Journal of rehabilitation medicine : official journal of the UEMS European Board of Physical and Rehabilitation Medicine
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Randomized Controlled Trial Comparative Study
Cost-utility analysis of a three-month exercise programme vs usual care following multidisciplinary rehabilitation for chronic low back pain.
To assess the cost-utility of an exercise programme vs usual care after functional multidisciplinary rehabilitation in patients with chronic low back pain. ⋯ Adding an exercise programme after functional multidisciplinary rehabilitation compared with usual care does not offer significant long-term benefits in quality of life and direct and indirect costs.
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Comparative Study
Effects of training frequency on lumbar extension strength in patients recovering from lumbar dyscectomy.
To determine the effects of lumbar extension exercise on strength, disability index, and pain scores in patients after lumbar discectomy surgery. ⋯ Lumbar extension strength and disability index improve with training frequencies of once and twice per week, while back and leg pain improve with a training frequency of twice per week. The clinical importance of these improvements is questionable, as the scores were already very low after the discectomy and the magnitude of absolute improvements were small.
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Comparative Study
Reduced pressure pain thresholds in response to exercise in chronic fatigue syndrome but not in chronic low back pain: an experimental study.
The aims of this study were to examine: (i) baseline pressure pain thresholds in patients with chronic fatigue syndrome and those with chronic low back pain compared with healthy subjects; (ii) the change in mean pain threshold in response to exercise; and (iii) associations with exercise-induced increase in nitric oxide. ⋯ The results suggest hyperalgesia and abnormal central pain processing during submaximal aerobic exercise in chronic fatigue syndrome, but not in chronic low back pain. Nitric oxide appeared to be unrelated to pain processing.