Articles: low-back-pain.
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Randomized Controlled Trial
The influence of a Functional Capacity Evaluation on fitness for work certificates in patients with non-specific chronic low back pain.
Comprehensive medical assessments in the majority of patients with chronic low back pain (CLBP) have failed to assess working capacity. Functional Capacity Evaluation (FCE) has become increasingly popular in the evaluation of working capacity in CLBP patients. This study investigates the influence of functional testing on decision making concerning medical fitness assessments for work. ⋯ Functional Capacity Evaluation positively influences quality and information regarding working capacity of medical Fitness for Work Certificates in patients with chronic low back pain.
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Randomized Controlled Trial
[Quality of life in patients with subacute low back pain treated with physiotherapy rehabilitation].
Low back pain is one of the most frequent health problems. The aim of the study was to investigate clinical effects of complex rehabilitation programs on quality of life of patients with subacute lumbar pain, and also to investigate the relationship between quality of life and the intensity of pain and local functional status of the lumbar spine. ⋯ Results of this study showed that better results were achieved in group treated with complex rehabilitation methods in comparison with patients treated only with anti-inflammatory drugs. Also, the 12-item health survey (SF-12) has shown positive correlation with intensity of pain reduction and with Oswestry disability score and so it is valid for measuring the effectiveness of therapeutic modalities in subacute lumbar pain.
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To determine if a structured exercise program promotes improved performance on activities of daily living (ADL) and pain perception in patients with chronic low back pain (CLBP). ⋯ A well guided exercise program can decrease pain intensity perception and disability in patients with CLBP.
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Exercise therapy has become an expected modality in the treatment of low back pain but there are no clear evidence based guidelines available. The purpose of this review is to analyze the available literature in regard to demonstrated efficacy of various types of exercise therapy for low back pain. ⋯ By identifying specific functional characteristics of individual patients, providers should be able to design exercise therapies that will provide more effective clinical intervention for low back pain patients.