Behavioural treatment for chronic low-back pain

Author(s):
Henschke, N.; Ostelo, R.W.J.G.; Tulder, M.W. van; Vlaeyen, J.W.S.; Morley, S.; Assendelft, W.J.J.; Main, C.J.
Published
2010
Publication type
Article / Letter to editor

Abstract

Background Behavioural treatment is commonly used in the management of chronic low-back pain (CLBP) to reduce disability through modification of maladaptive pain behaviours and cognitive processes. Three behavioural approaches are generally distinguished: operant, cognitive, and respondent; but are often combined as a treatment package. Objectives To determine the effects of behavioural therapy for CLBP and the most effective behavioural approach. Search strategy The Cochrane Back Review Group Trials Register, CENTRAL, MEDLINE, EMBASE, and PsycINFO were searched up to February 2009. Reference lists and citations of identified trials and relevant systematic reviews were screened. Selection criteria Randomised trials on behavioural treatments for non-specific CLBP were included. Data collection and analysis Two review authors independently assessed the risk of bias in each study and extracted the data. If sufficient homogeneity existed among studies in the pre-defined comparisons, a meta-analysis was performed. We determined the quality of the evidence for each comparison with the GRADE approach.

Behavior Therapy Chronic Disease Combined Modality Therapy Low Back Pain [therapy] Randomized Controlled Trials as Topic Relaxation Therapy randomized controlled-trial group training protocol lumbar instrumented fusion exposure in-vivo graded activity clinical-trial emg biofeedback psychological interventions physical-therapy primary-care
Date issued
2010-12-31
Language
English
Is part of
Cochrane Database of Systematic Reviews (2010), No. 7
hdl
1887/117577