title: Global Postural Reeducation for patients with musculoskeletal conditions: a systematic review of randomized controlled trials.
abstract: OBJECTIVE
  To systematically review randomized controlled trials that assessed the effects of Global Postural Reeducation (GPR) on patient-reported outcomes in conditions of the musculoskeletal system.
  
  
  METHODS
  An electronic search of MEDLINE (via PubMed), EMBASE, Cochrane CENTRAL, and SciELO was performed from their inception to June 2015. Randomized controlled trials that analyzed pain and patient-reported outcomes were included in this review. The Cochrane Collaboration's Risk of Bias Tool was used to evaluate risk of bias, and the quality of evidence was rated following the GRADE approach. There were no language restrictions.
  
  
  RESULTS
  Eleven trials were included totaling 383 patients. Overall, the trials had high risk of bias. GPR was superior to no treatment but not to other forms of treatment for pain and disability. No placebo-controlled trials were found.
  
  
  CONCLUSIONS
  GPR is not superior to other treatments; however, it is superior to no treatment. Due to the lack of studies, it is unknown if GPR is better than placebo. The quality of the available evidence ranges from low to very low, therefore future studies may change the effect estimates of GPR in musculoskeletal conditions.
authors.affiliation: Programa de Pós-graduação em Ciências da Reabilitação, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brasil.
authors.forename: Giovanni E
authors.initials: GE
authors.lastname: Ferreira
authors.affiliation: Programa de Pós-graduação em Fisioterapia, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brasil.
authors.forename: Rodrigo G P
authors.initials: RG
authors.lastname: Barreto
authors.affiliation: Programa de Pós-graduação em Ciências da Saúde, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brasil.
authors.forename: Caroline C
authors.initials: CC
authors.lastname: Robinson
authors.affiliation: Programa de Pós-graduação em Ciências da Reabilitação, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brasil.
authors.forename: Rodrigo D M
authors.initials: RD
authors.lastname: Plentz
authors.affiliation: Programa de Pós-graduação em Ciências da Reabilitação, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brasil.
authors.forename: Marcelo F
authors.initials: MF
authors.lastname: Silva
mesh_terms: D006801:Humans; D009140:Musculoskeletal Diseases; D016032:Randomized Controlled Trials as Topic; D011187:Posture