Evidence map›Paper›PMID 28429142›Full record

GuidelineEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2018

National Clinical Guidelines for non-surgical treatment of patients with recent onset low back pain or lumbar radiculopathy.

Mette Jensen Stochkendahl, Per Kjaer, Jan Hartvigsen, Alice Kongsted, Jens Aaboe, Margrethe Andersen, Mikkel Ø Andersen, Gilles Fournier, Betina Højgaard, Martin Bach Jensen and 12 more

3 registry-linked trialsAbstract readPractice Guideline
PubMed Publisher
In one paragraph

Guideline in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 277 papers, 25 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
277citing papers in PubMed, 25 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03668574 naunknown statusnot on this map

Aerobic Exercise for Patients With Non-specific Chronic Low Back Pain: a Feasibility Randomized Controlled Trial

TypeinterventionalSponsorUniversidade Cidade de Sao PauloRan2018 to 2019Enrolled30ConditionsLow Back PainArmsAerobic exercise, Placebo Group
NCT07370272 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Lumbopelvic Cognitive Movement Control Training Versus Core Stability Exercises in Treatment of Sacroiliac Joint Pain

TypeinterventionalSponsorCairo UniversityRan2026 to 2026Enrolled36ConditionsSacroiliac Joint PainArmsThe conventional Physiotherpay Program (US & MET), Core Stability Exercises (CSE), Lumbopelvic cognitive movement control training (CMCT)
NCT07785804 naenrolling by invitationnot on this mapstarted 2026, after this paper: background citation

Effectiveness of the SelfBack-App in Preventing and Treating Low Back Pain Versus no Intervention: a Non-randomized Clinical Trial

TypeinterventionalSponsorUniversitair Ziekenhuis BrusselRan2026 to 2027Enrolled144ConditionsLow Back PainArmsSelfback app, No Interventions
3 · Its place in the literature

Who cites it

277 citing papers in PubMed, 25 syntheses or guidelines pooled it.

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  8. Guideline
  9. The clinical course of acute, subacute and persistent low back pain: a systematic review and meta-analysis.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024
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  11. Comparative efficacy of ultrasound guidance and fluoroscopy or computed tomography guidance in spinal nerve injections: a systematic review and meta-analysis.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2023
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  12. Exercise therapy for treatment of acute non-specific low back pain.The Cochrane database of systematic reviews · 2023
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217 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

22 authors.

Mette Jensen StochkendahlDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark. m.jensen@nikkb.dk.ORCID 0000-0003-0297-8267
Per KjaerDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
Jan HartvigsenDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
Alice KongstedDepartment of Sports Science and Clinical Biomechanics, University of Southern Denmark, Campusvej 55, 5230, Odense M, Denmark.
Jens AaboeThe Danish Health Authority, Islands Brygge 67, 2300, Copenhagen S, Denmark.
Margrethe AndersenFrederiksberg Municipality, Smallegade 1, 2000, Frederiksberg, Denmark.
Mikkel Ø AndersenCenter for Spine Surgery and Research, Lillebaelt Hospital, Østre Hougvej 55, 5500, Middelfart, Denmark.
Gilles FournierCenter for Rheumatology and Spine Diseases, Frederiksberg Hospital, Nordre Fasanvej 57, 2000, Frederiksberg, Denmark.
Betina HøjgaardThe Danish Health Authority, Islands Brygge 67, 2300, Copenhagen S, Denmark.
Martin Bach JensenResearch Unit for General Practice, Department of Clinical Medicine, Aalborg University, Fyrkildevej 7, 1, 9220, Aalborg O, Denmark.
Lone Donbæk JensenDepartment of Occupational Medicine, Danish Ramazzini Center, Aarhus University Hospital, Noerrebrogade 42, 8000, Aarhus C, Denmark.
Ture KarboSpine Unit, Department of Orthopaedic Surgery, The National University Hospital, Blegdamsvej 9, 2100, Copenhagen, Denmark.
Lilli KirkeskovUnit of Social Medicine, Department of Occupational and Environmental Medicine, Frederiksberg Hospital, Ndr. Fasanvej 57, Vej 8, 2.2, 2000, Frederiksberg, Denmark.
Martin MelbyeAalborg Spine Clinic, Vingaardsgade 9, 9000, Aalborg, Denmark.
Lone Morsel-CarlsenDepartment of Radiology, Bispebjerg and Frederiksberg Hospital, Ndr. Fasanvej 57, 2000, Frederiksberg, Denmark.
Jan NordsteenCopenhagen Back and Rehabilitation Centre, Mimersgade 41, 2200, Copenhagen, Denmark.
Thorvaldur Skuli PalssonDepartment of Health Science and Technology, SMI®, Aalborg University, Frederik Bajers Vej 7D, 9220, Aalborg, Denmark.
Zoreh RastiDepartment of Radiology, Bispebjerg and Frederiksberg Hospital, Ndr. Fasanvej 57, 2000, Frederiksberg, Denmark.
Peter Frost Silbye, Bondetinget 24-01, 4000, Roskilde, Denmark.
Morten Zebitz SteinessSpine Section, Department of Neurosurgery, Aalborg University Hospital, Hobrovej 18-22, 9100, Aalborg, Denmark.
Simon TarpThe Danish Health Authority, Islands Brygge 67, 2300, Copenhagen S, Denmark.
Morten Vaagholt, Hvidkildevej 62, 2400, København NV, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo summarise recommendations about 20 non-surgical interventions for recent onset (<12 weeks) non-specific low back pain (LBP) and lumbar radiculopathy (LR) based on two guidelines from the Danish Health Authority.

methodsTwo multidisciplinary working groups formulated recommendations based on the GRADE approach.

resultsSixteen recommendations were based on evidence, and four on consensus. Management of LBP and LR should include information about prognosis, warning signs, and advise to remain active. If treatment is needed, the guidelines suggest using patient education, different types of supervised exercise, and manual therapy. The guidelines recommend against acupuncture, routine use of imaging, targeted treatment, extraforaminal glucocorticoid injection, paracetamol, NSAIDs, and opioids.

conclusionRecommendations are based on low to moderate quality evidence or on consensus, but are well aligned with recommendations from international guidelines. The guideline working groups recommend that research efforts in relation to all aspects of management of LBP and LR be intensified.

Indexed as

AnalgesicsConservative TreatmentDenmarkExercise TherapyHumansLow Back PainMusculoskeletal ManipulationsPain ManagementPain MeasurementPatient Education as TopicPrognosisRadiculopathyAnalgesicsClinical guidelineConservative treatmentLow back painLumbar radiculopathyNon-surgical interventionRecommendations

Identifiers

PMID28429142

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.