Document Detail


Effects of recreational physical activity and back exercises on low back pain and psychological distress: findings from the UCLA Low Back Pain Study.
MedLine Citation:
PMID:  16186460     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Eric L Hurwitz; Hal Morgenstern; Chi Chiao
Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  American journal of public health     Volume:  95     ISSN:  0090-0036     ISO Abbreviation:  Am J Public Health     Publication Date:  2005 Oct 
Date Detail:
Created Date:  2005-09-27     Completed Date:  2005-11-14     Revised Date:  2013-06-07    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1817-24     Citation Subset:  AIM; IM    
Affiliation:
School of Public Health, Department of Epidemiology, University of California-Los Angeles, Box 951772, Los Angeles, CA 90095-1772, USA. ehurwitz@ucla.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cross-Sectional Studies
Exercise* / physiology,  psychology
Exercise Therapy / methods*
Female
Follow-Up Studies
Humans
Logistic Models
Low Back Pain / complications,  prevention & control*,  psychology
Male
Managed Care Programs
Middle Aged
Multivariate Analysis
Pain Measurement
Questionnaires
Recreation* / physiology,  psychology
Stress, Psychological / etiology,  prevention & control*,  psychology
Time Factors
Treatment Outcome
Grant Support
ID/Acronym/Agency:
K23 AT 00055/AT/NCCAM NIH HHS; R01 HS 07755/HS/AHRQ HHS
Comments/Corrections

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