Effectiveness of global postural re-education in reducing chronic non-specific low back pain and improving daily function in adults

Abstract

Clinical Scenario: Low back pain (LBP) is one of the most common complaints in adults. Research indicates that the implementation of global postural re-education may decrease pain in those with chronic low back pain and improve daily function.

Clinical Question: How effective is the Global Postural Re-education technique in reducing chronic or non-specific low back pain in adults compared to conventional treatment methods?

Summary of Key Findings: A search was conducted for articles comparing GPR to standard physical therapy techniques. Three articles were included in this critically appraised topic; two randomized controlled trials and one quasi-randomized controlled trial. All compared GPR to standard physical therapy techniques including static stretching and motor control exercises. All three articles found a significant improvement in both control and treatment groups, but a greater improvement in pain, daily function, and range of motion.

Clinical Bottom Line: There is moderate level of evidence that clinicians may opt to use GPR and postural re-education methods when treating patients with chronic LBP to reduce pain levels, increase hip and back range of motion, and improve overall function with activities of daily living.

Strength of Recommendation: The studies included in this review show level B evidence based on the SORT scale that GPR may be an effective treatment method for reducing chronic LBP short term compared to conventional treatment methods.