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2024 ; 14
(7
): e073916
Nephropedia Template TP
gab.com Text
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English Wikipedia
Effectiveness of a physiotherapy self-management programme for adult patients
with chronic non-specific low back pain in low- and middle-income countries:
protocol for a systematic review and meta-analysis
#MMPMID39089717
Motha SG
; Naidoo N
; Moyo-Chilufya M
; Musekiwa A
; Kgarosi K
; Mostert K
BMJ Open
2024[Jul]; 14
(7
): e073916
PMID39089717
show ga
INTRODUCTION: Chronic non-specific low back pain (CNLBP) is among the most common
musculoskeletal system conditions reported worldwide; however, few studies are
available from low- and middle-income countries (LMICs). Self-management is a set
of tasks performed by the patient aiming at managing their symptoms and
interference in activities, mood and relationships due to pain. A
physiotherapy-guided self-management programme (SMP) following a biopsychosocial
approach has been reported as effective and affordable in the management of CNLBP
in high-income countries. The objective of this systematic review is to determine
the overall effectiveness of SMPs for adults with CNLBP in LMICs. METHODS AND
ANALYSIS: In this systematic review, the Preferred Reporting Items for Systematic
Reviews and Meta-Analyses-Protocol (PRISMA-P) guidelines will be followed. A
three-step search strategy will be used to search the electronic databases
(PubMed, MEDLINE, SPORTDiscus, Scopus and CINAHL, Academic Search Complete and
PEDro) for randomised controlled trials assessing the effectiveness of
physiotherapy-guided self-management for CNLBP among adult participants in LMICs.
The processes of screening search results for eligible studies, extracting data
from included studies and appraising will be done independently by at least two
review authors. Random effects meta-analysis will be used to synthesise results
and heterogeneity will be assessed using the I(2) test statistic and ?(2) test.
ETHICS AND DISSEMINATION: Ethics clearance was obtained for the broader PhD study
on the development of a physiotherapy-guided SMP for adult people with CNLBP in
Limpopo Province, South Africa. The results of the manuscript for this protocol
will be published in peer-reviewed journals and also presented at conferences,
symposia, and congresses. PROSPERO REGISTRATION NUMBER: CRD42023399572.