Cochrane · systematic review · CD009852

Muscle energy technique for non‐specific low‐back pain

Franke, H, Fryer, G, Ostelo, RWJG, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

Back and NeckAMSTAR 2: not assessed
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
35
current version
GRADE rated
13
No studies
22
Included studies
NR
No studies 22 · 62.9%Ungraded 0 · 0%Very low 1 · 2.9%Low 12 · 34.3%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

MET plus any intervention compared to other therapies plus that intervention for chronic non‐specific low‐back pain (LBP)

Population: patients with non‐specific low‐back pain (LBP)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain A 0 to 100 visual or numerical scale, where 0 equals no pain at all and 100 is the worst pain imaginable
MET plus any intervention vs other therapies plus that intervention
no estimate extracted7 studies · 232 participantsLow
Downgraded: risk of bias, imprecision
Functional status Oswestry; 100‐point scale where 0 equals no disability and 100 is seriously disabled
MET plus any intervention vs other therapies plus that intervention
no estimate extracted7 studies · 232 participantsLow
Downgraded: risk of bias, imprecision
General well‐being
MET plus any intervention vs other therapies plus that intervention
no estimate extractedNRNo studies
Adverse events
MET plus any intervention vs other therapies plus that intervention
no estimate extractedNRNo studies
CI: confidence interval
MET plus any intervention vs other therapies plus that intervention
no estimate extractedNRNo studies

MET compared to sham MET for acute non‐specific low‐back pain (LBP)

Population: patients with non‐specific low‐back pain (LBP)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain A 0 to 100 visual analogue scale, where 0 equals no pain at all and 100 is the worst pain imaginable
MET vs sham MET
no estimate extracted1 study · 20 participantsLow
Downgraded: imprecision
Functional status
MET vs sham MET
no estimate extractedNRNo studies
General well‐being
MET vs sham MET
no estimate extractedNRNo studies
Adverse events
MET vs sham MET
no estimate extractedNRNo studies
CI: confidence interval
MET vs sham MET
no estimate extractedNRNo studies

MET compared to all other therapies for acute non‐specific low‐back pain (LBP)

Population: patients with non‐specific low‐back pain (LBP)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain A 0 t o 100 visual or numerical scale, where 0 equals no pain at all and 100 is the worst pain imaginable
MET vs all other therapies
no estimate extracted2 studies · 88 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Functional status Oswestry; 100‐point scale where 0 equals no disability and 100 is seriously disabled.
MET vs all other therapies
no estimate extracted1 study · 60 participantsLow
Downgraded: risk of bias, imprecision
General well‐being
MET vs all other therapies
no estimate extractedNRNo studies
Adverse events
MET vs all other therapies
no estimate extractedNRNo studies
CI: confidence interval
MET vs all other therapies
no estimate extractedNRNo studies

MET compared to all other therapies for chronic non‐specific low‐back pain (LBP)

Population: patients with non‐specific low‐back pain (LBP)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain A 0 to 100 visual analogue scale, where 0 equals no pain at all and 100 is the worst pain imaginable
MET vs all other therapies
no estimate extracted1 study · 30 participantsLow
Downgraded: risk of bias, imprecision
Functional status Oswestry; 100‐point scale where 0 equals no disability and 100 is seriously disabled
MET vs all other therapies
no estimate extracted1 study · 30 participantsLow
Downgraded: risk of bias, imprecision
General well‐being
MET vs all other therapies
no estimate extractedNRNo studies
Adverse events
MET vs all other therapies
no estimate extractedNRNo studies
CI: confidence interval
MET vs all other therapies
no estimate extractedNRNo studies

MET plus any intervention compared to that same intervention alone for acute non‐specific low‐back pain (LBP)

Population: patients with non‐specific low‐back pain (LBP)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain A 0 to 100 visual analogue scale, where 0 equals no pain at all and 100 is the worst pain imaginable
MET plus any intervention vs that same intervention alone
no estimate extracted1 study · 40 participantsLow
Downgraded: risk of bias, imprecision
Functional status Oswestry; 100‐point scale where 0 equals no disability and 100 is seriously disabled
MET plus any intervention vs that same intervention alone
no estimate extracted1 study · 40 participantsLow
Downgraded: risk of bias, imprecision
General well‐being
MET plus any intervention vs that same intervention alone
no estimate extractedNRNo studies
Adverse events
MET plus any intervention vs that same intervention alone
no estimate extractedNRNo studies
CI: confidence interval
MET plus any intervention vs that same intervention alone
no estimate extractedNRNo studies

MET plus any intervention compared to that same intervention alone for chronic non‐specific low‐back pain (LBP)

Population: patients with non‐specific low‐back pain (LBP)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain A 0 to 100 visual analogue scale, where 0 equals no pain at all and 100 is the worst pain imaginable
MET plus any intervention vs that same intervention alone
no estimate extracted1 study · 30 participantsLow
Downgraded: risk of bias, imprecision
Functional status Oswestry; 100‐point scale where 0 equals no disability and 100 is seriously disabled
MET plus any intervention vs that same intervention alone
no estimate extracted1 study · 30 participantsLow
Downgraded: risk of bias, imprecision
General well‐being
MET plus any intervention vs that same intervention alone
no estimate extractedNRNo studies
Adverse events
MET plus any intervention vs that same intervention alone
no estimate extractedNRNo studies
CI: confidence interval
MET plus any intervention vs that same intervention alone
no estimate extractedNRNo studies

MET plus any intervention compared to other therapies plus that intervention for acute non‐specific low‐back pain (LBP)

Population: patients with non‐specific low‐back pain (LBP)
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain A 0 to 100 visual analogue scale, where 0 equals no pain at all and 100 is the worst pain imaginable
MET plus any intervention vs other therapies plus that intervention
no estimate extracted1 study · 60 participantsLow
Downgraded: risk of bias
Functional status Oswestry; 100‐point scale where 0 equals no disability and 100 is seriously disabled
MET plus any intervention vs other therapies plus that intervention
no estimate extracted1 study · 60 participantsLow
Downgraded: risk of bias
General well‐being
MET plus any intervention vs other therapies plus that intervention
no estimate extractedNRNo studies
Adverse events
MET plus any intervention vs other therapies plus that intervention
no estimate extractedNRNo studies
CI: confidence interval
MET plus any intervention vs other therapies plus that intervention
no estimate extractedNRNo studies