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 Healthjournal_title
American journal of public healthauthors
Hurwitz EL,Morgenstern H,Chiao Cdoi
10.2105/AJPH.2004.052993subject
Has Abstractpub_date
2005-10-01 00:00:00pages
1817-24issue
10eissn
0090-0036issn
1541-0048pii
95/10/1817journal_volume
95pub_type
临床试验,杂志文章,随机对照试验abstract:OBJECTIVE:We assessed which of a broad range of determinants of health are most strongly associated with health-related quality of life (HRQL) among people with type 2 diabetes. METHODS:Our analysis included respondents from the Canadian Community Health Survey Cycle 1.1 (2000-2001) who were aged 18 years and older an...
journal_title:American journal of public health
pub_type: 杂志文章
doi:10.2105/AJPH.2005.067728
更新日期:2006-09-01 00:00:00
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journal_title:American journal of public health
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journal_title:American journal of public health
pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2006-12-01 00:00:00
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pub_type: 杂志文章
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pub_type: 临床试验,杂志文章,随机对照试验
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更新日期:2003-09-01 00:00:00
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更新日期:2009-03-01 00:00:00
abstract::We evaluated a community-based participatory research worksite intervention intended to improve farmworkers' behaviors at work and after work to reduce occupational and take-home pesticide exposures. The workers received warm water and soap for hand washing, gloves, coveralls, and education. Self-reported assessments ...
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更新日期:2014-04-01 00:00:00
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更新日期:2015-03-01 00:00:00