.

Rampazo Érika P ÉP Júnior Maurício A Luz MAL Corrêa Juliana B JB de Oliveira Naiane T B NTB Santos Irlei Dos ID Liebano Richard E RE Costa Leonardo O P LOP

Brazilian journal of physical therapy 20230921 5

<h4>Background</h4>There is no systematic review assessing the effectiveness of interferential current (IC) in patients with low back pain.<h4>Objective</h4>To investigate the effectiveness of IC in patients with chronic non-specific low back pain.<h4>Methods</h4>The databases PUBMED, EMBASE, PEDro, Cochrane Library, CINAHL, and SCIELO were searched. Randomized controlled trials reporting pain intensity and disability in patients with chronic non-specific low back pain, in which IC was applied w ...[more]

PMID: 37801776

Similar Datasets

Project description:ObjectiveTo determine the comparative effectiveness and safety of psychological interventions for chronic low back pain.DesignSystematic review with network meta-analysis.Data sourcesMedline, Embase, PsycINFO, Cochrane Central Register of Controlled Trials, Web of Science, SCOPUS, and CINAHL from database inception to 31 January 2021.Eligibility criteria for study selectionRandomised controlled trials comparing psychological interventions with any comparison intervention in adults with chronic, non-specific low back pain. Two reviewers independently screened studies, extracted data, and assessed risk of bias and confidence in the evidence. Primary outcomes were physical function and pain intensity. A random effects network meta-analysis using a frequentist approach was performed at post-intervention (from the end of treatment to <2 months post-intervention); and at short term (≥2 to <6 months post-intervention), mid-term (≥6 to <12 months post-intervention), and long term follow-up (≥12 months post-intervention). Physiotherapy care was the reference comparison intervention. The design-by-treatment interaction model was used to assess global inconsistency and the Bucher method was used to assess local inconsistency.Results97 randomised controlled trials involving 13 136 participants and 17 treatment nodes were included. Inconsistency was detected at short term and mid-term follow-up for physical function, and short term follow-up for pain intensity, and were resolved through sensitivity analyses. For physical function, cognitive behavioural therapy (standardised mean difference 1.01, 95% confidence interval 0.58 to 1.44), and pain education (0.62, 0.08 to 1.17), delivered with physiotherapy care, resulted in clinically important improvements at post-intervention (moderate quality evidence). The most sustainable effects of treatment for improving physical function were reported with pain education delivered with physiotherapy care, at least until mid-term follow-up (0.63, 0.25 to 1.00; low quality evidence). No studies investigated the long term effectiveness of pain education delivered with physiotherapy care. For pain intensity, behavioural therapy (1.08, 0.22 to 1.94), cognitive behavioural therapy (0.92, 0.43 to 1.42), and pain education (0.91, 0.37 to 1.45), delivered with physiotherapy care, resulted in clinically important effects at post-intervention (low to moderate quality evidence). Only behavioural therapy delivered with physiotherapy care maintained clinically important effects on reducing pain intensity until mid-term follow-up (1.01, 0.41 to 1.60; high quality evidence).ConclusionsFor people with chronic, non-specific low back pain, psychological interventions are most effective when delivered in conjunction with physiotherapy care (mainly structured exercise). Pain education programmes (low to moderate quality evidence) and behavioural therapy (low to high quality evidence) result in the most sustainable effects of treatment; however, uncertainty remains as to their long term effectiveness. Although inconsistency was detected, potential sources were identified and resolved.Systematic review registrationPROSPERO CRD42019138074.

Dataset Information

Effectiveness of interferential current in patients with chronic non-specific low back pain: a systematic review with meta-analysis.

Background

Objective

Methods

Results

Conclusion

Publications

Effectiveness of interferential current in patients with chronic non-specific low back pain: a systematic review with meta-analysis.

Similar Datasets

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