Normal activity is at least as good as bed rest in treating patients with acute low back pain, say French researchers.
They suggest that when the physical demands of a patient’s job are similar to daily life activities, the prescribing of bed rest and sick leave should be limited. Investigators at hospitals in Paris, Strasbourg, Angers, Tours, Montpellier, Rennes, Bourges, Montlucon, Aix les Bains, and Argenteuil, France, point out that prolonged periods of bed rest have been found by several studies to be ineffective.
Their open multicenter study compared four days bed rest with continued normal daily activity in 281 ambulatory patients aged 18 to 65 years. Subjects had low back pain for more than 72 hours, though not with pain radiating below the buttocks, and were not suffering work related injuries.
Two random treatment groups were told either to take four days of bed rest of continue normal activity if the pain so allowed. Three follow-up visits were made by the patients on day six or seven, and after one month and three months.
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