Self-management has small effect on low back pain

June 5, 2012
Self-Management has small effect on low back pain
Compared to minimal interventions, self-management has a small effect on pain and disability in non-specific low back pain, according to a review published online May 23 in Arthritis Care & Research.

(HealthDay) -- Compared to minimal interventions, self-management has a small effect on pain and disability in non-specific low back pain (LBP), according to a review published online May 23 in Arthritis Care & Research.

Vinicius C. Oliveira, of the University of Sydney in Australia, and associates conducted a systematic review and meta-analysis of the literature to investigate the effectiveness of self-management for non-specific LBP. Short-term (less than six months after randomization) and long-term (12 months or more after randomization) analyses were conducted separately.

Based on data from 13 original trials, the researchers found moderate quality evidence that, in LBP, self-management was effective for improving pain and disability. At short-term follow-up, the weighted mean difference for pain was −3.2 points (on a 0 to 100 scale) and the weighted mean difference for disability was −2.3 points. The corresponding figures for long-term follow-up were −4.8 and −2.1 points.

"There is moderate quality evidence that self-management has small effects on pain and disability in people with LBP," the authors write. "Although effective when compared to minimal intervention, we are unsure if self-management provides worthwhile effects in the management of LBP. These results challenge the endorsement of self-management in treatment guidelines."

Explore further: Patients with acute low back pain have poor prognosis

More information: Abstract
Full Text (subscription or payment may be required)

Related Stories

Patients with acute low back pain have poor prognosis

April 24, 2012
(HealthDay) -- Few patients with acute low back pain (LBP), with or without sciatica, declare sick leave; however, approximately half have one or more recurrences and a considerable proportion experience chronic pain six ...

Pattern of disc degeneration impacts low back pain

April 12, 2012
(HealthDay) -- Contiguous, multilevel disc degeneration (CMDD) is associated with increased likelihood of low back pain (LBP) and pain severity compared with skipped level disc degeneration (SLDD), according to a study published ...

Low back pain counseling strategy ups return to work

February 28, 2012
(HealthDay) -- Combining a disability evaluation with proactive counseling for workers with low back pain (LBP) results in a higher return-to-work rate, which is statistically significant at one year, according to a study ...

Classification-based therapy no better for back pain

February 21, 2012
(HealthDay) -- Treatment of patients with lower back pain (LBP) using a classification-based physical therapy approach shows no statistically significant superiority to treatment with usual physical therapy care, according ...

Despite guidelines to the contrary, practitioners recommend time off for low back pain

December 14, 2011
Guidelines for clinical management of patients with low back pain (LBP) encourage health care practitioners to advise staying active and returning to work. Despite this, most practitioners believe work factors can cause or ...

Recommended for you

Maintaining sufficient vitamin D levels may help to prevent rheumatoid arthritis

November 20, 2017
Maintaining sufficient vitamin D levels may help to prevent the onset of inflammatory diseases like rheumatoid arthritis, research led by the University of Birmingham has discovered.

Old World monkeys could be key to a new, powerful rheumatoid arthritis therapy

November 16, 2017
In the quest for a new and more effective treatment for rheumatoid arthritis, researchers from the Keck School of Medicine of USC looked to a primate that mostly roams the land in Asia, the Middle East and Africa. It was ...

Study lists foods for fighting rheumatoid arthritis symptoms and progression

November 8, 2017
A list of food items with proven beneficial effects on the progression and symptoms of rheumatoid arthritis is provided in a new study published today in Frontiers in Nutrition. The authors suggest incorporating these foods ...

Prototype equipment can detect rheumatoid arthritis

September 28, 2017
According to a first clinical study published in the scientific journal Photoacoustics, the University of Twente and various European partners have designed a device that shows the difference between healthy fingers and arthritic ...

Improving the recognition of anxiety and depression in rheumatoid arthritis

August 28, 2017
A study conducted by Keele University shows that patients with rheumatoid arthritis who are also suffering with anxiety or depression may avoid talking to their GP about their mental health symptoms.

How you think about your arthritis makes a difference

August 24, 2017
(HealthDay)—How well you cope with knee arthritis depends a lot on your mental outlook, a new study suggests.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.