Review: Exercise therapy reduces pain and improves function in chronic but not acute low-back pain: COMMENTARY

Carey, Timothy S.
January 2006
ACP Journal Club;Jan/Feb2006, Vol. 144 Issue 1, p12
Academic Journal
The article comments on a clinical study according to which exercise therapy reduces pain and improves function in chronic but not acute low-back pain. Structured exercise provides modest benefits in pain and functioning. Physicians have not always distinguished among the various types of exercise, and lumping types of exercise together makes no more sense than lumping various classes and doses of pharmaceuticals. The level of reduction in pain and improvement in functioning for patients with chronic pain averaged over the various types and durations of exercises was found to be statistically significant but may not be clinically important. Muscle strengthening and stretching exercises, individually directed and of long duration, may reduce pain by nearly 20 points on a 100-point pain scale, a clinically significant improvement.


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