Lumbopelvic neuromuscular training and injury rehabilitation: A systematic review

Matthew S. Briggs, Deborah L. Givens, Thomas Best, Ajit M. Chaudhari

Research output: Contribution to journalReview article

7 Citations (Scopus)

Abstract

OBJECTIVE: The aim of this systematic review was to assess the evidence for lumbopelvic neuromuscular training (LNMT) in individuals after musculoskeletal (MSK) injury. DATA SOURCES: A literature search of PubMed and EMBASE databases was performed for English studies from January 1990 to March 2012. Search terms including and related to trunk, core, stability, injury, and LNMT were used. STUDY SELECTION: All studies directly involving LNMT for MSK injuries were reviewed by 2 authors. These articles were assessed based on the inclusion criteria and if appropriate selected for further analysis. Expert opinion, review articles, and articles involving non-MSK injuries were excluded. Four authors then scored the selected articles for methodological quality. A total of 2312 articles were initially identified. Twenty-nine articles met the inclusion criteria for review and were divided into categories of lower extremity (LE), lumbar, and upper extremity (UE). No trials involving the UE met the inclusion criteria. DATA EXTRACTION: Data including subject demographics (age, height, weight, gender, etc), injury type, intervention type, and outcome measurements were extracted from the relevant articles. A variety of baseline and follow-up scores were extracted including pain levels, patient satisfaction, disability questionnaires, and other functional outcomes. DATA SYNTHESIS: Two out of 3 LE randomized controlled trials (RCTs) and 9/26 lumbar RCTs were rated with high methodological quality based on the scoring system described by van Tulder et al. The average quality score for the LE RCTs was 6.3 (range = 4-9) and for the lumbar RCTs was 5.1 (range = 2-9). The evidence for the effectiveness of the 3 LE studies was rated as conflicting, whereas 24 lumbar studies demonstrated moderate-to-strong evidence. Unfortunately, heterogeneity of populations, interventions, and outcomes precluded a quantitative meta-analysis and specific clinical recommendations. CONCLUSIONS: High-quality evidence is lacking to make specific clinical recommendations for or against the use of LNMT in the rehabilitation of individuals after MSK injury. Based on this review, future research should focus on well-defined, homogeneous populations, interventions specifically addressing neuromuscular activation of the lumbopelvic musculature, patient-specific clinical outcomes, measures of motor control, biomechanics, and return to specific activities.

Original languageEnglish (US)
Pages (from-to)160-171
Number of pages12
JournalClinical Journal of Sport Medicine
Volume23
Issue number3
DOIs
StatePublished - May 1 2013
Externally publishedYes

Fingerprint

Rehabilitation
Lower Extremity
Wounds and Injuries
Randomized Controlled Trials
Upper Extremity
Expert Testimony
Population Characteristics
Patient Satisfaction
Biomechanical Phenomena
PubMed
Meta-Analysis
Demography
Outcome Assessment (Health Care)
Databases
Weights and Measures
Pain
Population

Keywords

  • Back injuries
  • Lower extremity injuries
  • Physical therapy
  • Soft tissue injuries
  • Sports rehabilitation programs

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Lumbopelvic neuromuscular training and injury rehabilitation : A systematic review. / Briggs, Matthew S.; Givens, Deborah L.; Best, Thomas; Chaudhari, Ajit M.

In: Clinical Journal of Sport Medicine, Vol. 23, No. 3, 01.05.2013, p. 160-171.

Research output: Contribution to journalReview article

Briggs, Matthew S. ; Givens, Deborah L. ; Best, Thomas ; Chaudhari, Ajit M. / Lumbopelvic neuromuscular training and injury rehabilitation : A systematic review. In: Clinical Journal of Sport Medicine. 2013 ; Vol. 23, No. 3. pp. 160-171.
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