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Journal : Narra J

Impact of lumbar support on pain reduction in low back pain patients: A systematic review and meta-analysis of randomized control trials Akbar, Muh. S; Syafar, Muhammad; Thamrin, Yahya; Aras , Djohan; Maidin, Alimin; Arsyad, Muhammad
Narra J Vol. 5 No. 1 (2025): April 2025
Publisher : Narra Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.52225/narra.v5i1.2165

Abstract

Low back pain (LBP) is a global health concern, affecting millions and contributing significantly to disability and economic burden. Various non-pharmacological interventions, including lumbar support, have been explored for LBP management. However, its efficacy remains debated due to inconsistent findings. The aim of this study was to evaluate the impact of lumbar support on pain reduction in individuals with LBP and compare its effectiveness to alternative interventions. A systematic search was conducted across multiple databases (PubMed, ScienceDirect, Scopus, SpringerLink, Google Scholar, and ProQuest) for studies published up to 2023. Data from six search engines were searched using inclusion criteria based on the PICO framework. Search terms included low back pain, lumbar support, lumbar orthose and randomized controlled trial, combined using Boolean operators. Sixteen randomized controlled trials (RCTs) were included in the systematic review, with eight studies analyzed in the meta-analysis. Eligible studies focused on adults with non-specific LBP, assessing pain levels using the Visual Analog Scale (VAS). The meta-analysis was assessed using the standardized mean difference (SMD) in the Visual Analog Scale (VAS). The meta-analysis revealed a statistically significant pain reduction with lumbar support compared to other interventions (SMD: 1.33; 95%CI: -2.09–(-0.57)); p=0.0006), though with high heterogeneity (I²=97%). The findings indicated that lumbar support effectively reduces pain and improves health-related quality of life, particularly in physically demanding occupations or among individuals with severe pain. While efficacy may depend on specific conditions, lumbar support represents a viable non-pharmacological option for LBP management.
Co-Authors Akbar, Muh. S Alimin Maidin Amanda, Madhania Fitri Amiruddin, Fitriyah Amran Razak Andi Andahwaty Andi Hardianti Andi Selvi Yusnitasari, Andi Selvi Andi Yusuf Andriani Andriani Aras , Djohan Arsunan Arsin Asmawati Asmawati Asrijun Juhanto Aulia, Hilda Marsyawa AYU LESTARI Azis, Rahmawati Dalimunthe, Dessy Yuliana Darmawansyah Darmawansyah Efi Eha Sumantri Esther Sanda Manapa Fachri Latif, Fachri Fachry Abda El Rahman Hadjar, Siti Hadju, Novaldi Helmy Faizi Bahrul Ulumi Ida Leida M.Thaha Ida Leida Maria Indarty Moedjiono, Apik Iva Hardi Yant Jayadi, Nasrah Jayawarsa, A.A. Ketut Jerniati, Jerniati Jihadi, Muhammad Jumrah Sudirman Jusuf, Elizabet Catherine K, Rahayu Eryanti Lagu, Abdul Majid HR M Furqaan Naiem M. Rusli Ngatimin Mahmud, Siti Hawa Mardhatillah Masyitha Muis MIFTAHUL JANNAH Muh. Khaerisman Muhammad Alwy Arifin Muhammad Ilyas Muhammad Rachmat Muhammad Tahir Abdullah Nambie Kobak Ningsih, Andi Pramesti Ningsih, Nining Ade Nining Ade Ningsih Nunik Sulistyaningtyas Nurambiya, Nurambiya Nurhikmah Baharuddin Petrus Petrus Puji, Bau Rahmatia Rahmatia, Rahmatia Rahmawati Rahmawati Azis Ridwan Amiruddin Ridwan Mochtar Thaha Rizky Chaeraty Syam Rosdianah, Rosdianah S. Otoluwa, Anang Sahrul Sahrul Salsabila, Unik Hanifah Saru, Amaliah Amriani Amran SHARVIANTY ARIFUDDIN, SHARVIANTY Shavira, Novenda Sitti Aisyah Stang Stang Suci Rahmadani Sukri Palutturi Sukri Palutturi sukri Sukri, sukri Suriah Suriah Sutadi Lanyumba, Fitrianty Syahfitri, Delia Syamsuddin, Saidah Sylvia Nasution Taurisa, Almaida Thamrin, Halida Werna Nontji, Werna Wulandari, Jenny Yahya Thamrin Yusuf , Andi