Chronische lage rugpijn: Oefentherapie, multidisciplinaire programma's, NSAID's, rugscholing en gedragstherapie effectief en tractie niet effectief; resultaten van systematische reviews

Translated title of the contribution: Chronic low back pain: Exercise therapy, multidisciplinary programmes, NSAIDs, back schools and behavioural therapy effective, traction not effective; results of systematic reviews

M. W. Van Tulder*, B. W. Koes, W. J.J. Assendelft, L. M. Bouter, L. D.J. Maljers, A. P.P.M. Driessen

*Corresponding author for this work

Research output: Contribution to JournalReview articleAcademicpeer-review

Abstract

Objective. To inventory the current state of the art regarding the effectiveness of conservative treatment of chronic low back pain. Design. Systematic reviews. Method. The relevant literature from the period January 1966-September 1999 was retrieved via Medline, Embase, PsychLit and the Cochrane Library and via reference lists in the articles found. The methodological quality of the studies was assessed using criteria for internal validity. On the basis of the number of examinations, their quality and the consistency of the findings, conclusions were subdivided into four levels of strength of scientific evidence. Results. There was strong evidence that exercise therapy and multidisciplinary treatment programmes were effective in chronic low back pain, and moderate evidence that non-steroidal anti-inflammatory drugs (NSAIDs), back schools and behavioural therapy were effective in chronic low back pain. There was also strong evidence that traction was not effective in chronic low back pain. Strong evidence for effectiveness of many other commonly used interventions was lacking.

Original languageDutch
Pages (from-to)1489-1494
Number of pages6
JournalNederlands Tijdschrift voor Geneeskunde
Volume144
Issue number31
Publication statusPublished - 29 Jul 2000
Externally publishedYes

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