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Effectiveness of Slump Stretching on Low Back Pain: A Systematic Review and Meta-analysis
Mohammadreza Pourahmadi1, Hamid Hesarikia2, Abbasali Keshtkar3
1Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.
Pain Medicine (Malden, Mass.)
|December 28, 2018
Summary
Slump stretching shows promise for reducing back pain and disability in low back pain (LBP) patients. While evidence for pain reduction is moderate, the evidence for disability improvement is very low, with nonradicular LBP patients potentially benefiting most.
Area of Science:
- Neurology
- Orthopedics
- Physical Therapy
Background:
- The slump test assesses neuromeningeal structure mechanosensitivity.
- Low back pain (LBP) is a prevalent condition impacting many individuals.
- Evaluating conservative treatments for LBP is crucial for effective management.
Purpose of the Study:
- To systematically review the effectiveness of slump stretching for low back pain (LBP).
- To analyze the impact of slump stretching on pain and disability in LBP patients.
Main Methods:
- A comprehensive literature search was conducted across eight electronic databases.
- Studies published in English up to October 2017 were included.
- Primary outcomes included pain and disability; range of motion (ROM) was a secondary outcome.
Main Results:
- Twelve studies involving 515 LBP patients were analyzed.
- Slump stretching demonstrated a large effect size in reducing pain (SMD = -2.15).
- Significant improvements were observed in disability (SMD = -8.03) and ROM (straight leg raise, active knee extension).
Conclusions:
- Evidence suggests slump stretching may positively impact pain in LBP patients (very low to moderate quality).
- The evidence for slump stretching improving disability is of very low quality.
- Patients with nonradicular LBP may experience the most benefit from this intervention.
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