Effectiveness of Global Postural Reeducation in Ankylosing Spondylitis: A Systematic Review and Meta-Analysis
Abstract
:1. Introduction
2. Material and Methods
2.1. Study Design
2.2. Search Strategy
2.3. Criteria for Considering Studies for This Review
2.4. Data Extraction
2.5. Data Analysis and Outcomes
2.6. Evaluation of Clinical Relevance
3. Results
3.1. Data Extraction
3.2. Data Analysis and Meta-Analyses
3.3. Risk of Bias, Sensitivity and Heterogeneity
3.4. Evaluation of Clinical Relevance
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
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Databases and Total Found Articles | Search |
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PubMed: 43 *PEDro: 14 *SciELO: 18 *WoS: 74 | 1. (“Pain”(Mesh) OR “Acute Pain”(Mesh) OR “Pelvic Girdle Pain”(Mesh) OR “Musculoskeletal Pain”(Mesh) OR “Chronic Pain”(Mesh) OR “Visceral Pain”(Mesh) OR “Nociceptive Pain”(Mesh) OR “Pain Perception”(Mesh) OR “Pain, Referred”(Mesh) OR “Shoulder Pain”(Mesh) OR “Neck Pain”(Mesh) OR “Pelvic Pain”(Mesh)) AND “Global Postural Reeducation” 2. (“Range of Motion, Articular”(Mesh)) AND “Global Postural Reeducation” 3. (“Quality of Life/psychology”(Major)) AND “Global Postural Reeducation” 4. (“Ventilation”(Mesh) OR “Respiration”(Mesh) OR “Ventilation-Perfusion Ratio”(Mesh) OR “Pulmonary Ventilation”(Mesh) OR “Maximal Voluntary Ventilation”(Mesh) OR “Respiration, Artificial”(Mesh)) AND “Global Postural Reeducation” 5. (“Spondylitis”(Mesh) OR “Spondylitis, Ankylosing”(Mesh) OR “Spondylarthropathies”(Mesh) spondyloarthritis ankylopoietica OR ankylosing spondylarthritis OR ankylosing spondylarthritides OR spondylarthritides, ankylosing OR spondylarthritis, ankylosing OR ankylosing spondylitis OR spondylarthritis ankylopoietica OR bechterew disease OR bechterew’s disease OR bechterew s disease OR marie-struempell disease OR marie struempell disease OR rheumatoid spondylitis OR spondylitis, rheumatoid OR spondylitis ankylopoietica OR ankylosing spondyloarthritis OR ankylosing spondylarthritides OR spondylarthritides, ankylosing OR spondyloarthritis, ankylosing) AND “Global Postural Reeducation” 6. “Global Postural Reeducation” |
Author (Year) | Intervention(s) | Control | Primary Outcome Measure | Secondary Outcome Measure | Follow-Up | Results |
---|---|---|---|---|---|---|
Coksevim, N et al., (2018) [24] | Anti-TNF therapy plus GPR program and conventional exercise therapy | Conventional exercises | BASDAI 1, BASFI 2, chest expansion, finger-floor distance, Modified Shöber test and VAS 3 | 6MWD 4, MAF 5, PSQI 6 and BDI7 | 3 months | The improvements in all parameters were better in the anti-TNF groups than in the control group regarding the change scores between BT 15-AT 16. The anti-TNF plus GPR exercise therapy resulted in greater improvements than the anti-TNF plus conventional exercise therapy in pain, walking performance, mobility parameters. |
Durmus, D et al., (2008) [37] | Conventional exercise regimen and GPR | Conventional exercises | BASDAI 1, BASFI 2, Chest expansion and VAS 3 | 6MW 4, FVC 8, FEV1 9, PEF 10, VC 11 and MVV 12 | 3 months | The intergroup comparison (pre-post scores) in both exercise groups showed that the GPR group obtained more improvement than the conventional exercise group in FVC, FEV1, and PEF parameters. |
Fernández-de-las-Peñas, C et al., (2005) [28] | GRP | Conventional protocol of physical therapy in AS | BASDAI 1, BASFI 2, cervical rotation and modified Schöber test | Tragus to wall distance, lumbar side flexion, and intermalleolar distance | 4 months | The intergroup comparison between the improvement (pre-post scores) in both groups showed that the GPR group obtained a greater improvement than the control group in all the clinical measures of cervical rotation and modified Schöber test lumbar side flexion, and intermalleolar distance, as well as in the BASFI index. |
Silva, EM. et al., (2012) [4] | GPR | Conventional exercise | BASDAI 1, chest expansion and VAS 3 | Morning stiffness, spine mobility, HAQ- S 13 and SF-36 14. | 4 months | In the inter-group comparison, there was significantly more improvement in the GPR group in all measures, except for the finger-floor distance (p = 0.12). |
Evaluation Criteria (Items) 1 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | Total Score |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Author-Year | ||||||||||||
Coksevim, N. et al.-2018 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 4 |
Silva, E. et al.-2012 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 4 |
Durmus, D. et al.-2008 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | 1 | 1 | 1 | 4 |
Fernández-de-las-Peñas, C. et al.-2005 | 1 | 1 | 0 | 1 | 0 | 0 | 1 | 1 | 0 | 1 | 1 | 6 |
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Gonzalez-Medina, G.; Perez-Cabezas, V.; Marin-Paz, A.-J.; Galán-Mercant, A.; Ruiz-Molinero, C.; Jimenez-Rejano, J.J. Effectiveness of Global Postural Reeducation in Ankylosing Spondylitis: A Systematic Review and Meta-Analysis. J. Clin. Med. 2020, 9, 2696. https://doi.org/10.3390/jcm9092696
Gonzalez-Medina G, Perez-Cabezas V, Marin-Paz A-J, Galán-Mercant A, Ruiz-Molinero C, Jimenez-Rejano JJ. Effectiveness of Global Postural Reeducation in Ankylosing Spondylitis: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine. 2020; 9(9):2696. https://doi.org/10.3390/jcm9092696
Chicago/Turabian StyleGonzalez-Medina, Gloria, Veronica Perez-Cabezas, Antonio-Jesus Marin-Paz, Alejandro Galán-Mercant, Carmen Ruiz-Molinero, and Jose Jesus Jimenez-Rejano. 2020. "Effectiveness of Global Postural Reeducation in Ankylosing Spondylitis: A Systematic Review and Meta-Analysis" Journal of Clinical Medicine 9, no. 9: 2696. https://doi.org/10.3390/jcm9092696
APA StyleGonzalez-Medina, G., Perez-Cabezas, V., Marin-Paz, A.-J., Galán-Mercant, A., Ruiz-Molinero, C., & Jimenez-Rejano, J. J. (2020). Effectiveness of Global Postural Reeducation in Ankylosing Spondylitis: A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 9(9), 2696. https://doi.org/10.3390/jcm9092696