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

doi:10.1002/14651858.CD002014.pub3

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

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-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 language	English
Article number	002014
Number of pages	115
Journal	Cochrane Database of Systematic Reviews
Issue number	7
DOIs	https://doi.org/10.1002/14651858.CD002014.pub3
Publication status	Published - 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

Access to Document

10.1002/14651858.CD002014.pub3

Cite this

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title = "Behavioural treatment for chronic low-back pain",

abstract = "BackgroundBehavioural 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.ObjectivesTo determine the effects of behavioural therapy for CLBP and the most effective behavioural approach.Search strategyThe 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 criteriaRandomised trials on behavioural treatments for non-specific CLBP were included.Data collection and analysisTwo 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.",

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",

author = "Nicholas Henschke and R.W. Ostelo and {van Tulder}, M and J.W.S. Vlaeyen and S. Morley and W.J.J. Assendelft and Main, {Chris J.}",

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T1 - Behavioural treatment for chronic low-back pain

AU - Henschke, Nicholas

AU - Ostelo, R.W.

AU - van Tulder, M

AU - Vlaeyen, J.W.S.

AU - Morley, S.

AU - Assendelft, W.J.J.

AU - Main, Chris J.

PY - 2010/7/7

Y1 - 2010/7/7

N2 - BackgroundBehavioural 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.ObjectivesTo determine the effects of behavioural therapy for CLBP and the most effective behavioural approach.Search strategyThe 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 criteriaRandomised trials on behavioural treatments for non-specific CLBP were included.Data collection and analysisTwo 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.

AB - BackgroundBehavioural 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.ObjectivesTo determine the effects of behavioural therapy for CLBP and the most effective behavioural approach.Search strategyThe 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 criteriaRandomised trials on behavioural treatments for non-specific CLBP were included.Data collection and analysisTwo 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.

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