Cochrane · systematic review · CD007612

Advice to rest in bed versus advice to stay active for acute low‐back pain and sciatica

Dahm, KT, Brurberg, KG, Jamtvedt, G, et al. · Cochrane Database of Systematic Reviews · 2010 · Cochrane Library

Back and NeckAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 12.5%Moderate 7 · 87.5%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

bed rest compared to advice to stay active for acute low‐back pain

Population: patients with acute low‐back pain
4 questions
OutcomeEffectEvidenceStatus / GRADE
Pain intensity, short‐term
bed rest vs advice to stay active
no estimate extracted3 studies · 480 participantsLow
Downgraded: risk of bias, inconsistency, indirectness
Pain intensity, long‐term
bed rest vs advice to stay active
no estimate extracted2 studies · 393 participantsModerate
Downgraded: risk of bias
Functional status, short‐term
bed rest vs advice to stay active
no estimate extracted2 studies · 400 participantsModerate
Downgraded: risk of bias
Functional status, long‐term
bed rest vs advice to stay active
no estimate extracted2 studies · 393 participantsModerate
Downgraded: risk of bias

bed rest compared to advice to stay active for sciatica

Population: patients with sciatica
4 questions
OutcomeEffectEvidenceStatus / GRADE
Pain intensity, short‐term
bed rest vs advice to stay active
no estimate extracted2 studies · 346 participantsModerate
Downgraded: risk of bias
Pain intensity, long‐term
bed rest vs advice to stay active
no estimate extracted2 studies · 330 participantsModerate
Downgraded: risk of bias
Functional status, short‐term
bed rest vs advice to stay active
no estimate extracted2 studies · 346 participantsModerate
Downgraded: risk of bias
Functional status, long‐term
bed rest vs advice to stay active
no estimate extracted2 studies · 330 participantsModerate
Downgraded: risk of bias