The Updated Cochrane Review of Bed Rest for Low Back Pain and Sciatica

@article{Hagen2005TheUC,
  title={The Updated Cochrane Review of Bed Rest for Low Back Pain and Sciatica},
  author={K{\aa}re Birger Hagen and Gro Jamtvedt and Gunvor Hilde and Michael F. Winnem},
  journal={Spine},
  year={2005},
  volume={30},
  pages={542-546}
}
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… 

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References

SHOWING 1-10 OF 14 REFERENCES

Bed rest for acute low-back pain and sciatica.

TLDR
For people with acute LBP, advice to rest in bed is less effective than advice to stay active, and for patients with sciatica, there is moderate quality evidence of little or no difference in pain intensity or functional status between bed rest and exercises.

Systematic reviews of bed rest and advice to stay active for acute low back pain.

  • G. WaddellG. FederM. Lewis
  • Medicine
    The British journal of general practice : the journal of the Royal College of General Practitioners
  • 1997
TLDR
A simple but fundamental change from the traditional prescription of bed rest to positive advice about staying active could improve clinical outcomes and reduce the personal and social impact of back pain.

Lack of effectiveness of bed rest for sciatica.

TLDR
Among patients with symptoms and signs of a lumbosacral radicular syndrome, bed rest is not a more effective therapy than watchful waiting.

Does 48 hours' bed rest influence the outcome of acute low back pain?

  • M. Wilkinson
  • Medicine
    The British journal of general practice : the journal of the Royal College of General Practitioners
  • 1995
TLDR
It appears that 48 hours' bed rest cannot be recommended for the treatment of acute low back pain on the basis of this small study, and large-scale definitive trials are required to detect clinically significant differences.

Acute Low-Back Pain: An Objective Analysis of Conservative Therapy

TLDR
The results showed that bedrest, as compared with ambulation, will decrease the amount of time lost from work by 50% and analgesic medication, when added to bedrest in the treatment of lumbago, does not provide an advantage over bedrest alone.

Bed Rest or Normal Activity for Patients With Acute Low Back Pain: A Randomized Controlled Trial

TLDR
The findings of this study indicate that prescriptions for bed rest, and thus for sick leaves, should be limited when the physical demands of the job are similar to those for daily life activities.

Westeinde sciatica trial: randomized controlled study of bed rest and physiotherapy for acute sciatica.

TLDR
Bed rest and physiotherapy are not more effective in acute sciatica than continuation of ADLs.

Towards a better understanding of low-back pain: a review of the mechanics of the lumbar disc.

By measurement of intradiscal pressure in vitro, the hydrostatic properties of the nucleus pulposus of normal lumbar intervertebral disc was established. The stress distribution within normal discs

Grading quality of evidence and strength of recommendations

TLDR
A system for grading the quality of evidence and the strength of recommendations that can be applied across a wide range of interventions and contexts is developed, and a summary of the approach from the perspective of a guideline user is presented.