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Low back pain in children and adolescents: a systematic review and meta-analysis evaluating the effectiveness of conservative interventions
Purpose To identify and evaluate the effectiveness of conservative treatment approaches used in children and adolescents to manage and prevent low back pain (LBP). Methods Five electronic databases and the reference lists of systematic reviews were searched for relevant studies. Randomised controlle...
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| Published in: | European spine journal 2014-10, Vol.23 (10), p.2046-2058 |
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| Main Authors: | , , , , , |
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| cites | cdi_FETCH-LOGICAL-c500t-16f236df6b828021eec33edfd213c530e9e4c4b02edde6d0560ed7c876b48d153 |
| container_end_page | 2058 |
| container_issue | 10 |
| container_start_page | 2046 |
| container_title | European spine journal |
| container_volume | 23 |
| creator | Michaleff, Zoe A. Kamper, Steven J. Maher, Christopher G. Evans, Roni Broderick, Carolyn Henschke, Nicholas |
| description | Purpose
To identify and evaluate the effectiveness of conservative treatment approaches used in children and adolescents to manage and prevent low back pain (LBP).
Methods
Five electronic databases and the reference lists of systematic reviews were searched for relevant studies. Randomised controlled trials (RCTs) were considered eligible for inclusion if they enrolled a sample of children or adolescents ( |
| doi_str_mv | 10.1007/s00586-014-3461-1 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1611635617</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3445869941</sourcerecordid><originalsourceid>FETCH-LOGICAL-c500t-16f236df6b828021eec33edfd213c530e9e4c4b02edde6d0560ed7c876b48d153</originalsourceid><addsrcrecordid>eNqFkc-KFDEQh4Mo7rj6AF4k4MVLa1XSSXd7k2X9AwNe9BzSSfVur93pMUnPMs_gS5txdkUEEQIJla9-RfIx9hzhNQI0bxKAanUFWFey1ljhA7bBWooKOikesg10NVS6we6MPUnpBgBVB_oxOxMKGmjadsN-bJdb3lv3je_sGHhZ7nqcfKTAbfDc-mWi5Cjk9JZbng4p02zz6Hik_Ui3v6CZsq1ssNMhjYnT3k5rQcIVz9fEaRjI5XFPgVLiy8DdEhLFvT3WyrxcziV-LNWn7NFgp0TP7vZz9vX95ZeLj9X284dPF--2lVMAuUI9CKn9oPtWtCCQyElJfvACpVMSqKPa1T0I8p60B6WBfOPaRvd161HJc_bqlLuLy_eVUjbzWN44TTbQsiaDGlFLpbH5P6q0Rug60RX05V_ozbLG8iv3lCo2CoUnysUlpUiD2cVxtvFgEMxRqjlJNUWqOUo1WHpe3CWv_Uz-d8e9xQKIE5DKVbii-Mfof6b-BEDhroc</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1566105940</pqid></control><display><type>article</type><title>Low back pain in children and adolescents: a systematic review and meta-analysis evaluating the effectiveness of conservative interventions</title><source>Open Access: PubMed Central</source><source>Springer Link</source><creator>Michaleff, Zoe A. ; Kamper, Steven J. ; Maher, Christopher G. ; Evans, Roni ; Broderick, Carolyn ; Henschke, Nicholas</creator><creatorcontrib>Michaleff, Zoe A. ; Kamper, Steven J. ; Maher, Christopher G. ; Evans, Roni ; Broderick, Carolyn ; Henschke, Nicholas</creatorcontrib><description>Purpose
To identify and evaluate the effectiveness of conservative treatment approaches used in children and adolescents to manage and prevent low back pain (LBP).
Methods
Five electronic databases and the reference lists of systematic reviews were searched for relevant studies. Randomised controlled trials (RCTs) were considered eligible for inclusion if they enrolled a sample of children or adolescents (<18 years old) and evaluated the effectiveness of any conservative intervention to treat or prevent LBP. Two authors independently screened search results, extracted data, assessed risk of bias using the PEDro scale, and rated the quality of evidence using the GRADE criteria.
Results
Four RCTs on intervention and eleven RCTs on prevention of LBP were included. All included studies had a high risk of bias scoring ≤7 on the PEDro scale. For the treatment of LBP, a supervised exercise program compared to no treatment improved the average pain intensity over the past month by 2.9 points (95 % CI 1.6–4.1) measured by a 0–10 scale (2 studies;
n
= 125). For the prevention of LBP, there was moderate quality evidence to suggest back education and promotion programs are not effective in reducing LBP prevalence in children and adolescents.
Conclusions
While exercise interventions appear to be promising to treat LBP in children and adolescents, there is a dearth of research data relevant to paediatric populations. Future studies conducted in children and adolescents with LBP should incorporate what has been learnt from adult LBP research and be of rigorous methodological quality.</description><identifier>ISSN: 0940-6719</identifier><identifier>EISSN: 1432-0932</identifier><identifier>DOI: 10.1007/s00586-014-3461-1</identifier><identifier>PMID: 25070788</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Child ; Exercise Therapy ; Humans ; Low Back Pain - prevention & control ; Low Back Pain - therapy ; Medicine ; Medicine & Public Health ; Neurosurgery ; Review Article ; Surgical Orthopedics ; Watchful Waiting</subject><ispartof>European spine journal, 2014-10, Vol.23 (10), p.2046-2058</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c500t-16f236df6b828021eec33edfd213c530e9e4c4b02edde6d0560ed7c876b48d153</citedby><cites>FETCH-LOGICAL-c500t-16f236df6b828021eec33edfd213c530e9e4c4b02edde6d0560ed7c876b48d153</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25070788$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Michaleff, Zoe A.</creatorcontrib><creatorcontrib>Kamper, Steven J.</creatorcontrib><creatorcontrib>Maher, Christopher G.</creatorcontrib><creatorcontrib>Evans, Roni</creatorcontrib><creatorcontrib>Broderick, Carolyn</creatorcontrib><creatorcontrib>Henschke, Nicholas</creatorcontrib><title>Low back pain in children and adolescents: a systematic review and meta-analysis evaluating the effectiveness of conservative interventions</title><title>European spine journal</title><addtitle>Eur Spine J</addtitle><addtitle>Eur Spine J</addtitle><description>Purpose
To identify and evaluate the effectiveness of conservative treatment approaches used in children and adolescents to manage and prevent low back pain (LBP).
Methods
Five electronic databases and the reference lists of systematic reviews were searched for relevant studies. Randomised controlled trials (RCTs) were considered eligible for inclusion if they enrolled a sample of children or adolescents (<18 years old) and evaluated the effectiveness of any conservative intervention to treat or prevent LBP. Two authors independently screened search results, extracted data, assessed risk of bias using the PEDro scale, and rated the quality of evidence using the GRADE criteria.
Results
Four RCTs on intervention and eleven RCTs on prevention of LBP were included. All included studies had a high risk of bias scoring ≤7 on the PEDro scale. For the treatment of LBP, a supervised exercise program compared to no treatment improved the average pain intensity over the past month by 2.9 points (95 % CI 1.6–4.1) measured by a 0–10 scale (2 studies;
n
= 125). For the prevention of LBP, there was moderate quality evidence to suggest back education and promotion programs are not effective in reducing LBP prevalence in children and adolescents.
Conclusions
While exercise interventions appear to be promising to treat LBP in children and adolescents, there is a dearth of research data relevant to paediatric populations. Future studies conducted in children and adolescents with LBP should incorporate what has been learnt from adult LBP research and be of rigorous methodological quality.</description><subject>Adolescent</subject><subject>Child</subject><subject>Exercise Therapy</subject><subject>Humans</subject><subject>Low Back Pain - prevention & control</subject><subject>Low Back Pain - therapy</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neurosurgery</subject><subject>Review Article</subject><subject>Surgical Orthopedics</subject><subject>Watchful Waiting</subject><issn>0940-6719</issn><issn>1432-0932</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNqFkc-KFDEQh4Mo7rj6AF4k4MVLa1XSSXd7k2X9AwNe9BzSSfVur93pMUnPMs_gS5txdkUEEQIJla9-RfIx9hzhNQI0bxKAanUFWFey1ljhA7bBWooKOikesg10NVS6we6MPUnpBgBVB_oxOxMKGmjadsN-bJdb3lv3je_sGHhZ7nqcfKTAbfDc-mWi5Cjk9JZbng4p02zz6Hik_Ui3v6CZsq1ssNMhjYnT3k5rQcIVz9fEaRjI5XFPgVLiy8DdEhLFvT3WyrxcziV-LNWn7NFgp0TP7vZz9vX95ZeLj9X284dPF--2lVMAuUI9CKn9oPtWtCCQyElJfvACpVMSqKPa1T0I8p60B6WBfOPaRvd161HJc_bqlLuLy_eVUjbzWN44TTbQsiaDGlFLpbH5P6q0Rug60RX05V_ozbLG8iv3lCo2CoUnysUlpUiD2cVxtvFgEMxRqjlJNUWqOUo1WHpe3CWv_Uz-d8e9xQKIE5DKVbii-Mfof6b-BEDhroc</recordid><startdate>20141001</startdate><enddate>20141001</enddate><creator>Michaleff, Zoe A.</creator><creator>Kamper, Steven J.</creator><creator>Maher, Christopher G.</creator><creator>Evans, Roni</creator><creator>Broderick, Carolyn</creator><creator>Henschke, Nicholas</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20141001</creationdate><title>Low back pain in children and adolescents: a systematic review and meta-analysis evaluating the effectiveness of conservative interventions</title><author>Michaleff, Zoe A. ; Kamper, Steven J. ; Maher, Christopher G. ; Evans, Roni ; Broderick, Carolyn ; Henschke, Nicholas</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c500t-16f236df6b828021eec33edfd213c530e9e4c4b02edde6d0560ed7c876b48d153</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Child</topic><topic>Exercise Therapy</topic><topic>Humans</topic><topic>Low Back Pain - prevention & control</topic><topic>Low Back Pain - therapy</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neurosurgery</topic><topic>Review Article</topic><topic>Surgical Orthopedics</topic><topic>Watchful Waiting</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Michaleff, Zoe A.</creatorcontrib><creatorcontrib>Kamper, Steven J.</creatorcontrib><creatorcontrib>Maher, Christopher G.</creatorcontrib><creatorcontrib>Evans, Roni</creatorcontrib><creatorcontrib>Broderick, Carolyn</creatorcontrib><creatorcontrib>Henschke, Nicholas</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>European spine journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Michaleff, Zoe A.</au><au>Kamper, Steven J.</au><au>Maher, Christopher G.</au><au>Evans, Roni</au><au>Broderick, Carolyn</au><au>Henschke, Nicholas</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Low back pain in children and adolescents: a systematic review and meta-analysis evaluating the effectiveness of conservative interventions</atitle><jtitle>European spine journal</jtitle><stitle>Eur Spine J</stitle><addtitle>Eur Spine J</addtitle><date>2014-10-01</date><risdate>2014</risdate><volume>23</volume><issue>10</issue><spage>2046</spage><epage>2058</epage><pages>2046-2058</pages><issn>0940-6719</issn><eissn>1432-0932</eissn><abstract>Purpose
To identify and evaluate the effectiveness of conservative treatment approaches used in children and adolescents to manage and prevent low back pain (LBP).
Methods
Five electronic databases and the reference lists of systematic reviews were searched for relevant studies. Randomised controlled trials (RCTs) were considered eligible for inclusion if they enrolled a sample of children or adolescents (<18 years old) and evaluated the effectiveness of any conservative intervention to treat or prevent LBP. Two authors independently screened search results, extracted data, assessed risk of bias using the PEDro scale, and rated the quality of evidence using the GRADE criteria.
Results
Four RCTs on intervention and eleven RCTs on prevention of LBP were included. All included studies had a high risk of bias scoring ≤7 on the PEDro scale. For the treatment of LBP, a supervised exercise program compared to no treatment improved the average pain intensity over the past month by 2.9 points (95 % CI 1.6–4.1) measured by a 0–10 scale (2 studies;
n
= 125). For the prevention of LBP, there was moderate quality evidence to suggest back education and promotion programs are not effective in reducing LBP prevalence in children and adolescents.
Conclusions
While exercise interventions appear to be promising to treat LBP in children and adolescents, there is a dearth of research data relevant to paediatric populations. Future studies conducted in children and adolescents with LBP should incorporate what has been learnt from adult LBP research and be of rigorous methodological quality.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25070788</pmid><doi>10.1007/s00586-014-3461-1</doi><tpages>13</tpages></addata></record> |
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| identifier | ISSN: 0940-6719 |
| ispartof | European spine journal, 2014-10, Vol.23 (10), p.2046-2058 |
| issn | 0940-6719 1432-0932 |
| language | eng |
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| source | Open Access: PubMed Central; Springer Link |
| subjects | Adolescent Child Exercise Therapy Humans Low Back Pain - prevention & control Low Back Pain - therapy Medicine Medicine & Public Health Neurosurgery Review Article Surgical Orthopedics Watchful Waiting |
| title | Low back pain in children and adolescents: a systematic review and meta-analysis evaluating the effectiveness of conservative interventions |
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