Non-Invasive and Minimally Invasive Management of Low Back Disorders

被引：16

作者：

Hegmann, Kurt T. ^{[1
]}

Travis, Russell ^{[1
]}

Andersson, Gunnar B. J. ^{[1
]}

Belcourt, Roger M. ^{[1
]}

Carragee, Eugene J. ^{[1
]}

Donelson, Ronald ^{[1
]}

Eskay-Auerbach, Marjorie ^{[1
]}

Galper, Jill ^{[1
]}

Goertz, Michael ^{[1
]}

Haldeman, Scott ^{[1
]}

Hooper, Paul D. ^{[1
]}

Lessenger, James E. ^{[1
]}

Mayer, Tom ^{[1
]}

Mueller, Kathryn L. ^{[1
]}

Murphy, Donald R. ^{[1
]}

Tellin, William G. ^{[1
]}

Thiese, Matthew S. ^{[1
]}

Weiss, Michael S. ^{[1
]}

Harris, Jeffrey S. ^{[1
]}

机构：

[1] Amer Coll Occupat & Environm Med, Elk Grove Village, IL 60007 USA

来源：

JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE | 2020年 / 62卷 / 03期

关键词：

ELECTRICAL NERVE-STIMULATION; RANDOMIZED-CONTROLLED-TRIAL; EVIDENCE-INFORMED MANAGEMENT; PLACEBO-CONTROLLED TRIAL; NONSTEROIDAL ANTIINFLAMMATORY DRUGS; SPINAL MANIPULATIVE THERAPY; EPIDURAL STEROID INJECTIONS; CONTROLLED CLINICAL-TRIAL; POSTOPERATIVE PAIN RELIEF; DOUBLE-BLIND EVALUATION;

D O I：

10.1097/JOM.0000000000001812

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Objective: This abbreviated version of the American College of Occupational and Environmental Medicine's (ACOEM) Low Back Disorders Guideline reviews the evidence and recommendations developed for non-invasive and minimally invasive management of low back disorders. Methods: Systematic literature reviews were accomplished with article abstraction, critiquing, grading, evidence table compilation, and guideline finalization by a multidisciplinary expert panel and extensive peer-review to develop evidence-based guidance. Consensus recommendations were formulated when evidence was lacking. A total of 70 high-quality and 564 moderate-quality trials were identified for non-invasive low back disorders. Detailed algorithms were developed. Results: Guidance has been developed for the management of acute, subacute, and chronic low back disorders and rehabilitation. This includes 121 specific recommendations. Conclusion: Quality evidence should guide treatment for all phases of managing low back disorders.

引用

页码：E111 / E138

页数：28

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