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Multidisciplinary biopsychosocial rehabilitation for chronic low back pain: Cochrane systematic review and meta-analysis

BMJ · 2015 · Vol. 350(feb18 5) · pp. h444–h444

Steven J. Kamper✉Adri T. Apeldoorn(Amsterdam Public Health)Alessandro Chiarotto(Amsterdam Public Health)Rob Smeets(Maastricht University Medical Centre)Raymond OsteloJaime Guzmán(University of British Columbia)Maurits W. van Tulder(Amsterdam UMC Location Vrije Universiteit Amsterdam)

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Abstract

Multidisciplinary biopsychosocial rehabilitation interventions were more effective than usual care (moderate quality evidence) and physical treatments (low quality evidence) in decreasing pain and disability in people with chronic low back pain. For work outcomes, multidisciplinary rehabilitation seems to be more effective than physical treatment but not more effective than usual care.

Musculoskeletal pain and rehabilitation Spine and Intervertebral Disc Pathology Fibromyalgia and Chronic Fatigue Syndrome ResearchBiopsychosocial modelMultidisciplinary approachRehabilitationSystematic reviewMedicineChronic painPhysical therapyMeta-analysisLow back painAlternative medicine