Articles: low-back-pain.
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Bmc Health Serv Res · Jan 2006
Non-specific low back pain in primary care in the Spanish National Health Service: a prospective study on clinical outcomes and determinants of management.
The Spanish National Health Service is a universal and free health care system. Non-specific low back pain (LBP) is a prevalent disorder, generating large health and social costs. The objectives of this study were to describe its management in primary care, to assess patient characteristics that influence physicians' decisions, and to describe clinical outcome at 2 months. ⋯ Although the use of X-Rays is high, determinants of physicians' management of LBP in primary care made clinical sense and were consistent with patterns suggested by evidence-based recommendations. However, after 2 months of treatment more than one third of patients continued to have back pain and about 10% had worsened.
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To determine if a structured exercise program promotes improved performance on activities of daily living (ADL) and pain perception in patients with chronic low back pain (CLBP). ⋯ A well guided exercise program can decrease pain intensity perception and disability in patients with CLBP.
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Exercise therapy has become an expected modality in the treatment of low back pain but there are no clear evidence based guidelines available. The purpose of this review is to analyze the available literature in regard to demonstrated efficacy of various types of exercise therapy for low back pain. ⋯ By identifying specific functional characteristics of individual patients, providers should be able to design exercise therapies that will provide more effective clinical intervention for low back pain patients.