Effect of differentiating exercise guidance based on a patient’s level of low back pain in primary care: a mixed-methods systematic review protocol

Jørgensen, Jens-Erik; Afzali, Tamana; Riis, Allan

doi:10.1136/bmjopen-2017-019742

Cited by 15 publications

(16 citation statements)

References 39 publications

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“…For acute non-specific low back pain that does not have serious pathology (red flags have been excluded), initial reassurance, advice to stay active and self-management are all that is needed [ 6 , 7 , 9 , 11 ]. Self-management can include self-exercises and education from reading booklets or being involved in on-line education for low back pain [ 16 ] (Table 1 ).…”

Section: Preventionmentioning

confidence: 99%

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Physical Therapy Approaches in the Treatment of Low Back Pain

Shipton

2018

Pain Ther

124

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Globally, in 2016, low back pain (LBP) contributed 57.6 million of total years lived with disability. Low Back Pain Guidelines regularly recommend the use of physical exercise for non-specific LBP. Early non-pharmacological treatment is endorsed. This includes education and self-management, and the recommencement of normal activities and exercise, with the addition of psychological programs in those whose symptoms persist. The aim of physical treatments is to improve function and prevent disability from getting worse. There is no evidence available to show that one type of exercise is superior to another, and participation can be in a group or in an individual exercise program. Active strategies such as exercise are related to decreased disability. Passive methods (rest, medications) are associated with worsening disability, and are not recommended. The Danish, United States of America, and the United Kingdom Guidelines recommend the use of exercise on its own, or in combination with other non-pharmacological therapies. These include tai chi, yoga, massage, and spinal manipulation. Public health programs should educate the public on the prevention of low back pain. In chronic low back pain, the physical therapy exercise approach remains a first-line treatment, and should routinely be used.

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Section: Preventionmentioning

confidence: 99%

“…Guidelines recommend the non-pharmacological and non-invasive management [ 6 ]. These include the provision of advice to stay active and the use of patient education and exercise therapy [ 6 ]. Guidelines regularly recommend the use of physical exercise for non-specific LBP [ 7 ].…”

Section: Introductionmentioning

confidence: 99%

Physical Therapy Approaches in the Treatment of Low Back Pain

Shipton

2018

Pain Ther

124

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“…Although studies have shown that exercise therapy results in the reduction of LBP no general consensus exists regarding the most efficacious approach. ( Jorgensen et al, 2018 ; Nguyen et al, 2017 ). However, it has been shown that core stability exercises may result in better coping strategy for dealing with the pain.…”

Section: Resultsmentioning

confidence: 99%

“…Numerous management strategies exist for the treatment of chronic LBP. The initial treatment options are typically noninvasive and include; pharmacological medications, manual therapy, and exercise therapy ( Jorgensen et al, 2018 ). Exercise therapy is one of the most common treatment approaches for the management of LBP ( Aboagye et al, 2015 ).…”

Section: Introductionmentioning

confidence: 99%

The effect of exercise therapy, dry needling, and nonfunctional electrical stimulation on radicular pain: a case report

Hosseini¹,

Shariat²,

Ghaffari³

et al. 2018

J Exerc Rehabil

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A 43-year-old male, office worker with history of chronic radicular low back pain radiating into the left leg was admitted to a sports medicine research center, neuroscience institute. During the past year, he visited a physiotherapist and orthopedic experts. Magnetic resonance imaging revealed a protruded disc at L4–5 level. Additionally, electromyography indicated that there was bilateral moderate irritation at the L5–S1 root. We designed a management package including exercise therapy, dry needling, and nonfunctional electrical stimulation for four sessions. Outcomes included pain intensity, pain with lumbar flexion, with the numerical rating scale (NRS), visual analogue scale (VAS), and function measured with the Oswestry Disability Index before and after the intervention. After 4 treatment sessions, the patient reported a reduction in pain intensity from a 9 to 2 on the NRS and from 90 to 30 on the VAS. In addition, the patient was able to perform lumbar flexion fully without pain.

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“…30 PT aims to improve posture and mobility, reduce pain and promote relaxation and muscle stabilization, by providing exercise therapy and patient education. 31 The Akbari and colleagues' model 32 include pain catastrophizing beliefs, family functioning, kinesiophobia and depression as mediators between the exogenous variables (eg pain intensity) and endogenous variables (eg functional disability). The present study included the same exogenous and endogenous variables and analyzed how subjective suffering was related to illness perceptions, pain intensity and psychological morbidity and their direct and indirect effects on functional disability in chronic LBP, in patients undergoing PT.…”

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confidence: 99%

Subjective suffering in patients with low back pain

2020

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Low back pain (LBP) induces significant burden on individuals and healthcare systems, with societal costs. 1 There are two types of LBP: (a) mechanical pain (associated with disc, joint, ligament, and muscle problems or injuries) and (b) non-mechanical or referred pain (associated with tumor, infection, disorders of other internal organs, and neuropathic pain). 2 LBP is the most prevalent rheumatic and musculoskeletal disease (RMD) 3 and patients often experience physical discomfort and functional limitations that lasts for at least 1 day, affecting their daily activities, social and working lives. 4 The symptoms may result in disability, with implications on quality of life. 4 It is estimated that 5%-10% of individuals live with LBP and about 10% to 40% of all patients with LBP develop chronic symptoms with disability. 5 According to the EpiReumaPt study, in Portugal, 26.4% (95% CI 23.3%-29.5%) of individuals are diagnosed with LBP. 6 Recent studies have shown the substantial role of psychosocial factors in the LBP disability process and outcomes, in primary care and after surgery. 7 LBP becomes persistent and 3 months after the initial consultation, a large proportion of patients, in primary healthcare settings, continue to have pain complaints and report disability. 8 Pain is a subjective experience 9 and because it is influenced by

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Effect of differentiating exercise guidance based on a patient’s level of low back pain in primary care: a mixed-methods systematic review protocol

Cited by 15 publications

References 39 publications

Physical Therapy Approaches in the Treatment of Low Back Pain

Physical Therapy Approaches in the Treatment of Low Back Pain

The effect of exercise therapy, dry needling, and nonfunctional electrical stimulation on radicular pain: a case report

Subjective suffering in patients with low back pain

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