Frontiers in pain research (Lausanne, Switzerland) · 2026
Meta-analysis of the therapeutic effects of different core muscle training on pain and function in patients with chronic non-specific low back pain.
СтатьяОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Liu Yang, Li Haoyang, Yu Yueyong, Zhang Chenyuan, Zhou Zhou
Аннотация
OBJECTIVE: To compare the effects of specific core muscle training modalities-core stability training, sling exercise therapy (SET), Pilates, and breathing training-vs. non-core-training controls on pain and function in patients with chronic nonspecific low back pain (CNLBP).
METHODS: Randomized controlled trials (RCTs) from PubMed, Web of Science, and Cochrane Library were systematically searched. Thirty-three RCTs involving 1,757 patients were analyzed using random-effects meta-analysis in RevMan, with subgroup analyses by training type, mode, and duration.
RESULTS: Core stability training significantly reduced pain (SMD = -0.95, 95% CI: -1.35 to -0.55) and improved function (SMD = -1.09, 95% CI: -1.63 to -0.55), despite high heterogeneity (I 2 = 93%-95%).For pain relief, SET (SMD = -1.43) and Pilates (SMD = -1.48) showed the strongest effects, followed by breathing training (SMD = -0.75); conventional core stability training was less effective (SMD = -0.36). For functional improvement, SET (SMD = -2.60) and combined interventions (SMD = -1.07) outperformed single training. Short-term (<8 weeks) SET yielded prominent benefits, while long-term (≥8 weeks) breathing training sustained effects.
CONCLUSION: Core muscle training alleviates pain and enhances function in CNLBP. SET and Pilates offer notable short-term analgesia, whereas combined interventions improve function more effectively. Clinical protocols should be individualized, and future studies must standardize parameters and examine multimodal synergies. Systematic Review Registration: identifier: CRD420251031252.
METHODS: Randomized controlled trials (RCTs) from PubMed, Web of Science, and Cochrane Library were systematically searched. Thirty-three RCTs involving 1,757 patients were analyzed using random-effects meta-analysis in RevMan, with subgroup analyses by training type, mode, and duration.
RESULTS: Core stability training significantly reduced pain (SMD = -0.95, 95% CI: -1.35 to -0.55) and improved function (SMD = -1.09, 95% CI: -1.63 to -0.55), despite high heterogeneity (I 2 = 93%-95%).For pain relief, SET (SMD = -1.43) and Pilates (SMD = -1.48) showed the strongest effects, followed by breathing training (SMD = -0.75); conventional core stability training was less effective (SMD = -0.36). For functional improvement, SET (SMD = -2.60) and combined interventions (SMD = -1.07) outperformed single training. Short-term (<8 weeks) SET yielded prominent benefits, while long-term (≥8 weeks) breathing training sustained effects.
CONCLUSION: Core muscle training alleviates pain and enhances function in CNLBP. SET and Pilates offer notable short-term analgesia, whereas combined interventions improve function more effectively. Clinical protocols should be individualized, and future studies must standardize parameters and examine multimodal synergies. Systematic Review Registration: identifier: CRD420251031252.