Back schools for chronic nonspecific lowback pain Perreira

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Back schools for chronic non-specific low back pain Perreira et al (2017) Overview of the study Objectives: • To determine the effect of back school on pain, disability and work status in adults with chronic non-specific LBP Methods: • Evidence current up to 15 November 2016 • Participants: People aged 18 to 70 years with chronic non-specific LBP • Interventions: Back school (alone or in combination with other interventions) • Outcomes: o Primary: Pain and disability o Secondary: Work status and adverse events

Back schools for chronic non-specific low back pain Perreira et al (2017) Results & Conclusions • 30 trials (4105 participants) Intervention Back school Evidence Quality of evidence More effective in reducing pain and disability than no treatment at short-term, but no differences at intermediate and long-term follow-up Very low More effective than medical care for pain at short-term but similar results at intermediate and long-term follow-up Very low As effective as passive physiotherapy for pain but not superior in terms of disability at long-term follow-up Very low No more effective than exercise for pain or disability Very low - Low Ø Adverse events: 1 participant had worsening pain in the back school group and 5 in the exercise group. It was not possible to pool the data Ø Very low to low quality evidence shows no difference or a trivial effect in favor of back schools