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The updated cochrane review of bed rest for low back pain and sciatica.
Spine (Phila Pa 1976). 2005 Mar 01; 30(5):542-6.S

Abstract

STUDY DESIGN

A systematic review within the Cochrane Collaboration Back Review Group.

OBJECTIVES

To report the main results from the updated version of the Cochrane Review on bed rest for low back pain.

SUMMARY OF BACKGROUND DATA

There has been a growing amount of evidence showing that bed rest is not beneficial for people with low back pain. However, existing systematic reviews are unclear regarding the effects of bed rest for different types of low back pain.

METHODS

All randomized studies available in systematic searches up to March 2003 were included. Two reviewers independently selected trials for inclusion assessed the validity of included trials and extracted data. Investigators were contacted to obtain missing information.

RESULTS

Two new trials comparing advice to rest in bed with advice to stay active were included. There is high quality evidence that people with acute low back pain who are advised to rest in bed have a little more pain (standardized mean difference 0.22, 95% confidence interval: 0.02-0.41) and a little less functional recovery (standardized mean difference 0.29, 95% confidence interval: 0.05-0.45) than those advised to stay active. For patients with sciatica, there is moderate quality evidence of little or no difference in pain (standardized mean difference -0.03, 95% confidence interval: -0.24-0.18) or functional status (standardized mean difference 0.19, 95% confidence interval: -0.02-0.41) between bed rest and staying active.

CONCLUSION

For people with acute low back pain, advice to rest in bed is less effective than advice to stay active. For patients with sciatica, there is little or no difference between advice to rest in bed and advice to stay active.

Authors+Show Affiliations

National Resource Centre for Rehabilitation in Rheumatology, Oslo, Norway. kare.birger.hagen@nrrk.noNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't
Review
Systematic Review

Language

eng

PubMed ID

15738787

Citation

Hagen, Kåre B., et al. "The Updated Cochrane Review of Bed Rest for Low Back Pain and Sciatica." Spine, vol. 30, no. 5, 2005, pp. 542-6.
Hagen KB, Jamtvedt G, Hilde G, et al. The updated cochrane review of bed rest for low back pain and sciatica. Spine. 2005;30(5):542-6.
Hagen, K. B., Jamtvedt, G., Hilde, G., & Winnem, M. F. (2005). The updated cochrane review of bed rest for low back pain and sciatica. Spine, 30(5), 542-6.
Hagen KB, et al. The Updated Cochrane Review of Bed Rest for Low Back Pain and Sciatica. Spine. 2005 Mar 1;30(5):542-6. PubMed PMID: 15738787.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The updated cochrane review of bed rest for low back pain and sciatica. AU - Hagen,Kåre B, AU - Jamtvedt,Gro, AU - Hilde,Gunvor, AU - Winnem,Michael F, PY - 2005/3/2/pubmed PY - 2006/4/7/medline PY - 2005/3/2/entrez SP - 542 EP - 6 JF - Spine JO - Spine VL - 30 IS - 5 N2 - STUDY DESIGN: A systematic review within the Cochrane Collaboration Back Review Group. OBJECTIVES: To report the main results from the updated version of the Cochrane Review on bed rest for low back pain. SUMMARY OF BACKGROUND DATA: There has been a growing amount of evidence showing that bed rest is not beneficial for people with low back pain. However, existing systematic reviews are unclear regarding the effects of bed rest for different types of low back pain. METHODS: All randomized studies available in systematic searches up to March 2003 were included. Two reviewers independently selected trials for inclusion assessed the validity of included trials and extracted data. Investigators were contacted to obtain missing information. RESULTS: Two new trials comparing advice to rest in bed with advice to stay active were included. There is high quality evidence that people with acute low back pain who are advised to rest in bed have a little more pain (standardized mean difference 0.22, 95% confidence interval: 0.02-0.41) and a little less functional recovery (standardized mean difference 0.29, 95% confidence interval: 0.05-0.45) than those advised to stay active. For patients with sciatica, there is moderate quality evidence of little or no difference in pain (standardized mean difference -0.03, 95% confidence interval: -0.24-0.18) or functional status (standardized mean difference 0.19, 95% confidence interval: -0.02-0.41) between bed rest and staying active. CONCLUSION: For people with acute low back pain, advice to rest in bed is less effective than advice to stay active. For patients with sciatica, there is little or no difference between advice to rest in bed and advice to stay active. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/15738787/The_updated_cochrane_review_of_bed_rest_for_low_back_pain_and_sciatica_ L2 - http://dx.doi.org/10.1097/01.brs.0000154625.02586.95 DB - PRIME DP - Unbound Medicine ER -