European journal of physical and rehabilitation medicine
-
Eur J Phys Rehabil Med · Dec 2008
Randomized Controlled Trial Comparative StudyRandomized trial comparing the effects of one set vs two sets of resistance exercises for outpatients with chronic low back pain and leg pain.
Progressive resistance exercises (PRE) are prescribed to reverse the deconditioning associated with chronic back pain. The spine rehabilitation program has utilized 2 sets of progressive resistance exercises during each session, with increased resistance between sets, and with successive sessions. Exercise literature has challenged the need for multiple sets of resistance exercises, with a single set producing similar functional benefits. The authors studied whether completing 1 versus 2 sets of resistance exercises would affect strength, pain and disability outcomes in subjects with chronic low back pain (CLBP). ⋯ These findings suggest that there were no added benefits for completing a second set of resistance exercises during therapy sessions for patients with CLBP.
-
Eur J Phys Rehabil Med · Dec 2008
Case ReportsUsefulness of a cognitive behavioural and rehabilitative approach to enhance long lasting benefit after lumbar spinal stenosis and degenerative spondylolisthesis surgery. A case report.
Most spine-surgically treated patients are considered eligible for rehabilitative treatment. Unfortunately, an evidence-based consensus on the best postsurgical conservative treatment is not mentioned. In absence of a shared pathway, physical therapies, exercises, back schools, massages and other manual therapies are sometimes recommended by surgeons and clinicians. ⋯ The obtained results are encouraging for pain, disability and quality of life, assessing usefulness of a bio-psycho-social approach for spine-operated patients. A randomized controlled trial for rehabilitative and cognitive behavioural postsurgical treatment for patients with lumbar spinal stenosis and degenerative spondylolisthesis is advocated to provide further evidence to approaches and results. Proper outcome measures, correct clinical relevance evaluation and adequate follow-ups are needed.