Discovering the Best Mind-Body Therapy for Low Back Pain

Published on June 29, 2023

Searching for the best treatment option for non-specific low back pain (NLBP) is like exploring different flavors of ice cream to find your favorite. In this study, researchers conducted a network meta-analysis to compare the effects of various mindfulness-based mind-body therapies (MBMBTs) in NLBP patients. They analyzed 46 randomized controlled trials and evaluated therapies such as Yoga, Ayurvedic Massage, Pilates, Craniosacral Therapy, Meditation, Qigong, and more. The results showed that Craniosacral Therapy had the highest ranking in improving pain, disability, physical health, and mental health. It’s like discovering a delicious new ice cream flavor that’s both rich and refreshing! On the other hand, Usual Care ranked the lowest in all categories, which is like sticking to plain vanilla when there are so many exciting options available. This study provides valuable insights into the most effective MBMBTs for NLBP patients, empowering them to make informed choices about their treatment. If you’re curious about the fascinating world of mind-body therapies and their impact on NLBP, dive into this research to learn more!

Background/objectivesAlthough mindfulness-based mind-body therapy (MBMBT) is an effective non-surgical treatment for patients with non-specific low back pain (NLBP), the best MBMBT mode of treatment for NLBP patients has not been identified. Therefore, a network meta-analysis (NMA) was conducted to compare the effects of different MBMBTs in the treatment of NLBP patients.MethodsPubMed, EMBASE, Cochrane Central Register of Controlled Trials, and Web of Science databases were searched for randomized controlled trials (RCTs) applying MBMBT for the treatment of NLBP patients, with all of the searches ranging from the time of database creation to January 2023. After 2 researchers independently screened the literature, extracted information, and evaluated the risks of biases in the included studies, the data were analyzed by using Stata 16.0 software.ResultsA total of 46 RCTs were included, including 3,886 NLBP patients and 9 MBMBT (Yoga, Ayurvedic Massage, Pilates, Craniosacral Therapy, Meditation, Meditation + Yoga, Qigong, Tai Chi, and Dance). The results of the NMA showed that Craniosacral Therapy [surface under the cumulative ranking (SUCRA): 99.2 and 99.5%] ranked the highest in terms of improving pain and disability, followed by Other Manipulations (SUCRA: 80.6 and 90.8%) and Pilates (SUCRA: 54.5 and 71.2%). In terms of improving physical health, Craniosacral Therapy (SUCRA: 100%) ranked the highest, followed by Pilates (SUCRA: 72.3%) and Meditation (SUCRA: 55.9%). In terms of improving mental health, Craniosacral Therapy (SUCRA: 100%) ranked the highest, followed by Meditation (SUCRA: 70.7%) and Pilates (SUCRA: 63.2%). However, in terms of improving pain, physical health, and mental health, Usual Care (SUCRA: 7.0, 14.2, and 11.8%, respectively) ranked lowest. Moreover, in terms of improving disability, Dance (SUCRA: 11.3%) ranked lowest.ConclusionThis NMA shows that Craniosacral Therapy may be the most effective MBMBT in treating NLBP patients and deserves to be promoted for clinical use.Systematic review registrationhttps://www.crd.york.ac.uk/PROSPERO/, PROSPERO [CRD42023389369].

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