Behavioural treatment for chronic low-back pain

Nicholas Henschke, R.W. Ostelo, M van Tulder, J.W.S. Vlaeyen, S. Morley, W.J.J. Assendelft, Chris J. Main

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

Background

Behavioural treatment is commonly used in the management of chronic low-back pain (CLBP) to reduce disability through modification of maladaptive pain behaviours and cognitive processes. Three behavioural approaches are generally distinguished: operant, cognitive, and respondent; but are often combined as a treatment package.

Objectives

To determine the effects of behavioural therapy for CLBP and the most effective behavioural approach.

Search strategy

The Cochrane Back Review Group Trials Register, CENTRAL, MEDLINE, EMBASE, and PsycINFO were searched up to February 2009. Reference lists and citations of identified trials and relevant systematic reviews were screened.

Selection criteria

Randomised trials on behavioural treatments for non-specific CLBP were included.

Data collection and analysis

Two review authors independently assessed the risk of bias in each study and extracted the data. If sufficient homogeneity existed among studies in the pre-defined comparisons, a meta-analysis was performed. We determined the quality of the evidence for each comparison with the GRADE approach.

Original languageEnglish
Article number002014
Number of pages115
JournalCochrane Database of Systematic Reviews
Issue number7
DOIs
Publication statusPublished - 7 Jul 2010

Keywords

  • Behavior Therapy
  • CLINICAL-TRIAL
  • Chronic Disease
  • Combined Modality Therapy
  • EMG BIOFEEDBACK
  • EXPOSURE IN-VIVO
  • GRADED ACTIVITY
  • GROUP TRAINING PROTOCOL
  • LUMBAR INSTRUMENTED FUSION
  • Low Back Pain [therapy]
  • PHYSICAL-THERAPY
  • PRIMARY-CARE
  • PSYCHOLOGICAL INTERVENTIONS
  • RANDOMIZED CONTROLLED-TRIAL
  • Randomized Controlled Trials as Topic
  • Relaxation Therapy

Cite this

Henschke, N., Ostelo, R. W., van Tulder, M., Vlaeyen, J. W. S., Morley, S., Assendelft, W. J. J., & Main, C. J. (2010). Behavioural treatment for chronic low-back pain. Cochrane Database of Systematic Reviews, (7), [002014]. https://doi.org/10.1002/14651858.CD002014.pub3