Cochrane · systematic review · CD009711
The McKenzie method for (sub)acute non‐specific low back pain
Almeida, MO, Narciso Garcia, A, Menezes Costa, LC, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
15
current version
GRADE rated
10
No studies
5
Included studies
NR
No studies 5 · 33.3%Ungraded 0 · 0%Very low 2 · 13.3%Low 8 · 53.3%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
McKenzie therapy compared with minimal intervention for (sub)acute low back pain
Population: patients with non‐specific acute and subacute low back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity: short‐term (closest to 2 weeks) NRS (scale from 0‐100, 0 is no pain) McKenzie therapy vs minimal intervention | no estimate extracted | 2 studies · 328 participants | Low Downgraded: risk of bias, imprecision |
Pain intensity: intermediate‐term (closest to 3 months) NRS (scale from 0‐100, 0 is no pain) McKenzie therapy vs minimal intervention | no estimate extracted | 1 study · 180 participants | Low Downgraded: risk of bias, imprecision |
Disability: short‐term (closest to 2 weeks) RMDQ (scale from 0‐100, 0 is no disability) McKenzie therapy vs minimal intervention | no estimate extracted | 2 studies · 328 participants | Low Downgraded: risk of bias, imprecision |
Disability: intermediate‐term (closest to 3 months) RMDQ (scale from 0‐100, 0 is no disability) McKenzie therapy vs minimal intervention | no estimate extracted | 1 study · 180 participants | Low Downgraded: risk of bias, imprecision |
Adverse events McKenzie therapy vs minimal intervention | no estimate extracted | NR | No studies |
McKenzie therapy compared with manual therapy for (sub)acute low back pain
Population: patients with non‐specific acute and subacute low back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity: short‐term (closest to 2 weeks)a Multiples scales (scale from 0‐100, 0 is no pain) McKenzie therapy vs manual therapy | no estimate extracted | 3 studies · 298 participants | Low Downgraded: risk of bias, imprecision |
Pain intensity: intermediate‐term (closest to 3 months) NRS (scale from 0‐100, 0 is no pain) McKenzie therapy vs manual therapy | no estimate extracted | 1 study · 235 participants | Low Downgraded: risk of bias, imprecision |
Disability: short‐term (closest to 2 weeks)a Multiples scales (scale from 0‐100, 0 is no disability) McKenzie therapy vs manual therapy | no estimate extracted | 3 studies · 298 participants | Low Downgraded: risk of bias, imprecision |
Disability: intermediate‐term (closest to 3 months) RMDQ (scale from 0‐100, 0 is no disability) McKenzie therapy vs manual therapy | no estimate extracted | 1 study · 235 participants | Low Downgraded: risk of bias, imprecision |
Adverse events McKenzie therapy vs manual therapy | no estimate extracted | NR | No studies |
McKenzie therapy compared with other interventions for (sub)acute low back pain
Population: patients with non‐specific acute and subacute low back pain
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity: short‐term (closest to 2 weeks) McKenzie therapy vs other interventions | no estimate extracted | NR | No studies |
Pain intensity: intermediate‐term (closest to 3 months) McKenzie therapy vs other interventions | no estimate extracted | NR | No studies |
Disability: short‐term (closest to 2 weeks) ODI (scale from 0‐100, 0 is no disability) McKenzie therapy vs other interventions | no estimate extracted | 1 study · 30 participants | Very low Downgraded: risk of bias, imprecision |
Disability: intermediate‐term (closest to 3 months) ODI (scale from 0‐100, 0 is no disability) McKenzie therapy vs other interventions | no estimate extracted | 1 study · 25 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events McKenzie therapy vs other interventions | no estimate extracted | NR | No studies |