Hong Jae-Young, Song Kwang-Sup, Cho Jae Hwan, Lee Jae Hyup, Kim Nack Hwan
Department of Orthopedics, Korea University Ansan Hospital, Ansan, Korea.
Department of Orthopaedic Surgery, Chung-Ang University College of Medicine, Seoul, Korea.
Asian Spine J. 2022 Dec;16(6):968-982. doi: 10.31616/asj.2021.0371. Epub 2021 Dec 30.
We aimed to determine the recommendation level for the treatment of acute and chronic low back pain (LBP). A systematic review (SR) of the literature was performed and all English-language articles that discuss acute and chronic LBP, including MEDLINE and the Cochrane Database of Systematic Reviews, were searched. Of the 873 searched literature reports, 259 articles, including 131 clinical trials, 115 SRs, nine meta-analyses, and four clinical guidelines were analyzed. In these articles, high-quality randomized controlled trials, SRs, and used well-written clinical guidelines were reviewed. The results indicated multiple acute and chronic LBP treatment methods in the literature, and these reports when reviewed included general behavior, pharmacological therapy, psychological therapy, specific exercise, active rehabilitation and educational interventions, manual therapy, physical modalities, and invasive procedures. The Trial conclusions and SRs were classified into four categories of A, B, C, and D. If there were not enough high-quality articles, it was designated as "I" (insufficient). This review and summary of guidelines may be beneficial for physicians to better understand and make recommendations in primary care.
我们旨在确定急性和慢性下腰痛（LBP）的治疗推荐级别。我们对文献进行了系统综述（SR），检索了所有讨论急性和慢性LBP的英文文章，包括MEDLINE和Cochrane系统评价数据库。在检索到的873篇文献报告中，分析了259篇文章，包括131项临床试验、115篇系统综述、9篇荟萃分析和4篇临床指南。在这些文章中，对高质量随机对照试验、系统综述和编写良好的临床指南进行了审查。结果表明，文献中有多种急性和慢性LBP治疗方法，这些报告在审查时包括一般行为、药物治疗、心理治疗、特定运动、主动康复和教育干预、手法治疗、物理治疗方式以及侵入性操作。试验结论和系统综述被分为A、B、C和D四类。如果没有足够的高质量文章，则指定为“I”（不足）。本综述和指南总结可能有助于医生在初级保健中更好地理解并提出建议。
