Prescription of activity for low back pain: What works?
Prescription of activity for low back pain: What works?
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DOI：
10.1016/s0004-9514(14)60344-5
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发表时间：
1999-01-01
影响因子：
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通讯作者：
Refshauge, K
中科院分区：
文献类型：
--
作者：
Maher, C;Latimer, J;Refshauge, K
本文提供了以证据为基础的指南，处方的活动在管理非特异性腰痛（NSLBP）。对1966年至1997年期间发表的62项临床试验进行了审查，这些试验是通过检索Medline和Cinahl数据库确定的，为指南提供了基础。现有证据表明，物理治疗师应建议急性和亚急性NSLBP患者避免卧床休息，并使用时间而不是疼痛作为恢复活动的指南恢复正常活动。虽然结构化运动计划尚未显示出对急性NSLBP的益处，但有强有力的证据支持其用于亚急性和慢性NSLBP患者以及预防NSLBP。
This paper provides evidence-based guidelines for the prescription of activity in the management of non-specific low back pain (NSLBP). The 62 clinical trials published between 1966 and 1997, identified by a search of the Medline and Cinahl databases, were reviewed to provide the basis for the guidelines. The available evidence suggests that physiotherapists should advise patients with acute and sub-acute NSLBP to avoid bed rest and to return to normal activity using time rather than pain as the guide to activity resumption. While structured exercise programs have not been shown to provide a benefit for acute NSLBP, there is strong evidence to support their use for patients with sub-acute and chronic NSLBP and in the prevention of NSLBP.