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Related Experiment Videos

Bed rest for acute low back pain and sciatica.

K B Hagen1, G Hilde, G Jamtvedt

  • 1Health Services Research Unit, National Institute of Public Health, P.O. Box 4404 Torshov, N-0403 Oslo, Norway. k.b.hagen@labmed.uio.no

The Cochrane Database of Systematic Reviews
|May 5, 2000
PubMed
Summary

Bed rest offers minimal benefits for acute low back pain (LBP) and may cause slight harm compared to staying active. For sciatica patients, differences between bed rest and staying active are minor. Bed rest is not superior to exercise for LBP.

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Area of Science:

  • Orthopedics
  • Pain Management
  • Evidence-Based Medicine

Background:

  • Low back pain (LBP) is a prevalent condition managed in primary care.
  • Advice on daily activities is a key component of LBP management.

Purpose of the Study:

  • To evaluate the efficacy of bed rest for acute low back pain (LBP) or sciatica.

Main Methods:

  • Systematic review of randomized and quasi-randomized controlled trials.
  • Searched multiple databases including Cochrane, MEDLINE, and Embase up to December 1998.
  • Included trials comparing bed rest (≥2 days) with non-bed rest or varying bed rest durations for acute LBP.

Main Results:

  • Nine trials (1435 patients) were analyzed; risk of bias varied.

Related Experiment Videos

  • High-quality studies showed no significant difference in pain intensity at 3 weeks compared to staying active.
  • Staying active showed a small benefit in functional status compared to bed rest.

    • Conclusions:

    • Bed rest has minimal to potentially small harmful effects for acute LBP compared to staying active.
    • No significant differences in outcomes were found between varying bed rest durations or between bed rest and exercise for acute LBP.