Universität zu Köln

Bredow, J., Bloess, K., Oppermann, J., Boese, C. K., Loehrer, L. and Eysel, P. (2016). Conservative treatment of nonspecific, chronic low back pain. Evidence of the efficacy - a systematic literature review. Orthopade, 45 (7). S. 573 - 579. NEW YORK: SPRINGER. ISSN 1433-0431

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Abstract

Non-specific chronic low back pain (NSCLBP): Which conservative therapy shows an evident effectiveness - A review of the current literature. Our results are based on literature reviews of current randomised control studies, reviews and meta-analysis drawn from the Cochrane Library and Medline-Database between the years 2004 until 2015. German and English Studies were included. We focused on different conservative Treatments of NSCLBP, which are listed at, the NVL-Guidelines. Based on the given evidence we evaluated their effectiveness. As part of the review we identified 4657 Publications, 85 were included in this study. Therapeutic options such as bed rest, TENS, Massage, Spine Supports, Back Schools and Antidepressants showed no evident effectiveness. Injections, NSAR analgesic therapy, Thermotherapy and Opioid analgesic therapy indicated a short-time effectiveness. A long term success (> 6 weeks) however, can not be shown. Only the Movement therapy can, in the summation of the included studies, postulate an evident (Evidence Level I) long-term effect treating NSCLBP. Only a few therapy options indicate a significant evident effectiveness for treating NSCLBP conservatively. At short notice methods such as injection therapy, thermo-therapy and analgesic therapies with NSAR and/or opioids help coping the acute phase. In the long term only movement therapy seems to provide an evident effectiveness. In the case of therapy-refractory NSCLBP a multimodal therapy should be considered.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Bredow, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Bloess, K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Oppermann, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Boese, C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Loehrer, L. UNSPECIFIED UNSPECIFIED UNSPECIFIED Eysel, P. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-270684
DOI:	10.1007/s00132-016-3248-7
Journal or Publication Title:	Orthopade
Volume:	45
Number:	7
Page Range:	S. 573 - 579
Date:	2016
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0431
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language EXERCISE THERAPY; ACUPUNCTURE; MANAGEMENT; PLACEBO Multiple languages Orthopedics Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/27068