SynthesisPain practice : the official journal of World Institute of Pain2019
Effectiveness of Primary Care Interventions Using a Biopsychosocial Approach in Chronic Low Back Pain: A Systematic Review.
Synthesis in Pain practice : the official journal of World Institute of Pain, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06306833 (Psychophysiological Biomarkers to Assess the Effectiveness of Surface EMG Biofeedback as an Alternative Therapy to Reduce Chronic Low Back Pain), which is not on this map. Cited by 51 papers, 3 of them syntheses that pooled 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.
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.
Psychophysiological Biomarkers to Assess the Effectiveness of Surface EMG Biofeedback as an Alternative Therapy to Reduce Chronic Low Back Pain
Who cites it
51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 157 citations in OpenAlex.
- Pooled it
- Management of low back pain and lumbosacral radicular syndrome: the Guideline of the Royal Dutch Society for Physical Therapy (KNGF).European journal of physical and rehabilitation medicine · 2024Guideline
- Systematic review of predictors of hospitalisation for non-specific low back pain with or without referred leg pain.PloS one · 2023Pooled it
- Participatory Ergonomics Intervention to Prevent Work Disability Among Workers with Low Back Pain: A Randomized Clinical Trial in Workplace Setting.Journal of occupational rehabilitation · 2022Trial
- Effects of an early multidisciplinary intervention on sickness absence in patients with persistent low back pain-a randomized controlled trial.BMC musculoskeletal disorders · 2022Trial
- Misbeliefs about non-specific low back pain and attitudes towards treatment by primary care providers in Spain: a qualitative study.BMC primary care · 2022Trial
- Effectiveness of training in guideline-oriented biopsychosocial management of low-back pain in occupational health services - a cluster randomized controlled trial.Scandinavian journal of work, environment & health · 2021Trial
- Association between clinical, psychosocial and sociodemographic factors and ICF-domains in adults with chronic non-specific low back pain: a cross-sectional study.BMC musculoskeletal disorders · 2026Article
- Primary Care Clinician and Patient Knowledge, Interest, and Use of Integrative Treatment Options for Chronic Low Back Pain Management.Federal practitioner : for the health care professionals of the VA, DoD, and PHS · 2026Article
- Can a tailored implementation programme enhance the adoption of guideline-adherent behaviour in physiotherapists and chiropractors managing patients with low back pain? An implementation study.Implementation science communications · 2025Article
- Perception gaps between healthcare professionals and people with CLBP: an online survey of current primary care management practices in the United Kingdom.Annals of medicine · 2025Article
- Perceptions and use of self-management support strategies to improve the management of spine pain patients in a French-Canadian chiropractic teaching program: a mixed method study.Chiropractic & manual therapies · 2025Article
- Biopsychosocial Strategies for Alleviating Low Back Pain in Late Mothers: A Systematic Review.Healthcare (Basel, Switzerland) · 2025Review
- Integrative Treatment Strategies for Chronic Back Pain: A Literature Review with Clinical Recommendations.International journal of environmental research and public health · 2025Review
- A physiotherapist-led biopsychosocial education and exercise programme for patients with chronic low back pain in Ghana: a mixed-methods feasibility study.BMC musculoskeletal disorders · 2024Article
- Chronic Pain in Spanish Physiotherapy Practice: Treatment Challenges and Opportunities in Diverse Healthcare Settings-A Qualitative Study.Clinics and practice · 2024Article
- Identifying the Problem Side with Single-Leg Squat and Hamstrings Flexibility for Non-Specific Chronic Low Back Pain.Medicina (Kaunas, Lithuania) · 2024Article
- Chronic Pain Management Approaches among Spanish Physiotherapists: Influences, Practices, Barriers, and Challenges.Journal of personalized medicine · 2024Article
- What Predicts a Longer Period of Pain in Patients Referred to an Interdisciplinary Center for Pain Care?International journal of environmental research and public health · 2024Article
- Physiotherapeutic and non-conventional approaches in patients with chronic low-back pain: a level I Bayesian network meta-analysis.Scientific reports · 2024Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 4 institutions in 1 country.
Funding
Abstract
BACKGROUND AND
objectiveRecent systematic reviews show promising effects for multidisciplinary biopsychosocial (BPS) interventions in patients with chronic low back pain (CLBP). Nowadays, BPS interventions have also been developed for primary care physiotherapy settings. Our aim was to systematically review the evidence on the effectiveness of primary care BPS interventions in improving functional disability, pain, and work status for patients with CLBP. Secondly, we aimed to provide an elaborated overview of BPS intervention designs, physiotherapist training programs, and process-related factors (practical implementation).
methodsWe searched in scientific databases and reference lists. Randomized controlled trials (RCTs) evaluating primary care physiotherapist-led BPS interventions in adults (≥18 years) with nonspecific CLBP (≥12 weeks) were included.
resultsOur search resulted in 943 references; 7 RCTs were included (1,426 participants). Results show moderate-quality evidence (3 trials; 991 participants) that a BPS intervention is more effective than education/advice for reducing disability and pain in the short, medium, and long term. Low-quality evidence (4 trials; 435 participants) was found for no difference with physical activity treatments.
conclusionsBPS interventions seem more effective than education/advice and were found to be as effective as physical activity interventions in patients with CLBP. BPS interventions with a clear focus on psychosocial factors (understanding pain, unhelpful thoughts, coping styles, and goal setting) seem most promising. Sufficient delivery of BPS elements is expected when physiotherapists participate in training programs with extensive support prior and during delivery (manual, supervision, and informative resources).
Indexed as
Identifiers
What OpenQuestion holds
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.