AccessMyLibrary provides FREE access to over 30 million articles from top publications available through your library.
Create a link to this page
Copy and paste this link tag into your Web page or blog:
Directional exercise helps to relieve low back pain.(Clinical Rounds)
ORLANDO, FLA. -- A standardized mechanical assessment of patients with low back pain--whether acute or chronic--identifies a large subgroup who will obtain an excellent response when prescribed exercises matched to the directional nature of their pain, Ronald G. Donelson, M.D., reported at Wonca 2004, the conference of the World Organization of Family Doctors.
National guidelines state that physical activity is good for low back pain, and that there is insufficient evidence to recommend any specific exercises for management of this common and costly problem.
That's no longer the case. A new multicenter randomized controlled trial demonstrates that in most cases the specific type of exercise prescribed has a great impact on patient outcome, according to Dr. Donelson of Hanover, N.H.
New Zealand physical therapist Robin A. McKenzie developed a method for subgrouping patients with low back pain (LBP) by having them repeatedly perform movements involving lumbar spinal flexion, extension, and lateral side glide. In roughly three-quarters of cases this assessment identifies a single direction of movement--called the patient's directional preference--that immediately improves the pain and/or centralizes it by moving the pain from the leg to the back, with the relief persisting after testing is finished.
The most common directional preference is extension, followed by lateral, and flexion. The minority of patients without a directional preference have a high likelihood of a prolonged episode or nonrecovery.
Dr. Donelson reported on an 11-center trial without commercial sponsorship in which 12 physical therapists who were formally trained and credentialed in mechanical diagnosis and treatment assessed 312 patients with LBP. Overall, 74% had a directional preference to their pain; they ...
- Directional exercise helps relieve low back pain: direction of exercise...
- Magazine article from: Family Practice News Jancin, Bruce November 15, 2004 700+ words
...of patients with low back pain--whether acute or...activity is good for low back pain, and that there is...subgrouping patients with low back pain (LBP) by having them...called the patient's directional preference--that improves the...
- Letters to the Editor.(management of low back pain)(Letter to the Editor)
- Magazine article from: Physical Therapy May 1, 2001 700+ words
...mechanical low back pain. Maluf et al...they also have a directional "preference" that can be...and match their directional preference found during...term in the low back pain literature...of central low back pain and leg pain...14,15] directional ...
- New Research Shows Low Level Heat Significantly Improves Therapeutic Exercise...
- Press release article from: PR Newswire July 21, 2005 700+ words
...exercise for acute low back pain. Earlier clinical...reduction in lower back pain, 139% greater reduction...non-specific low back pain of less than three...Heatwraps, n=25); directional preference-based exercise alone...
- New Study Shows Low-Level Heat Wrap Therapy Can Significantly Reduce Acute Low...
- Press release article from: PR Newswire May 11, 2005 700+ words
...exercise in acute low back pain. However, earlier...had 70% less lower back pain, 139% greater reduction...non-specific low back pain of less than three...Heatwraps, n=25); directional preference-based exercise alone...
- Back Pain Is a Big Issue for More Than Half of All U.S. Adults (57%); The North...
- Press release article from: PR Newswire November 8, 2004 700+ words
...U.S. adults (16%) suffered from back pain* every single day during the past month...more about Americans' struggle with back pain and how it affects their daily lives...including the fact that people suffering from back pain are dealing with the issue an average...
- Back pain--and its management: many people will experience low back pain at...
- Magazine article from: Practice Nurse Cutts, Steven December 17, 2004 700+ words
In the West, back pain is now a widespread problem. Back pain is perhaps the single most common orthopaedic complaint...primary care. The number of people absent from work with back pain is increasing more rapidly than for any other illness...
- Back pain and risk of fatal ischaemic heart disease: 13 year follow up of...
- Magazine article from: British Medical Journal Penttinen, Jyrki November 12, 1994 700+ words
...risk factors, especially smoking, and back pain.[1] Quite recently Kauppila and Tollroth...reported an association between history of back pain and atherosclerotic lesions of lumbar arteries in cadavers. They suggested that back pain could be an early symptom of atherosclerosis...
- Back pain.(Disease/Disorder overview)
- Magazine article from: AltCareDex Medicine Modality February 1, 2007 700+ words
What is it? Back pain or a low back strain is your back's way of responding to injury or illness. Back pain is pain in the back that usually happens...ligaments in your back. Everybody reacts to back pain in different ways. What you think is...
- Back pain update. (includes overall aims in treating low back pain)
- Newspaper article from: Health News April 1, 1990 700+ words
Back pain update Stop smoking tips Irritable bowels Back pain update The pass few issues of Health News have covered...the subject would be complete without an update on low back pain. More than half the adult backs in the Western world...
- Back pain.(Medical condition overview)
- CareNotes February 1, 2007 700+ words
GENERAL INFORMATION: What is back pain? Back pain or a low back strain is your back's way of responding to injury or illness. Back pain is pain in the back that usually happens by hurting muscles or ligaments in your back. Everybody reacts...
Source: HighBeam Research, Directional exercise helps to relieve low back pain.(Clinical Rounds)