Back schools for the treatment of chronic low back pain: possibility of benefit but no convincing evidence after 47 years of research—systematic review and meta-analysis
| Autor: | R A Moore, Barbora Arendacká, Xiangning Fan, Heiko Schröder, Sebastian Straube, Tim Friede, Markus Harden |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
education Alternative medicine MEDLINE Psychological intervention Comprehensive Review law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial Patient Education as Topic law health services administration medicine Back schools Humans Low back pain 030212 general & internal medicine Longitudinal Studies Adverse effect health care economics and organizations Randomized Controlled Trials as Topic Schools business.industry equipment and supplies Databases Bibliographic 3. Good health Meta-analysis Anesthesiology and Pain Medicine Neurology Physical therapy Systematic review population characteristics Neurology (clinical) medicine.symptom business Inclusion (education) human activities 030217 neurology & neurosurgery |
| Zdroj: | Pain |
| ISSN: | 1872-6623 0304-3959 |
| Popis: | A systematic review demonstrates that the evidence base for the use of back schools to treat low back pain is weak. No unequivocal evidence of benefit has emerged; adverse events were poorly reported in the studies. Back schools are interventions that comprise exercise and education components. We aimed to systematically review the randomized controlled trial evidence on back schools for the treatment of chronic low back pain. By searching MEDLINE, Embase, and Cochrane Central as well as bibliographies, we identified 31 studies for inclusion in our systematic review and 5 of these for inclusion in meta-analyses. Meta-analyses for pain scores and functional outcomes revealed statistical superiority of back schools vs no intervention for some comparisons but not others. No meta-analysis was feasible for the comparison of back schools vs other active treatments. Adverse events were poorly reported so that no reliable conclusions regarding the safety of back schools can be drawn, although some limited reassurance in this regard may be derived from the fact that few adverse events and no serious adverse events were reported in the back school groups in the studies that did report on safety. Overall, the evidence base for the use of back schools to treat chronic low back pain is weak; in nearly a half-century since back schools were first trialled, no unequivocal evidence of benefit has emerged. |
| Databáze: | OpenAIRE |
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