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Treating low back pain - Bridging the gap between manual therapy and exercise.

Journal of bodywork and movement therapies
October 1, 2020
Arie Michaeli
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate a method combining mindfulness with other techniques to enable pain-free exercise for low-back pain patients during rehabilitation.

Results Summary

The study suggests that integrating mindfulness with isometric muscle contraction, assisted active oscillatory mobilization, and end-of-range passive stretch allows patients to exercise without pain earlier in rehabilitation. The method appears effective for treating low-back pain.

Population

Patients with low-back pain undergoing rehabilitation.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (6)
InterventionDirectionEndpointPopulationDosageImpactClaim #
exercise
decrease
low-back pain
patients
-
reduce
#1
exercise
increase
active range of motion
patients
-
increase
#2
exercise
increase
muscle strength
patients
-
increase
#3
exercise
increase
low-back pain
individuals
-
aggravates
#4
method comprising isometric muscle contraction (IMC), assisted active oscillatory mobilization, end-of-range passive stretch, and mindfulness
decrease
low back pain
patients
-
provides for the effective treatment
#5
method comprising isometric muscle contraction (IMC), assisted active oscillatory mobilization, end-of-range passive stretch, and mindfulness
decrease
pain during exercise
patients
-
allowing patients to exercise pain free earlier
#6
Abstract

As therapists, we often recommend exercise to reduce patients' low-back pain, as well as increase their active range of motion and muscle strength. However, physical therapists face a challenge when recommending exercise to reduce low-back pain because the pain itself often inhibits the patient's ability to exercise or perform activities of daily living. This situation becomes even more challenging if the prescribed exercise program aggravates the individual's low-back pain. This article discusses a method which provides for the effective treatment of low back pain by allowing patients to exercise pain free earlier in the rehabilitation process. The method comprises a unique approach utilizing the following four components simultaneously from the onset of treatment: isometric muscle contraction (IMC); assisted active oscillatory mobilization; end-of-range passive stretch; and mindfulness.

Medical Subject Headings (MeSH)
Activities of Daily LivingExerciseExercise TherapyHumansLow Back PainMusculoskeletal Manipulations
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality65/10
Citation Metrics
Total Citations2
Citations/Year0.4
Relative Citation Ratio0.30
NIH Percentile16%
Research Impact Scores
APT Score0.25
Weight Score1.83
Normalized Score0.63
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Treating low back pain - Bridging the gap between manual the... | Panacea Index