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1 lis 2021 · Physical therapists should use exercise training interventions, including trunk muscle strengthening and endurance, multimodal exercise interventions, specific trunk muscle activation exercise, aerobic exercise, aquatic exercise, and general exercise, for patients with chronic LBP.
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cute and Chronic Lo ac Pain Clinical Practice Guidelines...
- Abstract
Low back pain (LBP) remains a musculoskeletal condition with...
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cute and Chronic Lo ac Pain Clinical Practice Guidelines...
- Clinical Guidelines to Address Low Back Pain
Qaseem A, , Wilt TJ, , McLean RM, , Forciea MA, , Clinical...
- Demystifying Qualitative Research for Musculoskeletal Practitioners Part 1
Synopsis A progressive understanding of pain, disability,...
- Jason M. Beneciuk
Jason M. Beneciuk - Interventions for the Management of...
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Search for More Papers by This Author - Interventions for...
- Peter Westlund Sørensen
Peter Westlund Sørensen - Interventions for the Management...
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1 maj 2024 · Recommendations from these guidelines addressed most non-pharmacological and pharmacological treatments used in the management of acute, subacute, and chronic LBP. Key recommendations are placed on active treatments, including education, exercise, staying active, avoiding bed rest, and self-management.
Treatment. Treat the disorder underlying the pain. For pain, treatment options include: heat [IIE], NSAIDs (Table 8) [IIA], non benzodiazepine muscle relaxants (Table 8) [IIA], and return to usual activities. Bed rest and opiates as first line treatment are not recommended [IIIA]. Table 8.
The evidence-based clinical guideline has been created using techniques of evidence-based medicine and best available evidence to aid practitioners in the diagnosis and treatment of adult patients with nonspecific low back pain.
For acute or subacute low back pain (LBP; lasting <4 weeks or 4-12 weeks, respectively), superficial heat, massage, acupuncture, or spinal manipulation are recommended as first-line therapy (strong recommendation, low- to moderate-quality evidence).
Significance: Consensus regarding evidence-based treatment recommendations for patients with neck and low back pain (NLBP) from recent European clinical practice guidelines identifies a wide range of predominantly non-pharmacological treatment options.
Guidelines recommend prudent use of medication, imaging, and surgery. The recommendations are based on trials almost exclusively from high-income countries, focused mainly on treatments rather than on prevention, with limited data for cost-effectiveness.
