Evidence based practice guidelines for management of low back pain: physical therapy implications

Ladeira, Carlos

doi:10.1590/s1413-35552011000300004

Cited by 42 publications

(42 citation statements)

References 29 publications

(162 reference statements)

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“…Akut ve kronik radikülopatide tedavi stratejileri farklıdır. Akut radikülopati tedavisinde hasta eğitiminin yanı sıra, medikal tedavi ile ağrı kontrolü sağlanarak aktif kalma tavsiyesi ve bazı kılavuzlarda manipülasyon ve/veya ortez önerilmekte, ancak spesifik egzersizlerin etkili olduğuna dair kanıt bulunmamaktadır (8,38). Subakut ve kronik radikülopati tedavisinde ise medikal tedavi, hasta eğitimi, bel okulu, multidisipliner yaklaşım, davranışsal tedaviler, düşük kanıt düzeyi olmakla birlikte aerobik egzersizler ve McKenzie egzersizleri önerilmektedir (8,39).…”

Section: Bazı öZel Hastalıklarda Egzersizunclassified

“…Akut bel ağrısının tedavi planında ağrının başlangıç şekli, semptomların sü-resi ve yoğunluğu göz önüne alınarak planlama yapılmalıdır. Hasta eğitimi birçok kılavuzda yaygın olarak önerilmektedir (8). Akut bel ağrısının tedavisinde, ağrının kısa süreli azaltılmasında klasik nonsteroid antiinflamatuvar ilaçlar (NSAİİ'ler) ve miyorelaksanlar etkilidir.…”

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“…Ancak hasta eğitimi, bel okulu, multidisipliner yaklaşım aerobik ve eklem hareket açıklığı egzersizlerini içeren egzersiz tedavisi önerilmektedir (8).…”

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“…Bu tedavilerin ağrı ve fonksiyon üzerine uzun süreli sağladıkları katkılar hakkında yeterli kanıt bulunmamaktadır (7). Buna rağmen multidisipliner tedavi ve bel okulunun yanında egzersiz tedavisi yaygın olarak kılavuzlarda yerini almaktadır (8). Çeşitli çalışma-larda egzersiz verilmesi, hiç verilmemesine göre ağrı ve fonksiyonel sonuçlar açısından hafifçe üstün olarak bulunmuş, ancak ça-lışma kalitelerinin zayıf olması ve heterojen son durum ölçütleri kullanılmış olmasından dolayı kanıt düzeyi düşük olarak belirtilmiştir (11).…”

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Exercise Prescription in Chronic Low Back Pain

Gündüz¹,

Erçalık²

2014

Turk J Phys Med Rehab

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Chronic low back pain is a health problem that causes serious clinical, social, and economic losses and affects the majority of the world's population. Chronic low back pain is one of the most common causes of disability affecting social life and the work environment. In the treatment of low back pain, there are pharmacological therapy, physical therapy, invasive methods, and exercises. Low back pain that lasts less than 6 weeks is defined as 'acute;' low back pain between 6-12 weeks is 'subacute' and 'chronic' when it is more than 12 weeks. While patient education and being active are recommended in acute low back pain, no specific exercise is recommended in the guidelines. Treatment approaches in subacute and chronic low back pain are similar, too, and in the treatment, specific types of exercises, such as core stabilization exercises and McKenzie exercises, are indicated as effective. No matter what type of exercise is given, its effectiveness depends on the person himself, the treatment, and person's desire to be healthy. The efficacy of exercise could be increased with supervision of exercise, motivation-enhancing behavior therapy, and exercise selection that is suitable with the individual's talents and skills.

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Section: Bazı öZel Hastalıklarda Egzersizunclassified

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“…Ancak hasta eğitimi, bel okulu, multidisipliner yaklaşım aerobik ve eklem hareket açıklığı egzersizlerini içeren egzersiz tedavisi önerilmektedir (8).…”

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Exercise Prescription in Chronic Low Back Pain

Gündüz¹,

Erçalık²

2014

Turk J Phys Med Rehab

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“…The intervention choices for non-specific LBP were similar in the majority of the guidelines for acute (education, exercises, and spine manipulation), subacute (same as acute plus back school, behavioral counseling, or multidisciplinary rehabilitation), and chronic LBP (education and exercise plus back school, behavioral counseling, or multidisciplinary rehabilitation). Patients without red flags could be safely managed without specialist referral [64].…”

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confidence: 99%

Efficacy of balneotherapy on pain, function and quality of life in patients with chronic low back pain, and hand or knee osteoarthritis

Kulisch¹

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Differences in sensory changes between the floor and mattress in the static prone position for healthy science research

Lee

Park

Kim

2017

Toxicol. Environ. Health Sci.

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Evidence based practice guidelines for management of low back pain: physical therapy implications

Abstract: Background: Low back pain (LBP) is the most common disorder seen in physical therapy practice. There are several hundred clinical

Cited by 42 publications

References 29 publications

Exercise Prescription in Chronic Low Back Pain

Exercise Prescription in Chronic Low Back Pain

Efficacy of balneotherapy on pain, function and quality of life in patients with chronic low back pain, and hand or knee osteoarthritis

Differences in sensory changes between the floor and mattress in the static prone position for healthy science research

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