Articles: low-back-pain.
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Loss of muscle mass and central obesity progress with aging, but the effect of muscle loss on chronic low back pain has not been precisely evaluated. ⋯ Trunk and lower extremity loss of muscle mass and central obesity may be risk factors for chronic low back pain without a positive straight leg raise test result in women aged 45 to 69 years. Arch Intern Med. 2000;160:3265-3269.
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Review Randomized Controlled Trial Comparative Study Clinical Trial
The Cochrane review of bed rest for acute low back pain and sciatica.
A systematic review within the Cochrane Collaboration Back Review Group. ⋯ Bed rest compared with advice to stay active at best has no effect, and at worst may have slightly harmful effects on LBP. There is not an important difference in the effects of bed rest compared with exercises in the treatment of acute low back pain, or 7 days compared with 2-3 days of bed rest in patients with low back pain of different durations with and without radiating pain.
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Clinical Trial Controlled Clinical Trial
Training primary care physicians to give limited manual therapy for low back pain: patient outcomes.
Randomized controlled study of standard manual therapy given by 31 generalist physicians to 295 patients, in primary care practice. ⋯ Limited training in manual therapy techniques offers very modest benefit compared with high-quality (enhanced) care for acute low back pain. Outcomes may have been modified by failure of some participant physicians to undertake the required sequence of maneuvers. Intensity of manual therapy may be a factor in improving patient outcomes and needs further study.
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Arch Phys Med Rehabil · Nov 2000
Clinical Trial Controlled Clinical TrialThe effect of exercise on percentile rank aerobic capacity, pain, and self-rated disability in patients with chronic low-back pain: a retrospective chart review.
To determine the effect of 6 weeks of exercise on aerobic capacity and on measures of pain and disability in patients with chronic low-back pain (LBP). ⋯ This study supports the hypothesis that exercise may be helpful in the management of chronic LBP.