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Web-Based Interventions for Chronic Back Pain: A Systematic Review.

Shashank Garg1, Divya Garg, Tanvir C Turin

  • 1University of Calgary, Department of Family Medicine, University of Calgary, Calgary, AB, Canada. sgarg@ucalgary.ca.

Journal of Medical Internet Research
|July 28, 2016
PubMed
Summary
This summary is machine-generated.

Web-based interventions for chronic low back pain show limited but promising results. Online cognitive behavioral therapy (CBT) may reduce pain catastrophization, but more large-scale research is needed.

Keywords:
InternetWeb-based interventionschronic back paincognitive behavioral therapydisabilityempowermentsystematic review

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Area of Science:

  • Digital Health
  • Rehabilitation Medicine
  • Pain Management

Background:

  • Chronic low back pain is a prevalent condition requiring effective treatment strategies.
  • Current treatments for chronic low back pain are often challenging and resource-intensive.

Purpose of the Study:

  • To review and evaluate the effectiveness of Web-based interventions for managing chronic low back pain in adults.

Main Methods:

  • Systematic review of randomized controlled trials (RCTs) focusing on Web-based interventions for chronic low back pain.
  • Included nine RCTs with a total of 1796 participants; excluded retrospective studies, reviews, and non-randomized trials.

Main Results:

  • Online cognitive behavioral therapy (CBT) showed potential in reducing pain catastrophization and improving patient attitudes.
  • Mixed results were observed for pain reduction and disability, with some short-term improvements noted.
  • One study indicated reduced healthcare utilization with moderated email discussions.

Conclusions:

  • Limited data exist on effective Web-based interventions for chronic low back pain.
  • Online CBT shows promise for improving patient attitudes and reducing catastrophization.
  • Further large-scale research is necessary to confirm the efficacy of Web-based interventions for chronic low back pain outcomes.