Exercise therapy in the treatment of chronic back pain. An integral part of interdisciplinary therapy
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Publication Details
Output type: Journal article
Author list: Maier A, Weh L, Klein A, Hamel M, Lucan S, Marnitz U
Publisher: Springer
Publication year: 2009
Journal: Orthopäde (0085-4530)
Volume number: 38
Issue number: 10
Start page: 920
End page: +
ISSN: 0085-4530
eISSN: 1433-0431
Languages: German-Germany (DE-DE)
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Open access status: closed
Abstract
Chronic low back pain requires interdisciplinary and biopsychosocial treatment. Apart from the medical, psychological, and physiotherapeutic aspects of therapy, exercise therapy is an important component. Together with "work hardening," it represents the elements for reconditioning. The isolated effect is scientifically difficult to specify with the available data, but in most analytical studies, exercise therapy is an important component in an interdisciplinary setting. A nonspecific, diversified training program is superior to exercise solely of the trunk muscles. The primary tasks are to recover load capacity and diminish pain-avoidance behaviors, with consideration of the principles of "functional restoration." Thorough information and cooperation with the patient, continuous motivation, ratio control, a systematic increase in load, and permanent feedback are necessary. Close communication within the team makes immediate accompanying interventions of other specialized groups possible.
Keywords
Active therapy, Chronic low back pain, Exercise therapy, Spine, Training
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