Effectiveness of self-management of low back pain: Systematic review with meta-analysis
Arthritis Care & Research ,  Evidence Based Medicine  Clinical Article

Oliveira VC et al. – There is moderate quality evidence that self–management has small effects on pain and disability in people with low back pain (LBP). These results challenge the endorsement of self–management in treatment guidelines.

Methods
  • The authors performed a systematic review searching MEDLINE, EMBASE, CINAHL, PsycINFO, LILACS, PEDro, AMED, SportDiscus and Cochrane databases from earliest record to April 2011.
  • Randomised controlled trials evaluating self–management for non–specific LBP and assessing pain and disability were included.
  • The PEDro scale was used to assess methodological quality of included trials.
  • Data were pooled where studies were sufficiently homogenous.
  • Analyses were conducted separately for short (less than 6 months after randomization) and long (at least 12 months after randomization) term follow–ups. Six criteria for self–management were used to assess content of the intervention.

Results
  • The search identified 2325 titles, of which 13 original trials were included.
  • Moderate quality evidence showed that self–management is effective for improving pain and disability for people with LBP.
  • The weighted mean difference for pain was –3.2 points on a 0–100 scale (95% confidence interval: –5.1 to –1.3) and for disability –2.3 points (–3.7 to –1.0) at short–term follow–up.
  • The long–term effects were –4.8 (–7.1 to –2.5) for pain and –2.1 (–3.6 to –0.6) for disability.

Please login or register to follow this author.
Are you sure you want to Unfollow this Author?
► Click here to access PubMed, Publisher and related articles...
<< Previous Article | Next Article >>

Your Unread Messages in Orthopedics

See All >> Messages include industry-sponsored communications and special communications from MDLinx

Most Popular Orthopedics Articles

1 Tranexamic acid use and postoperative outcomes in patients undergoing total hip or knee arthroplasty in the United States: retrospective analysis of effectiveness and safety BMJ, September 9, 2014    Evidence Based Medicine    Clinical Article

2 Operative versus non-operative treatment for closed, displaced, intra-articular fractures of the calcaneus: randomised controlled trial BMJ, August 1, 2014    Clinical Article

3 Investigation the efficacy of intra-articular prolotherapy with erythropoietin and dextrose and intra-articular pulsed radiofrequency on pain level reduction and range of motion improvement in primary osteoarthritis of knee Journal of Research in Medical Sciences, September 10, 2014    Clinical Article

4 A randomized trial of epidural glucocorticoid injections for spinal stenosis New England Journal of Medicine, July 7, 2014    Evidence Based Medicine    Clinical Article

5 Risk analysis for second hip fracture in patients after hip fracture surgery: A nationwide population-based study Journal of the American Medical Directors Association, September 22, 2014    Clinical Article

6 Combined glucosamine and chondroitin sulfate, once or three times daily, provides clinically relevant analgesia in knee osteoarthritis Clinical Rheumatology, August 12, 2014    Clinical Article

7 Promising medication counteracts constipation caused by opioid painkillers KU Leuven News, July 25, 2014

8 Increasing trends and significance of hypovitaminosis D: a population-based study in the Kingdom of Saudi Arabia Archives of Osteoporosis, September 18, 2014    Evidence Based Medicine    Clinical Article

9 A systematic review and meta-analysis of the topical administration of tranexamic acid in total hip and knee replacement The Bone & Joint Journal, August 6, 2014    Review Article    Clinical Article

10 Does reduced movement restrictions and use of assistive devices affect rehabilitation outcome after total hip replacement? A non-randomized, controlled study European Journal of Physical and Rehabilitation Medicine, August 4, 2014    Clinical Article

11 Non-steroidal anti-inflammatory drugs versus corticosteroid for treatment of shoulder pain: A systematic review and meta-analysis Archives of Physical Medicine and Rehabilitation, May 19, 2014    Evidence Based Medicine    Review Article    Clinical Article

12 Home modifications to reduce injuries from falls in the Home Injury Prevention Intervention (HIPI) study: a cluster-randomised controlled trial The Lancet, September 24, 2014    Evidence Based Medicine    Clinical Article

13 Research brings new evidence to the 10 year debate on COX-2 pain relief drugs Imperial College London Health News, June 6, 2014

14 Patients perceived level of social isolation affects the prognosis of low back pain European Journal of Pain, September 4, 2014    Clinical Article

15 The influence of vitamin C on the outcome of distal radial fractures: a double-blind, randomized controlled trial The Journal of Bone & Joint Surgery, September 8, 2014    Evidence Based Medicine    Clinical Article

16 Comparative effectiveness of pharmacologic treatments to prevent fractures: an updated systematic review Annals of Internal Medicine, September 29, 2014    Evidence Based Medicine    Review Article    Clinical Article

17 Association between forearm muscle thickness and age-related loss of skeletal muscle mass, handgrip and knee extension strength and walking performance in old men and women: A pilot study Ultrasound in Medicine and Biology, August 27, 2014    Clinical Article

18 Effective treatment of posttraumatic and postoperative edema in patients with ankle and hindfoot fractures: A randomized controlled trial comparing multilayer compression therapy and intermittent impulse compression with the standard treatment with ice The Journal of Bone & Joint Surgery, August 18, 2014    Evidence Based Medicine    Clinical Article

19 Valgus bracing for knee osteoarthritis: A meta-analysis of randomized trials Arthritis Care & Research , September 11, 2014    Evidence Based Medicine

20 Surgical attire and the operating room: role in infection prevention The Journal of Bone & Joint Surgery, September 9, 2014    Review Article

Indexed Journals in Orthopedics: Journal of Bone and Joint Surgery, Journal of Arthroplasty, Spine, The Kneemore

Register now to view all the MDLinx contents (FREE)!

  • Stay current on the latest literature, research and clinical news
  • Get special communications and offers from MDLinx and our sponsors
  • Receive invitations to paid market research
View Samples and Register

Connect with us, stay current.

Receive the latest mecial news
updates for free via email

Sign up!

Subscribe to our free RSS feeds:

Get the latest news in your specialty automatically added to your newsreader or your personal My Yahoo!, Google, My MSN or My AOL page. Learn More

Close