Article

The aim of this study was to investigate the effects of global
postural re-education (GPR) on the treatment of spinal disorders by performing a
systematic review and a meta-analysis. DESIGN: MEDLINE, Scopus, and PEDro
databases were searched without language or publication date restrictions. Data
on pain and function were used to evaluate the effectiveness of GPR. Randomized
controlled trials and controlled clinical trials analyzing the effectiveness of
GPR on spinal disorders were selected. The standardized mean difference (SMD) and
the corresponding 95% confidence interval (95% CI) were calculated. The
meta-analysis was performed using the Comprehensive Meta-analysis 3.3 software.
RESULTS: Seven randomized controlled trials and 4 controlled clinical trials were
included in the meta-analysis. The results showed a medium improvement on pain
(SMD = -0.63; 95% CI, -0.43 to -0.83) and function (SMD = -0.48; 95% CI, -0.25 to
-0.72) after GPR treatment.
The positive effect, which was greater in patients
with ankylosing spondylitis followed by low back pain and neck pain, was more
significant during the intermediate follow-up than immediately after treatment.
CONCLUSIONS: This meta-analysis provides reliable evidence that GPR may be an
effective method for treating spinal disorders by decreasing pain and improving function.

Langue : ANGLAIS