Appropriate exercise is an important part of the management of acute and chronic low back pain. This review describes the role of exercise for low back pain.

ObjectiveTo expand access to comprehensive rehabilitation services among veterans with cancer by increasing cancer rehabilitation referrals in a Veterans Affairs (VA) hospital.DesignA rapid cycle improvement approach based on the Institute of Healthcare Improvement's Model for Improvement was used to assess and optimize the cancer rehabilitation referral process. In this quality improvement project, our cancer rehabilitation workgroup developed an electronic screening tool within the VA electronic patient record system to streamline cancer rehabilitation referrals. Providers could complete an optional Cancer Rehabilitation (CaRe) Screen that consisted of 12 questions related to patient symptoms and function. If the screen was positive, a nonvisit electronic consult was automatically generated and sent to a physiatrist for review. The physiatrist would then triage patients to appropriate services including physiatry, physical therapy, occupational therapy, speech therapy, rehab psychology, and other rehabilitation services.ResultsA total of 90 referrals were placed between 2019–2021. A total of 84% of the patients referred were male, 73% were white. The top cancer types referred were lung (27%), blood (23%), gastrointestinal (12%), and prostate (10%). There were 19 referrals in 2019, 13 in 2020, and 58 in 2021. The electronic screening tool was implemented in mid‐2021. Advanced practice providers placed 48% of consults. Of the referrals placed in 2021, 13% of consults were initiated through the electronic screening tool. The most common rehabilitation‐related referrals placed after initial cancer rehabilitation triage included physical therapy (n = 47, 35.1%), physiatry (n = 28, 20.9%), and occupational therapy (n = 24, 17.9%).ConclusionsImplementing an electronic screening tool can streamline cancer rehabilitation referrals and increase access to cancer rehabilitation services for Veterans with cancer. Ongoing work is required to refine the referral process and educate providers and patients on the importance of cancer rehabilitation in the cancer care continuum.

There were 253 gymnasts (166 junior elite, 62 senior elite) who met the inclusion criteria. Junior elite gymnasts were less likely to compete in college than senior elite gymnasts (87% vs 98%, p=0.012), The junior elites competed an average of 2.4 full seasons and 1.1 partial seasons; the senior elites comparably competed an average of 2.6 full seasons and 0.9 partial seasons. Junior elite gymnasts trended towards leaving the sport before competing in 4 collegiate seasons more than senior elite gymnasts, although the findings were not statistically significant (30% vs 23%, p=0.281). CONCLUSIONS: Gymnasts who made junior elite national teams were more likely to leave the sport before competing in college; however, participation in collegiate gymnastics, once initiated, was not significantly different between athletes named to junior or senior elite teams.