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Back pain and the exercise prescription.

D N Foster1, M N Fulton

  • 1Fitness Pro's Inc., Delaware Sports Care/Physical Therapy, Newark.

Clinics in Sports Medicine
|January 1, 1991
PubMed
Summary

Individualized exercise programs are recommended for low back pain (LBP) and injury prevention, focusing on lumbar-spinal function. Specific lumbar extension exercises that stabilize the pelvis and allow progressive resistance offer the greatest benefits for LBP patients.

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Area of Science:

  • Physical Therapy
  • Rehabilitation Medicine
  • Exercise Science

Background:

  • Low back pain (LBP) is a prevalent condition necessitating effective treatment and prevention strategies.
  • Exercise is a cornerstone in managing LBP and associated injuries.
  • Restoring and maintaining lumbar-spinal function is crucial for recovery and prevention.

Purpose of the Study:

  • To discuss the rationale for exercise in LBP treatment and prevention.
  • To review commonly used exercises for lumbar extensor muscle strengthening.
  • To identify optimal exercise characteristics for LBP management.

Main Methods:

  • Literature review on exercise for LBP treatment and prevention.
  • Analysis of current knowledge on individualized exercise programs.
  • Evaluation of specific lumbar extensor strengthening exercises.

Main Results:

  • Individualized exercise programs are supported by current knowledge for lumbar-spinal function.
  • Aerobic exercises are recommended for overall fitness and to prevent deconditioning when indicated.
  • Lumbar extension exercises with pelvic stabilization, progressive resistance, and full range of motion appear most beneficial.

Conclusions:

  • Individualized exercise is key for LBP and injury management.
  • Focus on restoring and maintaining lumbar-spinal function through targeted exercises.
  • Specific lumbar extension exercises offer significant benefits for LBP patients.

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