A Cochrane Review of Superficial Heat or Cold for Low Back Pain 2009

Review

. 2006 January 25;2006(ane):CD004750.

doi: 10.1002/14651858.CD004750.pub2.

Superficial heat or cold for depression back pain

Affiliations

• PMID: 16437495
• PMCID: PMC8846312
• DOI: 10.1002/14651858.CD004750.pub2

Gratis PMC commodity

Review

Superficial rut or cold for low back pain

S D French  et al. Cochrane Database Syst Rev. 2006 .

Complimentary PMC article

Abstract

Background: Heat and cold are usually utilised in the handling of low-back pain by both health care professionals and people with low-dorsum pain.

Objectives: To assess the effects of superficial rut and cold therapy for low-dorsum hurting in adults.

Search strategy: We searched the Cochrane Back Review Group Specialised register, the Cochrane Cardinal Register of Controlled Trials (The Cochrane Library Issue 3, 2005), MEDLINE (1966 to October 2005), EMBASE (1980 to Oct 2005) and other relevant databases.

Pick criteria: We included randomised controlled trials and non-randomised controlled trials that examined superficial heat or common cold therapies in people with depression-dorsum hurting.

Data drove and analysis: Two authors independently assessed methodological quality and extracted data, using the criteria recommended by the Cochrane Back Review Group.

Chief results: Nine trials involving 1117 participants were included. In two trials of 258 participants with a mix of acute and sub-acute low-back pain, heat wrap therapy significantly reduced pain after 5 days (weighted mean difference (WMD) 1.06, 95% confidence interval (CI) 0.68 to 1.45, scale range 0 to 5) compared to oral placebo. One trial of 90 participants with acute low-back hurting found that a heated blanket significantly decreased acute low-back pain immediately afterwards application (WMD -32.20, 95%CI -38.69 to -25.71, calibration range 0 to 100). 1 trial of 100 participants with a mix of acute and sub-acute low-back pain examined the additional effects of adding exercise to estrus wrap, and found that it reduced hurting after vii days. There is insufficient evidence to evaluate the effects of cold for low-dorsum pain, and alien evidence for any differences between estrus and cold for low-back pain.

Authors' conclusions: The evidence base to support the mutual practice of superficial heat and common cold for depression dorsum hurting is limited and in that location is a need for future college-quality randomised controlled trials. There is moderate evidence in a small number of trials that estrus wrap therapy provides a modest short-term reduction in pain and disability in a population with a mix of acute and sub-astute depression-dorsum pain, and that the addition of exercise further reduces pain and improves role. The evidence for the awarding of cold treatment to depression-back hurting is even more limited, with only three poor quality studies located. No conclusions can be drawn nearly the use of cold for low-dorsum hurting. There is conflicting evidence to determine the differences betwixt heat and cold for depression-back pain.

Conflict of involvement statement

None declared.

Figures

1

Summary of risks of bias

i.ane. Assay

Comparison 1 Heat vs placebo or non‐heated wrap (astute and sub‐acute LBP <three months), Effect 1 Hurting relief (college score favours estrus).

1.two. Analysis

Comparing one Oestrus vs placebo or not‐heated wrap (acute and sub‐astute LBP <3 months), Event 2 Pain affect (lower score favours oestrus).

1.3. Assay

Comparison ane Heat vs placebo or non‐heated wrap (astute and sub‐acute LBP <3 months), Effect 3 Function (lower score favours oestrus).

1.4. Analysis

Comparison 1 Heat vs placebo or non‐heated wrap (acute and sub‐acute LBP <3 months), Effect 4 Pain (VAS) (lower score favours oestrus).

ii.one. Analysis

Comparison two Oestrus vs other interventions (acute and sub‐acute LBP <3 months), Outcome 1 Hurting relief ‐ Day 1 or 2 (college score favours heat).

2.2. Analysis

Comparison 2 Heat vs other interventions (astute and sub‐acute LBP <3 months), Outcome ii Pain relief ‐ Day four (higher score favours heat).

ii.3. Assay

Comparison two Heat vs other interventions (acute and sub‐acute LBP <3 months), Outcome iii Pain relief ‐ Day 7 (higher score favours heat).

2.4. Analysis

Comparison ii Heat vs other interventions (acute and sub‐acute LBP <3 months), Event 4 Role (Roland‐Morris) ‐ 24-hour interval 4 (higher score favours estrus).

2.5. Analysis

Comparing two Heat vs other interventions (acute and sub‐astute LBP <three months), Upshot five Part alter scores (Roland‐Morris) ‐ Day 2 (lower score favours estrus).

ii.6. Analysis

Comparison two Heat vs other interventions (acute and sub‐acute LBP <three months), Outcome half dozen Role change scores (Roland‐Morris) ‐ Day 4 (lower score favours heat).

two.vii. Assay

Comparison two Heat vs other interventions (acute and sub‐acute LBP <3 months), Outcome 7 Function change scores (Roland‐Morris) ‐ Mean solar day 7 (lower score favours heat).

3.ane. Analysis

Comparison three Heat plus practice vs other interventions (astute and sub‐acute LBP <three months), Upshot 1 Hurting relief (higher score favours heat) ‐ vs booklet.

iii.two. Analysis

Comparing 3 Rut plus exercise vs other interventions (acute and sub‐astute LBP <3 months), Issue two Part ‐ Roland‐Morris (change values ‐ lower score favours heat) ‐ vs booklet.

3.3. Analysis

Comparison 3 Heat plus exercise vs other interventions (acute and sub‐acute LBP <three months), Outcome 3 Function ‐ MTAP (change values ‐ higher score favours heat) ‐ vs booklet.

iii.4. Analysis

Comparison 3 Heat plus exercise vs other interventions (acute and sub‐acute LBP <3 months), Outcome 4 Hurting relief (college score favours heat) ‐ vs exercise alone.

3.five. Analysis

Comparison 3 Heat plus exercise vs other interventions (acute and sub‐acute LBP <iii months), Result 5 Function ‐ Roland‐Morris (modify values ‐ lower score favours estrus) ‐ vs exercise alone.

three.vi. Analysis

Comparison 3 Heat plus exercise vs other interventions (acute and sub‐acute LBP <3 months), Outcome vi Function ‐ MTAP (change values ‐ higher score favours heat) ‐ vs practice alone.

3.vii. Analysis

Comparison 3 Oestrus plus exercise vs other interventions (astute and sub‐astute LBP <3 months), Result 7 Hurting relief (higher score favours estrus) ‐ vs estrus alone.

3.8. Assay

Comparing 3 Oestrus plus exercise vs other interventions (acute and sub‐acute LBP <three months), Consequence 8 Function ‐ Roland‐Morris (change values ‐ lower score favours rut) ‐ vs estrus lone.

3.9. Analysis

Comparison three Heat plus practise vs other interventions (astute and sub‐acute LBP <3 months), Outcome ix Function ‐ MTAP (change values ‐ college score favours heat) ‐ vs oestrus alone.

Update of

• doi: 10.1002/14651858.CD004750

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Source: https://pubmed.ncbi.nlm.nih.gov/16437495/

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