Randomized trial of general strength and conditioning versus motor control and manual therapy for chronic low back pain on physical and self-report outcomes

Review written by Sam Blanchard info

Key Points

  1. Strength and conditioning for chronic low back pain appears to improve function and levels of disability to a greater extent than motor control exercises plus manual therapy.
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BACKGROUND & OBJECTIVE

Worldwide, low back pain (LBP) is a leading cause of disability and reduced function that is estimated to cost the USA over $100m per year. Chronic low back pain (CLBP) is a problem persisting over 12 weeks and is believed to account for the majority of these costs.

Treatment of CLBP can consist of conservative measures like exercise interventions or manual therapy, which have been shown to be as effective as surgery but at a much lower risk and also more cost effective. As the condition is heterogenous, meaning if affects a wide variety of people, treatments should be individualized and measured objectively, not solely focusing on pain intensity.

Strength and conditioning, manual therapy and movement control have all been studied in relation to pain intensity, but less is known about their efficacy with other clinical outcomes for CLBP.

Low back pain is a leading cause of disability and reduced function that is estimated to cost the USA over $100m per year.
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Knowing that one has better results objectively but the other has better buy-in from patients, can you surgically remove one from the other?

METHODS

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