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The Effectiveness of Four Interventions for the Prevention of Low Back Pain
JAMA 272:1286-1291, Lahad,A.,et al, 1994
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Article Abstract
There is limited evidence based on randomized trials and epidemiological studies that exercises to strengthen back or abdominal muscles and to improve overall fitness can decrease the incidence and duration of low back pain episodes.There is minimal evidence to support the use of educational strategies to prevent low back pain and insufficient evidence to recommend about the use of mechanical supports.Although there is no evidence supporting risk factor modification for preventing low back pain (smoking cessation and weight loss),there are other reasons to recommend the interventions.There is limited evidence to recommend exercise to prevent low back pain in asymptomatic individuals,but there is insufficient evidence to recommend other prevention strategies.These conclusions should be viewed cautiously since they are primarily based on studies conducted in the workplace rather than in clinical settings.
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