Article

Non-specific low-back pain (LBP) is considered a major health and
economic problem in Western society. Nowadays a common used intervention on
non-specific LBP is graded activity (GA). Graded Activity developed by Lindstrom
et al., consisted of four parts: (i) measurements of functional capacity; (ii) a
work-place visit; (iii) back school education and (iv) an individual,
sub-maximal, gradually increased exercise program with an operant-conditioning
behavioural approach as described by Fordyce et al. OBJECTIVE: To evaluate the
effectiveness of GA in adults with non-specific LBP on pain, disabilities and
return to work. DATA SOURCES: An extensive literature search of PubMed, Embase,
CINAHL and The Cochrane Library was conducted in July 2011. REVIEW METHODS:
Randomized controlled trials (RCTs) evaluating the effect of GA in patients with
non-specific LBP were eligible. Methodological quality of the studies was
assessed according to the PEDro scale. A best-evidence synthesis was conducted
according to van Peppen et al. to interpret the outcomes of the included studies.
RESULTS: Ten articles were included in this systematic review; these articles
described five RCTs (680 patients). The best-evidence synthesis revealed that
there was no or insufficient evidence for a positive effect of GA on pain,
disabilities and return to work in patients with non-specific LBP. CONCLUSION:
Currently there is no or insufficient evidence that GA results in better outcomes
of patients with non-specific LBP.
CI - (c) 2012 Informa UK, Ltd.

Langue : ANGLAIS