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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 Agus Bintara Birawida Ahri, Reza Aril Akbar, Muh. S Alfina Baharuddin Alimin Maidin Alwi Arifin Alwi, Muh Khidri Amran Razak Andi Hardianti Andi Indahwaty Andi Rezki Nadillah Andi Wahyuni Andi Zulkifli Anwar Malloangi Aras , Djohan Arman Arman A Arman Arman Arman Arman AS, Andi Indahwaty Atjo Wahyu Atjo Wahyu Awaluddin Awaluddin Darma Darma Dian Fitri Ayu Ramadhani Dwinata, Indra Fachrin, Suharni a. Fachry Abda El Rahman Fajaruddin Natsir Firdaus Firdaus Fridawati Rivai Fridawaty Rivai Furqaan Naeim Furqaan Naiem Haeruddin Haeruddin Husriawan, Husriawan Iin Karmila Yusri Ikhram Hardi S Indah Aqvirah Dewi Ramadhani Ediwan Indah Lestari, Indah Indar Indar Jumriani Ansar Kusuma, Agus Wira Adi Lalu M Saleh Lalu Muhammad Lalu Muhammad Saleh Latuconsin, Nur Aisah Loritma Lasarus Luhulima, Abd Kadir Masni Masnitarini, Chintasih Masyitha Muis Masyitha Muis Muhammad Fandi Ahmad Muhammad Ikhtiar Muhammad Rachmat Muhammad Rum Rahim Muhammad Syafar Muhammad, Karlyna Bte Novriani Zainuddin Nurul Mawaddah Syafitri Nurul Muflisha Putri, Anindya Monika Rahman Rahman Ramadhany, Faradillah Restituta Maria Salome Resubun Rifa'ah Mahmudah Rifa’ah Mahmudah Rifdah Wardani Rizky Maharja S. , Ikhram Hardi Saifuddin Sirajuddin Sheren Maria Birgita Danur Sidin, Andi Indahwaty Sitti Patimah Sudarmin, Ria Rezki Suharni A. Fachrin Suharni Suharni Syamsiar S Russeng Syamsiar S. Russeng Tahir Abdullah Ummu Kalsum Ummu Kamilah Yuliati - Yuliati Yuliati Yunus, Pratiwi Yusri, Iin Karmila Zahra Istiqamah Zainuddin, Novriani Zurriya, Junita Zurriyah, Junita