Back schools for nonspecific low back pain : A systematic review within the framework of the Cochrane Collaboration Back Review Group

摘要: Study Design. A systematic review within the Cochrane Collaboration Back Review Group. Objectives. To assess effectiveness of back schools for patients with nonspecific low pain (LBP). Summary Background Data. Since introduction Swedish school in 1969, have frequently been used treating LBP. However, content has changed and appears to vary widely today. Methods. We searched MEDLINE EMBASE databases Central Register Controlled Trials November 2004 relevant trials reported English, Dutch, French, or German. also screened references from reviews included trials. Randomized controlled that on any type LBP were included. Four reviewers, blinded authors, institution, journal, independently extracted data assessed quality set high-quality level, a priori, at trial meeting six more 11 internal validity criteria. Because clinically statistically too heterogeneous perform meta-analysis, we qualitative (best evidence synthesis) summarize results. The was classified into four levels (strong, moderate, limited, no evidence), taking account methodologic studies. evaluated clinical relevance Results. Nineteen randomized (3,584 patients) this updated review. Overall, low, only considered be high-quality. It not possible subgroup analyses radiation versus without radiation. results indicate there is moderate suggesting better short- intermediate-term effects functional status than other treatments recurrent chronic There an occupational setting are effective placebo waiting list controls pain, status, return work during follow-up. In general, studies rated as insufficient. Conclusion. schools, setting, reduce improve function return-to-work intermediate-term, compared exercises, manipulation, myofascial therapy, advice, placebo, controls, future should evaluate cost-effectiveness schools.