Chinese Journal of Rehabilitation

Abstract

Effects of Health Education Program in Patients with Low Back Pain: A Systematic Review and Meta-analysis of Randomized Controlled Trials

DOI：

EN KeyWords: low back pain health education meta-analysis systematic review

Fund Project:康复视角下颈椎病腰腿痛自我管理健康科普平台建设及应用研究（四川省科技厅项目资助，项目编号2017KZ0092）

作者	单位
李定艮	1.四川大学华西医院康复医学中心,成都 610041；2.康复医学四川省重点实验室,成都 610041
汪华琼	1.四川大学华西医院康复医学中心,成都 610041；2.康复医学四川省重点实验室,成都 610041
陈凤	重庆市璧山区人民医院康复医学科,重庆 402760
吴慧敏	西南医科大学附属中医医院针灸康复科,四川泸州 646000
杨永红	1.四川大学华西医院康复医学中心,成都 610041；2.康复医学四川省重点实验室,成都 610041

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EN Abstract:

Objective: To evaluate the clinical effects of health education program on pain, functional activities and quality of life in patients with low back pain. Methods: PubMed, Ovid Medline, EMBASE, The Cochrane Library, Web of Science, China National Knowledge Infrastructure (CNKI), VIP Database for Chinese Technical Periodicals and Wanfang Data were searched for any randomized controlled trials (RCTs) about the effect of health education program on patients with low back pain from Jan. 2009 to Sept. 2019. Two authors independently screened literature, extracted data and assessed the methodological quality of included studies. Meta-analysis was performed using RevMan 5.3 software. Results: A total of 27 RCTs involving 2701 patients were included. The results of meta analysis showed that, compared with the control group, health education combined with physical exercise ［NPRS: MD= -1.78, 95%CI (-2.67, -0.89), P<0.01］ and intensive health education could significantly relieve pain ［VAS: MD= -0.52, 95%CI (-0.93, -0.11), P=0.01］; (NPRS: MD= -0.41, 95%CI (-0.75, -0.08), P=0.01), but no significant difference was found when health education combined with conventional care for pain relieve (VAS: MD= -0.49, 95%CI (-1.04, 0.07), P=0.09). Health education combined with exercise therapy ［RMDQ: MD= -4.72, 95%CI (-7.70, -0.84), P=0.001］ and health education combined with usual care ［RMDQ: MD= -0.97, 95%CI (-1.91, -0.02), P=0.04］ could improve function activity, but intensive health education couldn’t improve function activity ［RMDQ: MD= 0.15, 95%CI (-0.74, 1.04), P=0.74］. Conclusion: The study suggests that health education combined with other treatments may have an advantage in relieving pain in patients with low back pain, and that intensive health education is more effective.

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