Self-Management of Low Back Pain Has Small Effects

Meta-analysis of moderate-quality evidence shows small effects on pain, disability

THURSDAY, Nov. 1 (HealthDay News) -- Self-management of low back pain (LBP) has only small effects on pain and disability, according to the results of a systematic review and meta-analysis published in the November issue of Arthritis Care & Research.

Vinicius C. Oliveira, of the University of Sydney in Australia, and colleagues conducted a systematic review of the literature and meta-analysis of 13 identified randomized controlled trials in an effort to determine the effectiveness of self-management for nonspecific LBP.

The researchers found that, based on moderate-quality evidence, self-management was effective for improving pain and disability in patients with LBP. However, the effects were small, with short-term (less than six months after randomization) improvements of 3.2 and 2.3 points for pain and disability, respectively, on a 100-point scale. Over the long term (at least 12 months after randomization), pain improved by 4.8 points and disability improved by 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. This result challenges the endorsement of self-management in treatment guidelines."

Abstract
Full Text (subscription or payment may be required)

Copyright © 2012 HealthDay. All rights reserved.

Powered by

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles

Debunking Three Rape Myths
Journal of Forensic Nursing, October/December 2014
Expires: 12/31/2016 CE:2.5 $24.95


Drug updates and approvals: 2014 in review
The Nurse Practitioner, 13December 2014
Expires: 12/31/2016 CE:3 $27.95


Can Food Processing Enhance Cancer Protection?
Nutrition Today, September/October 2014
Expires: 10/31/2016 CE:2 $21.95


More CE Articles

Subscribe to Recommended CE

Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events