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Article ID	#20622
Title	Literature Review. Exercises and management of lower back pain [review]
URL	http://dx.doi.org/doi:10.1016/j.clch.2009.02.001
Journal	Clin Chiropr. 2008 Dec;11(4):199-204
Author(s)	Field J
Subject(s)	Exercise Therapy Rehabilitation
Peer Review	Yes
Publication Type	Review
Abstract/Notes	The emphasis in treating back pain has changed over the last century; moving from resting the patient ‘allowing tissues to heal’, towards encouraging movement and activity as early as possible. This has been mirrored by a shift from so-called passive treatments which were done to a patient (e.g. ultrasound and traction) to active ones where the patient is encouraged to play a role in their own recovery. Rehabilitation is a popular treatment option increasingly utilised by all major professions involved with musculoskeletal injury. Guidelines exist from several international bodies providing statements on rehabilitation and yet the evidence for its effectiveness appears week. There does not appear to be much advantage for patients with a first episode of short duration back pain in doing any specific back exercises. Where the pain is longer lasting or reoccurring it is likely that exercise can play a useful role in reducing pain and disability. However, the form that this exercise should take and the best way for it to be provided it is much less clear. This is in part because of the way evidence has been collated and also the rigid way that some guideline groups have set about producing their statements. This abstract is reproduced with the permission of the publisher; full text by subscription.

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