Cancelliere Carol, Yu Hainan, Southerst Danielle, Connell Gaelan, Verville Leslie, Bussières André, Gross Douglas P, Pereira Paulo, Mior Silvano, Tricco Andrea C, Cedraschi Christine, Brunton Ginny, Nordin Margareta, Shearer Heather M, Wong Jessica J, Hayden Jill A, Ogilvie Rachel, Wang Dan, Côté Pierre, Hincapié Cesar A
Institute for Disability and Rehabilitation Research and Faculty of Health Sciences, Ontario Tech University, Oshawa, Canada.
Département Chiropratique, Université du Québec à Trois-Rivières, Trois-Rivières (Québec), Canada.
J Occup Rehabil. 2023 Dec;33(4):673-686. doi: 10.1007/s10926-023-10140-4. Epub 2023 Nov 22.
Chronic primary low back pain (CPLBP) is a prevalent and disabling condition that often requires rehabilitation interventions to improve function and alleviate pain. This paper aims to advance future research, including systematic reviews and randomized controlled trials (RCTs), on CPLBP management. We provide methodological and reporting recommendations derived from our conducted systematic reviews, offering practical guidance for conducting robust research on the effectiveness of rehabilitation interventions for CPLBP. Our systematic reviews contributed to the development of a WHO clinical guideline for CPLBP. Based on our experience, we have identified methodological issues and recommendations, which are compiled in a comprehensive table and discussed systematically within established frameworks for reporting and critically appraising RCTs. In conclusion, embracing the complexity of CPLBP involves recognizing its multifactorial nature and diverse contexts and planning for varying treatment responses. By embracing this complexity and emphasizing methodological rigor, research in the field can be improved, potentially leading to better care and outcomes for individuals with CPLBP.
慢性原发性下腰痛（CPLBP）是一种常见且致残的疾病，通常需要康复干预来改善功能和减轻疼痛。本文旨在推动未来关于CPLBP管理的研究，包括系统评价和随机对照试验（RCT）。我们提供了从我们所进行的系统评价中得出的方法学和报告建议，为开展关于CPLBP康复干预效果的严谨研究提供实用指导。我们的系统评价为世界卫生组织CPLBP临床指南的制定做出了贡献。基于我们的经验，我们识别出了方法学问题及建议，并将其汇编成一个综合表格，在既定的RCT报告和批判性评价框架内进行系统讨论。总之，认识到CPLBP的复杂性涉及到认识其多因素性质和多样背景，并针对不同的治疗反应进行规划。通过接受这种复杂性并强调方法学的严谨性，可以改进该领域的研究，有可能为CPLBP患者带来更好的护理和治疗结果。
