Cochrane · systematic review · CD008325

Back schools for acute and subacute non‐specific low‐back pain

Poquet, N, Lin, CWC, Heymans, MW, et al. · Cochrane Database of Systematic Reviews · 2016 · 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
27
current version
GRADE rated
27
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 27 · 100%Low 0 · 0%Moderate 0 · 0%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

Back school compared to combined physical therapies for acute or subacute low‐back pain

Population: participants with acute or subacute low‐back pain
2 questions
OutcomeEffectEvidenceStatus / GRADE
Pain (short‐term) Pain index1. Scale from: 0 to 70.
Back school vs combined physical therapies
no estimate extracted1 study · 30 participantsVery low
Downgraded: risk of bias, imprecision
Duration of sick‐leave Sick‐leave > 21 days
Back school vs combined physical therapies
RR 0.64 [0.41, 1.01]1 study · 116 participantsVery low
Downgraded: risk of bias, imprecision

Back school compared to short‐wave diathermy at the lowest intensity for acute or subacute low‐back pain

Population: participants with acute or subacute low‐back pain
2 questions
OutcomeEffectEvidenceStatus / GRADE
Pain (short‐term) Pain index1. Scale from: 0 to 70.
Back school vs short‐wave diathermy at the lowest intensity
no estimate extracted1 study · 29 participantsVery low
Downgraded: risk of bias, imprecision
Duration of sick‐leave Sick‐leave > 21 days
Back school vs short‐wave diathermy at the lowest intensity
RR 0.53 [0.35, 0.8]1 study · 121 participantsVery low
Downgraded: risk of bias, imprecision

Back school compared to myofascial therapy for acute or subacute low‐back pain

Population: participants with acute or subacute low‐back pain
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain (short‐term) Visual analogue scale (VAS). Scale from: 0 to 10.
Back school vs myofascial therapy
no estimate extracted1 study · 63 participantsVery low
Downgraded: risk of bias
Pain (intermediate‐term) VAS. Scale from: 0 to 10.
Back school vs myofascial therapy
no estimate extracted1 study · 61 participantsVery low
Downgraded: risk of bias
Disability (short‐term) Roland Morris Disability Questionnaire (RMDQ). Scale from: 0 to 24.
Back school vs myofascial therapy
no estimate extracted1 study · 63 participantsVery low
Downgraded: risk of bias
Disability (intermediate‐term) RMDQ. Scale from: 0 to 24.
Back school vs myofascial therapy
no estimate extracted1 study · 61 participantsVery low
Downgraded: risk of bias
Adverse events Number of events
Back school vs myofascial therapy
RR 1.59 [0.48, 5.3]1 study · 99 participantsVery low
Downgraded: risk of bias

Back school compared to joint manipulation for acute or subacute low‐back pain

Population: participants with acute or subacute low‐back pain
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain (short‐term) Visual Analogue Scale (VAS). Scale from: 0 to 10.
Back school vs joint manipulation
no estimate extracted1 study · 59 participantsVery low
Downgraded: risk of bias
Pain (intermediate‐term) VAS. Scale from: 0 to 10.
Back school vs joint manipulation
no estimate extracted1 study · 54 participantsVery low
Downgraded: risk of bias
Disability (short‐term) Roland Morris Disability Questionnaire (RMDQ). Scale from: 0 to 24.
Back school vs joint manipulation
no estimate extracted1 study · 59 participantsVery low
Downgraded: risk of bias
Disability (intermediate‐term) RMDQ. Scale from: 0 to 24.
Back school vs joint manipulation
no estimate extracted1 study · 55 participantsVery low
Downgraded: risk of bias
Adverse events Number of events
Back school vs joint manipulation
RR 1.02 [0.35, 2.94]1 study · 97 participantsVery low
Downgraded: risk of bias

Back school compared to combined myofascial therapy and joint manipulation for acute or subacute low‐back pain

Population: participants with acute or subacute low‐back pain
5 questions
OutcomeEffectEvidenceStatus / GRADE
Pain (short‐term) Visual Analogue Scale (VAS). Scale from: 0 to 10.
Back school vs combined myofascial therapy and joint manipulation
no estimate extracted1 study · 62 participantsVery low
Downgraded: risk of bias
Pain (intermediate‐term) VAS. Scale from: 0 to 10.
Back school vs combined myofascial therapy and joint manipulation
no estimate extracted1 study · 63 participantsVery low
Downgraded: risk of bias
Disability (short‐term) Roland Morris Disability Questionnaire (RMDQ). Scale from: 0 to 24.
Back school vs combined myofascial therapy and joint manipulation
no estimate extracted1 study · 62 participantsVery low
Downgraded: risk of bias
Disability (intermediate‐term) RMDQ. Scale from: 0 to 24.
Back school vs combined myofascial therapy and joint manipulation
no estimate extracted1 study · 62 participantsVery low
Downgraded: risk of bias
Adverse events Number of events
Back school vs combined myofascial therapy and joint manipulation
RR 0.93 [0.34, 2.57]1 study · 100 participantsVery low
Downgraded: risk of bias

Back school + other treatment compared to other treatment alone for acute or subacute low‐back pain

Population: participants with acute or subacute low‐back pain
7 questions
OutcomeEffectEvidenceStatus / GRADE
Pain (short‐term) Visual Analogue Scale (VAS). Scale from: 0 to 10.
Back school + other treatment vs other treatment alone
no estimate extracted1 study · 156 participantsVery low
Downgraded: risk of bias, imprecision
Pain (intermediate‐term) VAS. Scale from: 0 to 10.
Back school + other treatment vs other treatment alone
no estimate extracted1 study · 140 participantsVery low
Downgraded: risk of bias, imprecision
Pain (long‐term) VAS. Scale from: 0 to 10.
Back school + other treatment vs other treatment alone
no estimate extracted1 study · 141 participantsVery low
Downgraded: risk of bias, imprecision
Disability (short‐term) Roland Morris Diability Questionnaire (RMDQ). Scale from: 0 to 24.
Back school + other treatment vs other treatment alone
no estimate extracted1 study · 156 participantsVery low
Downgraded: risk of bias, imprecision
Disability (intermediate‐term) RMDQ. Scale from: 0 to 24.
Back school + other treatment vs other treatment alone
no estimate extracted1 study · 140 participantsVery low
Downgraded: risk of bias, imprecision
Disability (long‐term) RMDQ. Scale from: 0 to 24.
Back school + other treatment vs other treatment alone
no estimate extracted1 study · 141 participantsVery low
Downgraded: risk of bias, imprecision
Work absence at 30 days Number of participants on sick‐leave
Back school + other treatment vs other treatment alone
RR 0.94 [0.76, 1.16]1 study · 168 participantsVery low
Downgraded: risk of bias, imprecision

Back school compared to advice for acute or subacute low‐back pain

Population: participants with acute or subacute low‐back pain
1 question
OutcomeEffectEvidenceStatus / GRADE
Days of sick‐leave at 1 year
Back school vs advice
no estimate extracted1 study · 56 participantsVery low
Downgraded: risk of bias