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- W4365135283 abstract "Objective The purpose of this systematic review with meta-analysis was to investigate the effect of early physical therapy (PT) for the management of acute low back pain (LBP) on patient-reported outcomes of pain and disability, compared to delayed PT or non-PT care. Literature Survey Randomized controlled trials in three electronic databases (MEDLINE, CINAHL, Embase) were searched from inception to June 12, 2020, and updated on September 23, 2021. Methodology Eligible participants were individuals with acute low back pain. The intervention was early PT compared to delayed PT or non-PT care. Primary outcomes included the patient-reported outcomes of pain and disability. The following information was extracted from included articles: demographic data, sample size, selection criteria, PT interventions, and pain and disability outcomes. Data were extracted following PRISMA guidelines. Methodological quality was assessed using the Physiotherapy Evidence Database (PEDro) Scale. Random effects models were used for the meta-analysis. Synthesis Seven out of 391 articles met the eligibility criteria and were included in the meta-analysis. Random effects meta-analysis comparing early PT to non-PT care for acute LBP indicated a significant reduction in pain (SMD=0.43, 95CI: -.069 to -0.17) and disability (SMD=0.36, 95CI: -0.57 to -0.16) in the short-term. Early PT compared to delayed PT did not result in improvement in short-term pain (SMD=-0.24, 95CI: -0.52 to 0.04) or disability (SMD=0.28, 95CI: -0.56 to 0.01), or long-term pain (SMD=0.21, 95CI: -0.15 to 0.57) or disability (SMD=0.14, 95CI: -0.15 to 0.42). Conclusions This systematic review and meta-analysis suggest early PT versus non-PT care is associated with statistically significant reductions in short-term pain and disability (up to 6 weeks) with small effect sizes. Our results indicate a non-significant trend favoring a small benefit of early PT over delayed PT for outcomes at short-term follow-up, but no effect at long-term follow-up (6 months or greater)." @default.
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- W4365135283 date "2023-04-11" @default.
- W4365135283 modified "2023-10-16" @default.
- W4365135283 title "Effect of Physical Therapy Timing on Patient Reported Outcomes for Individuals with Acute Low Back Pain: A Systematic Review with Meta Analysis of Randomized Controlled Trials" @default.
- W4365135283 doi "https://doi.org/10.1002/pmrj.12984" @default.
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