Bed rest for acute low-back pain and sciatica

Acute back pain: The role of medication, physical medicine and rehabilitation: WFNS spine committee recommendations

“…There is additional evidence suggesting that, between the 3 to 12-week period, physical activity is more effective than bed rest in reducing pain and improving function. 52 , 53 Prolonged bed rest may lead to multiple adverse effects, including joint stiffness, muscle wasting, loss of bone mineral density, pressure sores, and DVTs. 52 , 54…”

Acute back pain: The role of medication, physical medicine and rehabilitation: WFNS spine committee recommendations

“…There is additional evidence suggesting that, between the 3 to 12-week period, physical activity is more effective than bed rest in reducing pain and improving function. 52 , 53 Prolonged bed rest may lead to multiple adverse effects, including joint stiffness, muscle wasting, loss of bone mineral density, pressure sores, and DVTs. 52 , 54…”

Empirical Evidence of an Association Between Internal Validity and Effect Size in Randomized Controlled Trials of Low-Back Pain

“…Of the 15 Cochrane reviews [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] on nonsurgical treatment for nonspecific low back pain, 267 trials were eligible for inclusion (Figure 1). Of these, 36 were excluded because they did not provide sufficient data to calculate an effect size.…”

A Primer on Selected Aspects of Evidence-Based Practice Relating to Questions of Treatment, Part 2: Interpreting Results, Application to Clinical Practice, and Self-Evaluation

“…If the CI around the point estimate crosses the vertical line, results are not statistically significant because those results are consistent with a zero treatment effect in the target population . FIG-URE 3 illustrates results from a systematic review 39 for an outcome of pain intensity at 12 weeks, comparing results obtained in patients treated with bed rest compared to patients who stayed active. Two RCTs were included in the meta-analysis: one with a statistically significant effect favoring the recommendation to stay active and one with no statistically significant difference between groups.…”

Acute back pain: The role of medication, physical medicine and rehabilitation: WFNS spine committee recommendations

“…There is additional evidence suggesting that, between the 3 to 12-week period, physical activity is more effective than bed rest in reducing pain and improving function. 52 , 53 Prolonged bed rest may lead to multiple adverse effects, including joint stiffness, muscle wasting, loss of bone mineral density, pressure sores, and DVTs. 52 , 54…”

Empirical Evidence of an Association Between Internal Validity and Effect Size in Randomized Controlled Trials of Low-Back Pain

“…Of the 15 Cochrane reviews [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] on nonsurgical treatment for nonspecific low back pain, 267 trials were eligible for inclusion (Figure 1). Of these, 36 were excluded because they did not provide sufficient data to calculate an effect size.…”

A Primer on Selected Aspects of Evidence-Based Practice Relating to Questions of Treatment, Part 2: Interpreting Results, Application to Clinical Practice, and Self-Evaluation

“…If the CI around the point estimate crosses the vertical line, results are not statistically significant because those results are consistent with a zero treatment effect in the target population . FIG-URE 3 illustrates results from a systematic review 39 for an outcome of pain intensity at 12 weeks, comparing results obtained in patients treated with bed rest compared to patients who stayed active. Two RCTs were included in the meta-analysis: one with a statistically significant effect favoring the recommendation to stay active and one with no statistically significant difference between groups.…”

Acute back pain: The role of medication, physical medicine and rehabilitation: WFNS spine committee recommendations

“…There is additional evidence suggesting that, between the 3 to 12-week period, physical activity is more effective than bed rest in reducing pain and improving function. 52 , 53 Prolonged bed rest may lead to multiple adverse effects, including joint stiffness, muscle wasting, loss of bone mineral density, pressure sores, and DVTs. 52 , 54…”

Empirical Evidence of an Association Between Internal Validity and Effect Size in Randomized Controlled Trials of Low-Back Pain

“…Of the 15 Cochrane reviews [22][23][24][25][26][27][28][29][30][31][32][33][34][35][36] on nonsurgical treatment for nonspecific low back pain, 267 trials were eligible for inclusion (Figure 1). Of these, 36 were excluded because they did not provide sufficient data to calculate an effect size.…”

A Primer on Selected Aspects of Evidence-Based Practice Relating to Questions of Treatment, Part 2: Interpreting Results, Application to Clinical Practice, and Self-Evaluation

“…If the CI around the point estimate crosses the vertical line, results are not statistically significant because those results are consistent with a zero treatment effect in the target population . FIG-URE 3 illustrates results from a systematic review 39 for an outcome of pain intensity at 12 weeks, comparing results obtained in patients treated with bed rest compared to patients who stayed active. Two RCTs were included in the meta-analysis: one with a statistically significant effect favoring the recommendation to stay active and one with no statistically significant difference between groups.…”