A new episode of low back pain: Who relies on bed rest?

Research output: Contribution to journalArticleAcademicpeer-review

17 Citations (Scopus)

Abstract

Bed rest has been shown to be an ineffective treatment for non-specific low back pain (LBP). Despite this, during a new episode of pain some patients still rely on bed rest. Which patients choose bed rest is however unknown. The objectives of the present study were, firstly, to assess characteristics of patients choosing bed rest in (sub)acute pain and secondly to study whether prolonged bed rest in the (sub)acute phase of pain will result in long term disability. A prospective longitudinal cohort study included 282 patients with non-specific LBP for less than 7 weeks. Main outcome measures were duration of bed rest (in three categories) and disability. Results showed that 33% of patients with (sub)acute LBP had bed rest, but only 8% stayed in bed for more than four days. An ordinal regression analysis revealed that behavioural factors (catastrophizing (OR = 1.05 per bed rest category p
Original languageEnglish
Pages (from-to)508-516
JournalEuropean Journal of Pain
Volume12
Issue number4
DOIs
Publication statusPublished - 1 Jan 2008

Cite this

@article{beb9b4faf928414a8134eb2242623e27,
title = "A new episode of low back pain: Who relies on bed rest?",
abstract = "Bed rest has been shown to be an ineffective treatment for non-specific low back pain (LBP). Despite this, during a new episode of pain some patients still rely on bed rest. Which patients choose bed rest is however unknown. The objectives of the present study were, firstly, to assess characteristics of patients choosing bed rest in (sub)acute pain and secondly to study whether prolonged bed rest in the (sub)acute phase of pain will result in long term disability. A prospective longitudinal cohort study included 282 patients with non-specific LBP for less than 7 weeks. Main outcome measures were duration of bed rest (in three categories) and disability. Results showed that 33{\%} of patients with (sub)acute LBP had bed rest, but only 8{\%} stayed in bed for more than four days. An ordinal regression analysis revealed that behavioural factors (catastrophizing (OR = 1.05 per bed rest category p < 0.01)) and fear of injury (OR = 1.05 per category p < 0.01) rather than specific pain related factors (pain history (OR = 0.61 per category p = 0.16) and pain intensity (OR = 1.00 per category p = 0.63)) were associated with bed rest. Patients with prolonged bed rest in an early phase of pain were still more disabled after one year (p < 0.01). Based on these results we conclude that prolonged bed rest in the early phase of pain is associated with a higher long term disability level. In preventing low back disability, GP screening for catastrophizing and fear of injury in LBP patients who had prolonged bed rest merits consideration.",
author = "J.A.M.C.F. Verbunt and J.M. Sieben and J.W.S. Vlaeyen and P.J.M. Portegijs and J.A. Knottnerus",
year = "2008",
month = "1",
day = "1",
doi = "10.1016/j.ejpain.2007.08.001",
language = "English",
volume = "12",
pages = "508--516",
journal = "European Journal of Pain",
issn = "1090-3801",
publisher = "Wiley",
number = "4",

}

A new episode of low back pain: Who relies on bed rest? / Verbunt, J.A.M.C.F.; Sieben, J.M.; Vlaeyen, J.W.S.; Portegijs, P.J.M.; Knottnerus, J.A.

In: European Journal of Pain, Vol. 12, No. 4, 01.01.2008, p. 508-516.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - A new episode of low back pain: Who relies on bed rest?

AU - Verbunt, J.A.M.C.F.

AU - Sieben, J.M.

AU - Vlaeyen, J.W.S.

AU - Portegijs, P.J.M.

AU - Knottnerus, J.A.

PY - 2008/1/1

Y1 - 2008/1/1

N2 - Bed rest has been shown to be an ineffective treatment for non-specific low back pain (LBP). Despite this, during a new episode of pain some patients still rely on bed rest. Which patients choose bed rest is however unknown. The objectives of the present study were, firstly, to assess characteristics of patients choosing bed rest in (sub)acute pain and secondly to study whether prolonged bed rest in the (sub)acute phase of pain will result in long term disability. A prospective longitudinal cohort study included 282 patients with non-specific LBP for less than 7 weeks. Main outcome measures were duration of bed rest (in three categories) and disability. Results showed that 33% of patients with (sub)acute LBP had bed rest, but only 8% stayed in bed for more than four days. An ordinal regression analysis revealed that behavioural factors (catastrophizing (OR = 1.05 per bed rest category p < 0.01)) and fear of injury (OR = 1.05 per category p < 0.01) rather than specific pain related factors (pain history (OR = 0.61 per category p = 0.16) and pain intensity (OR = 1.00 per category p = 0.63)) were associated with bed rest. Patients with prolonged bed rest in an early phase of pain were still more disabled after one year (p < 0.01). Based on these results we conclude that prolonged bed rest in the early phase of pain is associated with a higher long term disability level. In preventing low back disability, GP screening for catastrophizing and fear of injury in LBP patients who had prolonged bed rest merits consideration.

AB - Bed rest has been shown to be an ineffective treatment for non-specific low back pain (LBP). Despite this, during a new episode of pain some patients still rely on bed rest. Which patients choose bed rest is however unknown. The objectives of the present study were, firstly, to assess characteristics of patients choosing bed rest in (sub)acute pain and secondly to study whether prolonged bed rest in the (sub)acute phase of pain will result in long term disability. A prospective longitudinal cohort study included 282 patients with non-specific LBP for less than 7 weeks. Main outcome measures were duration of bed rest (in three categories) and disability. Results showed that 33% of patients with (sub)acute LBP had bed rest, but only 8% stayed in bed for more than four days. An ordinal regression analysis revealed that behavioural factors (catastrophizing (OR = 1.05 per bed rest category p < 0.01)) and fear of injury (OR = 1.05 per category p < 0.01) rather than specific pain related factors (pain history (OR = 0.61 per category p = 0.16) and pain intensity (OR = 1.00 per category p = 0.63)) were associated with bed rest. Patients with prolonged bed rest in an early phase of pain were still more disabled after one year (p < 0.01). Based on these results we conclude that prolonged bed rest in the early phase of pain is associated with a higher long term disability level. In preventing low back disability, GP screening for catastrophizing and fear of injury in LBP patients who had prolonged bed rest merits consideration.

U2 - 10.1016/j.ejpain.2007.08.001

DO - 10.1016/j.ejpain.2007.08.001

M3 - Article

VL - 12

SP - 508

EP - 516

JO - European Journal of Pain

JF - European Journal of Pain

SN - 1090-3801

IS - 4

ER -