Effects of recreational physical activity and back exercises on low back pain and psychological distress: findings from the UCLA Low Back Pain Study.

Abstract:

OBJECTIVES:We sought to estimate the effects of recreational physical activity and back exercises on low back pain, related disability, and psychological distress among patients randomized to chiropractic or medical care in a managed care setting. METHODS:Low back pain patients (n=681) were randomized and followed for 18 months. Participation in recreational physical activities, use of back exercises, and low back pain, related disability, and psychological distress were measured at baseline, at 6 weeks, and at 6, 12, and 18 months. Multivariate logistic regression modeling was used to estimate adjusted associations of physical activity and back exercises with concurrent and subsequent pain, disability, and psychological distress. RESULTS:Participation in recreational physical activities was inversely associated--both cross-sectionally and longitudinally--with low back pain, related disability, and psychological distress. By contrast, back exercise was positively associated--both cross-sectionally and longitudinally--with low back pain and related disability. CONCLUSIONS:These results suggest that individuals with low back pain should refrain from specific back exercises and instead focus on nonspecific physical activities to reduce pain and improve psychological health.

journal_name

Am J Public Health

authors

Hurwitz EL,Morgenstern H,Chiao C

doi

10.2105/AJPH.2004.052993

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

1817-24

issue

10

eissn

0090-0036

issn

1541-0048

pii

95/10/1817

journal_volume

95

pub_type

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