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Motor control exercise for symptomatic lumbar disc herniation: protocol for a systematic review and meta-analysis
  1. Mohammad Reza Pourahmadi1,
  2. Morteza Taghipour2,
  3. Ismail Ebrahimi Takamjani1,
  4. Mohammad Ali Sanjari3,
  5. Mohammad Ali Mohseni-Bandpei4,5,
  6. Abbas Ali Keshtkar6
  1. 1Department of Physiotherapy, School of Rehabilitation Sciences, Iran University of Medical Sciences and Health Services, Tehran, Iran
  2. 2Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  3. 3Department of Rehabilitation Basic Sciences, School of Rehabilitation Sciences, Iran University of Medical Sciences and Health Services, Tehran, Iran
  4. 4Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
  5. 5Faculty of Allied Health Sciences, University Institute of Physical Therapy, University of Lahore, Lahore, Pakistan
  6. 6Department of Health Sciences Education Development, School of Public Health, Tehran University of Medical Sciences and Health Services, Tehran, Iran
  1. Correspondence to Morteza Taghipour; taghipour-morteza{at}hotmail.com

Abstract

Introduction Lumbar disc herniation (LDH) is a common condition in adults and can impose a heavy burden on both the individual and society. It is defined as displacement of disc components beyond the intervertebral disc space. Various conservative treatments have been recommended for the treatment of LDH and physical therapy plays a major role in the management of patients. Therapeutic exercise is effective for relieving pain and improving function in individuals with symptomatic LDH. The aim of this systematic review is to evaluate the effectiveness of motor control exercise (MCE) for symptomatic LDH.

Methods and analysis We will include all clinical trial studies with a concurrent control group which evaluated the effect of MCEs in patients with symptomatic LDH. We will search PubMed, SCOPUS, PEDro, SPORTDiscus, CINAHL, CENTRAL and EMBASE with no restriction of language. Primary outcomes of this systematic review are pain intensity and functional disability and secondary outcomes are functional tests, muscle thickness, quality of life, return to work, muscle endurance and adverse events. Study selection and data extraction will be performed by two independent reviewers. The assessment of risk of bias will be implemented using the PEDro scale. Publication bias will be assessed by funnel plots, Begg's and Egger's tests. Heterogeneity will be evaluated using the I2 statistic and the χ2 test. In addition, subgroup analyses will be conducted for population and the secondary outcomes. All meta-analyses will be performed using Stata V.12 software.

Ethics and dissemination No ethical concerns are predicted. The systematic review findings will be published in a peer-reviewed journal and will also be presented at national/international academic and clinical conferences.

Trial registration number CRD42016038166.

  • Disc herniation
  • Lumbar
  • Stabilization
  • Motor control exercise
  • Physical therapy
  • Systematic review

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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