Aggressive Exercise as Treatment for Chronic Low Back Pain

Cohen, Isaac; Rainville, James

doi:10.2165/00007256-200232010-00004

Cited by 58Musculoskeletal pain and rehabilitationSpine and Intervertebral Disc PathologyPregnancy-related medical research

Aggressive Exercise as Treatment for Chronic Low Back Pain

Cohen, Isaac, Rainville, James·2002·Sports Medicine

DOI 10.2165/00007256-200232010-00004

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Abstract

Exercise has long been a standard of treatment for back pain. Over the last 2 decades, the use of intense, non-pain-contingent exercises for treatment of chronic back pain has received increased advocacy. The main goals of these treatments are to improve functioning of painful lumbar soft tissue and to decrease the fears and concerns of patients about using their backs for daily activities. The methodology of an aggressive quota-based exercise approach to back pain is outlined in this article. This approach relies on objective quantification of physical capabilities, treatment directed at altering these parameters, and repeat quantification for determination of treatment efficacy and positive feedback. By eliminating impairments in back function, altering fears and beliefs about pain, and reducing disability, patients with chronic low back pain can achieve meaningful improvements in their quality of life.

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Aggressive exercise with CBT has been found to be useful for various back pain conditions, including those following surgery.
“Aggressive exercise with CBT has been found to be useful for various back pain conditions, including those following surgery [89].”
From Chronic postsurgical pain: current evidence for prevention and management (2018) · cites this paper as [89]

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Authors: Cohen, I., & Rainville, J.
Affiliations: New England Baptist Hospital (US)
Corresponding author: Rainville, James
Venue: Sports Medicine
Publisher: Springer Science and Business Media LLC
Published: 2002
Volume: 32
Issue: 1
Pages: 75-82
ISSN: 0112-1642 (ISSN-L)
DOI: 10.2165/00007256-200232010-00004
OpenAlex: W2116474377
Cited by: 58
References: 69
Citations by year: 2024: 1 · 2022: 1 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 2 · 2015: 1 · 2014: 5 · 2013: 7 · 2012: 4
FWCI: 0.41
Type: journal article
Language: en
Open access: closed
Locations: Sports Medicine (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, fear-avoidance beliefs, disability, quality of life, treatment efficacy
MeSH terms: Behavior Therapy, Chronic Disease, Exercise Therapy, Humans, Patient Education as Topic, Physical Endurance, Low Back Pain, Lifting, Muscle, Skeletal, Pliability

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Aggressive Exercise as Treatment for Chronic Low Back Pain

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