The RCGP - Clinical and Special Projects, Clinical Guidelines, Acute Low Back Pain. Contents, Index page




 


Table 1

Systematic reviews since AHCPR (1994)

 
Authors Date Subject Number of RCTs Comment Change from AHCPR

van den Hoogen et al

1995

Accuracy of history, physical examination & ESR

36 (cohort studies)

Meta-analysis of sensitivity and specificity

No

Koes & van den Hoogen

1994

Bed rest

5

 

No

Waddell et al

1997

Bed rest

9

British Journal of General Practice 47(423): 642-652

Stronger against

Waddell et al

1997

Advice on activity

7

British Journal of General Practice 47(423): 642-652

New

Koes et al

1994

Back schools

16

6 in acute or recurrent LBP

No

Cohen et al

1994

Back schools

13

3 in acute LBP

No

Koes et al

1996b

Manipulation

36

Presented Seattle Oct 1995

Spine 21: 2860-2871

No

Lewis

1995

Manipulation

2 *

RCGP review

* acceptable additional RCTs

No

Faas et al

1996

Back exercises

11

since 1990

Presented Seattle

October 1995

Spine 21:2874-2877

Weaker

but see Activity

Lewis

1995

Back exercises

3 *

RCGP review

* acceptable additional RCTs

Weaker

but see Activity

Koes et al

1995

Epidural steroids

12

9 RCTs acute or sub-acute LBP and sciatica

No

Gam & Johannsen

1995

Ultrasound

2

22 RCTs in various musculoskeletal disorders.

2 RCTs in LBP

No

van der Heijden

1995

Traction

14

+ 3 RCTs on neck pain

No

Koes & van den Hoogen

1994

Orthoses

5

 

No

 

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