The Efficacy and Effectiveness of Education for Preventing and Treating Non-Specific Low Back Pain in the Hispanic Cultural Setting: A Systematic Review

Francisco M. Kovacs, Natalia Burgos-Alonso, Ana María Martín-Nogueras and Jesús Seco-Calvo
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Francisco M. Kovacs: Kovacs Back Pain Unit, HLA-Moncloa University Hospital, 81, Avenida Valladolid, 28008 Madrid, Spain
Natalia Burgos-Alonso: Spanish Back Pain Research Network, 28008 Madrid, Spain
Ana María Martín-Nogueras: Spanish Back Pain Research Network, 28008 Madrid, Spain
Jesús Seco-Calvo: Spanish Back Pain Research Network, 28008 Madrid, Spain

IJERPH, 2022, vol. 19, issue 2, 1-24

Abstract: A systematic review was conducted to assess the efficacy and effectiveness of education programs to prevent and treat low back pain (LBP) in the Hispanic cultural setting. Electronic and manual searches identified 1148 unique references. Nine randomized clinical trials (RCTs) were included in this review. Methodological quality assessment and data extraction followed the recommendations from the Cochrane Back Pain Review Group. Education programs which were assessed focused on active management (3 studies), postural hygiene (7), exercise (4) and pain neurophysiology (1). Comparators were no intervention, usual care, exercise, other types of education, and different combinations of these procedures. Five RCTs had a low risk of bias. Results show that: (a) education programs in the school setting can transmit potentially useful knowledge for LBP prevention and (b) education programs for patients with LBP improve the outcomes of usual care, especially in terms of disability. Education on pain neurophysiology improves the results of education on exercise, and education on active management is more effective than “sham” education and education on postural hygiene. Future studies should assess the comparative or summatory effects of education on exercise, education on pain neurophysiology and education on active management, as well as explore their efficiency.

Keywords: non-specific low back pain; education programs; systematic review; Hispanic cultural setting (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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