Evidence-informed management of chronic low back pain with lumbar extensor strengthening exercises
Abstract
The management of chronic low back pain (CLBP) has proven very challenging in North America, as evidenced by its mounting socioeconomic burden. Choosing among available nonsurgical therapies can be overwhelming for many stakeholders, including patients, health providers, policy makers, and third-party payers. Although all parties share a common goal and wish to use limited health-care resources to support interventions most likely to result in clinically meaningful improvements, there is often uncertainty about the most appropriate intervention for a particular patient. To help understand and evaluate the various commonly used nonsurgical approaches to CLBP, the North American Spine Society has sponsored this special focus issue of to The Spine Journal, titled Evidence-Informed Management of Chronic Low Back Pain Without Surgery. Articles in this supplement were contributed by leading spine practitioners and researchers, who were invited to summarize the best available evidence for a particular intervention and encouraged to make this information accessible to nonexperts. Each of the articles contains five sections (description, theory, evidence of efficacy, harms, and summary) with common subheadings to facilitate comparison across the 24 different interventions profiled in this special focus issue, blending narrative and systematic review methodology as deemed appropriate by the authors. It is hoped that articles in this special focus issue will be informative and aid in decision making for the many stakeholders evaluating nonsurgical interventions for CLBP.
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Resistance exercise or other strength training can improve a person's ability to support bone and cartilage through better musculature around a joint, potentially relieving stiffness and producing some pain relief.
“resistance exercise, or other forms of strength training, can improve the person's capacity to support bone and cartilage through improved musculature supporting movement around a joint, with potential to relieve stiffness (Mayer 2008) and bringing about some pain relief.”
From Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews (2017) · cites this paper as Mayer 2008
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Relationship of Healthy Building Determinants With Back and Neck Pain: A Systematic Review
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Effect of unilateral exercise on spinal and pelvic deformities, and isokinetic trunk muscle strength
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Self-citation
- Authors
- Mayer, J., Mooney, V., & Dagenais, S.
- Affiliations
- University of South Florida (US)
- University of Ottawa (CA)
- Corresponding author
- Mayer, John
- Venue
- The Spine Journal
- Publisher
- Elsevier BV
- Published
- 2008-01
- Volume
- 8
- Issue
- 1
- Pages
- 96-113
- ISSN
- 1529-9430 (ISSN-L)
- OpenAlex
- W2104441498
- Cited by
- 139
- References
- 67
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 2 · 2023: 3 · 2022: 6 · 2021: 11 · 2020: 5 · 2019: 9 · 2018: 5 · 2017: 19 · 2016: 12 · 2015: 10 · 2014: 10 · 2013: 7 · 2012: 5
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Spine Journal (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Pathology and Forensic Medicine › Spine and Intervertebral Disc Pathology
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
- Keywords
- chronic low back pain, non-surgical interventions, exercise therapy, healthcare resource allocation, North American Spine Society
- MeSH terms
- Chronic Disease, Exercise Therapy, Humans, Lumbar Vertebrae, Low Back Pain, Evidence-Based Medicine, Physical Therapy Modalities
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