Herbal Medicine for Low Back Pain: A Cochrane Review.
Identifieur interne : 000D55 ( Main/Corpus ); précédent : 000D54; suivant : 000D56Herbal Medicine for Low Back Pain: A Cochrane Review.
Auteurs : Joel J. Gagnier ; Hanna Oltean ; Maurits W. Van Tulder ; Brian M. Berman ; Claire Bombardier ; Christopher B. RobbinsSource :
- Spine [ 1528-1159 ] ; 2016.
English descriptors
- KwdEn :
- Analgesics (adverse effects), Analgesics (therapeutic use), Evidence-Based Medicine (MeSH), Humans (MeSH), Low Back Pain (diagnosis), Low Back Pain (drug therapy), Low Back Pain (physiopathology), Pain Measurement (MeSH), Plant Preparations (adverse effects), Plant Preparations (therapeutic use), Randomized Controlled Trials as Topic (methods), Research Design (MeSH), Treatment Outcome (MeSH).
- MESH :
- chemical , adverse effects : Analgesics, Plant Preparations.
- chemical , therapeutic use : Analgesics, Plant Preparations.
- diagnosis : Low Back Pain.
- drug therapy : Low Back Pain.
- methods : Randomized Controlled Trials as Topic.
- physiopathology : Low Back Pain.
- Evidence-Based Medicine, Humans, Pain Measurement, Research Design, Treatment Outcome.
Abstract
STUDY DESIGN
Systematic review of randomized controlled trials (RCTs).
OBJECTIVES
To determine the effectiveness of herbal medicine for nonspecific low back pain (LBP).
SUMMARY OF BACKGROUND DATA
Many people with chronic LBP use complementary and alternative medicine (CAM), visit CAM practitioners, or both. Several herbal medicines have been purported for use in treating people with LBP. This is an update of a Cochrane Review first published in 2006.
METHODS
We searched numerous electronic databases up to September 2014; checked reference lists in review articles, guidelines and retrieved trials; and personally contacted individuals with expertise in this area. We included RCTs examining adults (over 18 years of age) suffering from acute, sub-acute, or chronic nonspecific LBP. The interventions were herbal medicines that we defined as plants used for medicinal purposes in any form. Primary outcome measures were pain and function. Two review authors assessed risk of bias, GRADE criteria (GRADE 2004), and CONSORT compliance and a random subset were compared with assessments by a third individual. Two review authors assessed clinical relevance and resolved any disagreements by consensus.
RESULTS
Fourteen RCTs (2050 participants) were included. Capsicum frutescens (cayenne) reduces pain more than placebo. Although Harpagophytum procumbens (devil's claw), Salix alba (white willow bark), Symphytum officinale L. (comfrey), Solidago chilensis (Brazilian arnica), and lavender essential oil also seem to reduce pain more than placebo, evidence for these substances was of moderate quality at best. No significant adverse events were noted within the included trials.
CONCLUSIONS
Additional well-designed large trials are needed to test these herbal medicines against standard treatments. In general, the completeness of reporting in these trials was poor. Trialists should refer to the CONSORT statement extension for reporting trials of herbal medicine interventions.
LEVEL OF EVIDENCE
N/A.
DOI: 10.1097/BRS.0000000000001310
PubMed: 26630428
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Van Tulder</name></author><author><name sortKey="Berman, Brian M" sort="Berman, Brian M" uniqKey="Berman B" first="Brian M" last="Berman">Brian M. Berman</name></author><author><name sortKey="Bombardier, Claire" sort="Bombardier, Claire" uniqKey="Bombardier C" first="Claire" last="Bombardier">Claire Bombardier</name></author><author><name sortKey="Robbins, Christopher B" sort="Robbins, Christopher B" uniqKey="Robbins C" first="Christopher B" last="Robbins">Christopher B. 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Gagnier</name><affiliation><nlm:affiliation>*Departments of Orthopaedic Surgery, Ann Arbor, MI†Epidemiology, University of Michigan, Ann Arbor, MI‡Department of Health Sciences, Faculty of Earth and Life Sciences, VU University, Amsterdam, Netherlands§Center for Integrative Medicine, University of Maryland School of Medicine, Baltimore, MD‖Institute for Work & Health, Toronto, ON, Canada.</nlm:affiliation></affiliation></author><author><name sortKey="Oltean, Hanna" sort="Oltean, Hanna" uniqKey="Oltean H" first="Hanna" last="Oltean">Hanna Oltean</name></author><author><name sortKey="Van Tulder, Maurits W" sort="Van Tulder, Maurits W" uniqKey="Van Tulder M" first="Maurits W" last="Van Tulder">Maurits W. Van Tulder</name></author><author><name sortKey="Berman, Brian M" sort="Berman, Brian M" uniqKey="Berman B" first="Brian M" last="Berman">Brian M. Berman</name></author><author><name sortKey="Bombardier, Claire" sort="Bombardier, Claire" uniqKey="Bombardier C" first="Claire" last="Bombardier">Claire Bombardier</name></author><author><name sortKey="Robbins, Christopher B" sort="Robbins, Christopher B" uniqKey="Robbins C" first="Christopher B" last="Robbins">Christopher B. Robbins</name></author></analytic><series><title level="j">Spine</title><idno type="eISSN">1528-1159</idno><imprint><date when="2016" type="published">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Analgesics (adverse effects)</term><term>Analgesics (therapeutic use)</term><term>Evidence-Based Medicine (MeSH)</term><term>Humans (MeSH)</term><term>Low Back Pain (diagnosis)</term><term>Low Back Pain (drug therapy)</term><term>Low Back Pain (physiopathology)</term><term>Pain Measurement (MeSH)</term><term>Plant Preparations (adverse effects)</term><term>Plant Preparations (therapeutic use)</term><term>Randomized Controlled Trials as Topic (methods)</term><term>Research Design (MeSH)</term><term>Treatment Outcome (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Analgesics</term><term>Plant Preparations</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Analgesics</term><term>Plant Preparations</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Low Back Pain</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Low Back Pain</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Randomized Controlled Trials as Topic</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Low Back Pain</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Evidence-Based Medicine</term><term>Humans</term><term>Pain Measurement</term><term>Research Design</term><term>Treatment Outcome</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>STUDY DESIGN</b></p><p>Systematic review of randomized controlled trials (RCTs).</p></div><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>To determine the effectiveness of herbal medicine for nonspecific low back pain (LBP).</p></div><div type="abstract" xml:lang="en"><p><b>SUMMARY OF BACKGROUND DATA</b></p><p>Many people with chronic LBP use complementary and alternative medicine (CAM), visit CAM practitioners, or both. Several herbal medicines have been purported for use in treating people with LBP. This is an update of a Cochrane Review first published in 2006.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>We searched numerous electronic databases up to September 2014; checked reference lists in review articles, guidelines and retrieved trials; and personally contacted individuals with expertise in this area. We included RCTs examining adults (over 18 years of age) suffering from acute, sub-acute, or chronic nonspecific LBP. The interventions were herbal medicines that we defined as plants used for medicinal purposes in any form. Primary outcome measures were pain and function. Two review authors assessed risk of bias, GRADE criteria (GRADE 2004), and CONSORT compliance and a random subset were compared with assessments by a third individual. Two review authors assessed clinical relevance and resolved any disagreements by consensus.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Fourteen RCTs (2050 participants) were included. Capsicum frutescens (cayenne) reduces pain more than placebo. Although Harpagophytum procumbens (devil's claw), Salix alba (white willow bark), Symphytum officinale L. (comfrey), Solidago chilensis (Brazilian arnica), and lavender essential oil also seem to reduce pain more than placebo, evidence for these substances was of moderate quality at best. No significant adverse events were noted within the included trials.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Additional well-designed large trials are needed to test these herbal medicines against standard treatments. In general, the completeness of reporting in these trials was poor. Trialists should refer to the CONSORT statement extension for reporting trials of herbal medicine interventions.</p></div><div type="abstract" xml:lang="en"><p><b>LEVEL OF EVIDENCE</b></p><p>N/A.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">26630428</PMID><DateCompleted><Year>2016</Year><Month>10</Month><Day>19</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>02</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1528-1159</ISSN><JournalIssue CitedMedium="Internet"><Volume>41</Volume><Issue>2</Issue><PubDate><Year>2016</Year><Month>Jan</Month></PubDate></JournalIssue><Title>Spine</Title><ISOAbbreviation>Spine (Phila Pa 1976)</ISOAbbreviation></Journal><ArticleTitle>Herbal Medicine for Low Back Pain: A Cochrane Review.</ArticleTitle><Pagination><MedlinePgn>116-33</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/BRS.0000000000001310</ELocationID><Abstract><AbstractText Label="STUDY DESIGN" NlmCategory="METHODS">Systematic review of randomized controlled trials (RCTs).</AbstractText><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">To determine the effectiveness of herbal medicine for nonspecific low back pain (LBP).</AbstractText><AbstractText Label="SUMMARY OF BACKGROUND DATA" NlmCategory="BACKGROUND">Many people with chronic LBP use complementary and alternative medicine (CAM), visit CAM practitioners, or both. Several herbal medicines have been purported for use in treating people with LBP. This is an update of a Cochrane Review first published in 2006.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">We searched numerous electronic databases up to September 2014; checked reference lists in review articles, guidelines and retrieved trials; and personally contacted individuals with expertise in this area. We included RCTs examining adults (over 18 years of age) suffering from acute, sub-acute, or chronic nonspecific LBP. The interventions were herbal medicines that we defined as plants used for medicinal purposes in any form. Primary outcome measures were pain and function. Two review authors assessed risk of bias, GRADE criteria (GRADE 2004), and CONSORT compliance and a random subset were compared with assessments by a third individual. Two review authors assessed clinical relevance and resolved any disagreements by consensus.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Fourteen RCTs (2050 participants) were included. Capsicum frutescens (cayenne) reduces pain more than placebo. Although Harpagophytum procumbens (devil's claw), Salix alba (white willow bark), Symphytum officinale L. (comfrey), Solidago chilensis (Brazilian arnica), and lavender essential oil also seem to reduce pain more than placebo, evidence for these substances was of moderate quality at best. No significant adverse events were noted within the included trials.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Additional well-designed large trials are needed to test these herbal medicines against standard treatments. In general, the completeness of reporting in these trials was poor. Trialists should refer to the CONSORT statement extension for reporting trials of herbal medicine interventions.</AbstractText><AbstractText Label="LEVEL OF EVIDENCE" NlmCategory="METHODS">N/A.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Gagnier</LastName><ForeName>Joel J</ForeName><Initials>JJ</Initials><AffiliationInfo><Affiliation>*Departments of Orthopaedic Surgery, Ann Arbor, MI†Epidemiology, University of Michigan, Ann Arbor, MI‡Department of Health Sciences, Faculty of Earth and Life Sciences, VU University, Amsterdam, Netherlands§Center for Integrative Medicine, University of Maryland School of Medicine, Baltimore, MD‖Institute for Work & Health, Toronto, ON, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Oltean</LastName><ForeName>Hanna</ForeName><Initials>H</Initials></Author><Author ValidYN="Y"><LastName>van Tulder</LastName><ForeName>Maurits W</ForeName><Initials>MW</Initials></Author><Author ValidYN="Y"><LastName>Berman</LastName><ForeName>Brian M</ForeName><Initials>BM</Initials></Author><Author ValidYN="Y"><LastName>Bombardier</LastName><ForeName>Claire</ForeName><Initials>C</Initials></Author><Author ValidYN="Y"><LastName>Robbins</LastName><ForeName>Christopher B</ForeName><Initials>CB</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Spine (Phila Pa 1976)</MedlineTA><NlmUniqueID>7610646</NlmUniqueID><ISSNLinking>0362-2436</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000700">Analgesics</NameOfSubstance></Chemical><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D028321">Plant Preparations</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000700" MajorTopicYN="N">Analgesics</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D019317" MajorTopicYN="N">Evidence-Based Medicine</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D017116" MajorTopicYN="N">Low Back Pain</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D010147" MajorTopicYN="N">Pain Measurement</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D028321" MajorTopicYN="N">Plant Preparations</DescriptorName><QualifierName UI="Q000009" MajorTopicYN="N">adverse effects</QualifierName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D016032" MajorTopicYN="N">Randomized Controlled Trials as Topic</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012107" MajorTopicYN="N">Research Design</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>12</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>12</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>12</Month><Day>30</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">26630428</ArticleId><ArticleId IdType="doi">10.1097/BRS.0000000000001310</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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