Look for the Back-UP self-management resources in your own language

As part of the Back-UP project, Dr Jonathan Hill (from Keele University UK) is leading a task to develop lists of trustworthy online self-management resources for patients with musculo-skeletal problems, adapted to the culture and language of as many European countries as possible.

If you are a health care professional, carer, or a person suffering from neck or low back pain, you can already find a document with such resources in 10 different languages (English, German, Spanish, French, Italian, Danish, Swedish, Dutch, Polish and Portuguese).

Check them at http://backup-project.eu/?page_id=84

Evidence‐based treatment recommendations for neck and low back pain across Europe: A systematic review of guidelines

A systematic review made by the research team from the University of Keele, in collaboration with Aston University, the NHS Trust and the University of Southern Denmark, has been published in the European Journal of Pain.

This review includes 17 clinical guidelines from 8 different countries, and 14 treatment options consistently supported by various of them. This provides clinicians with a broad range of mostly non-pharmacological evidence-based treat-ment options to consider for their patients with neck or low back pain.

You can read the full paper here: https://doi.org/10.1002/ejp.1679

Try the NEW FREE Back-UP first contact tool!

The Back-UP first contact tool for clinicians is now live! Try it in:


The content has been designed by clinicians to support initial treatment decision-making for patients with back and neck pain, and it has being designed to work in 12 European languages (English, Italian, Danish, Swedish, Dutch, Spanish, German, Polish, French, Portuguese, Croatian & Norwegian).

The Back-UP free web app offers clinicians and their patients:

  • Useful patient self-management resources in your language
  • Personalised, automated Care Plans for your patients to use as a clinical summary of musculoskeletal consultations
  • Risk stratification with risk-matched treatment options
  • Individualised prediction graphs for each patient’s pain, function and work outcomes

The web app will be made available to you as part of early research testing in 3 stages:

  1. Self-management resources and Care Plan tool
  2. Risk stratification and individualised prediction graphs
  3. My Statistics, enabling you to compare your decision-making to other clinicians

The first 240 clinician users to complete their feedback on the Back-UP web-app will receive a £25 Amazon gift voucher (the vouchers are spread fairly across the different languages).

This project has ethical approval from Keele University UK, for convenience sampling using international professional and clinical networks.

Identifiable patient data is not entered or saved in the Back-UP web app. At this point in its research development the Back-UP web app is not linked to any routine electronic medical record systems. The web app will be made available until mid-December 2020.

We would be delighted if you would try it out in your clinical practice and give us feedback on how to improve it.

Association between objectively measured physical behaviour and neck‐ and low back pain: a systematic review

A systematic review made by the Norwegian University of Science and Technology, Karolinska Institue, Roessingh Research and Development, the University of Twente, the University of Southern Denmark and the Nordic Institute of Chiropractic and Clinical Biomechanics, has been published in the European Journal of Pain.

This review reveals that, although having an active lifestyle is usually recommended to reduce and prevent neck or low back pain (NLBP), it is not the amount of physical activity itself the key factor for improvement, since at least among blue-collar workers, physical activity may actually increase the risk. Thus, it is important to take into account the compositional nature of physical behaviour in NLBP patients, and the impact in other health factors.

You can read the full paper here: https://doi.org/10.1002/ejp.1551

Back-UP posters presented in EFIC 2019

The two following posters were presented by the Back-UP Consortium in the 11th Congress of the European Pain Federation, EFIC 2019

The Back-Up project presented at the SBPR2018 in Groningen

On November 15, 2018 the Back-UP project was presented at the annual general meeting of the Society for Back Pain Research (SBPR) by Stephanie Jansen-Kosterink of RRD. Her presentation focused on the general aim the project, and some results of the first months were showcased. The project was met with enthusiasm by the audience and the presentation was followed by a lively discussion. The presentation slides have been made available here.

Relationship between neck motion and self-reported pain in patients with whiplash associated disorders during the acute phase

A study made in the Institute of Biomechanics of Valencia, and published in Musculoskeletal Science and Practice, shows that the perceived pain of whiplash associated disorders is related to neck motion measures, with range of motion and smoothness of neck flexion are consistently related to pain perception. The statistical models developed in that study are able to estimate pain score changes with clinically insignificant errors.

Read the full paper here: https://doi.org/10.1016/j.msksp.2018.09.004