Strengthening for Low Back Pain

Medicine and Science in Sports and Exercise
1999 Volume 31 Number 1
David M Carpenter and Brian W Nelson

Study Outcomes & Clinical Relevance:
Isolated lumbar extension exercise with the pelvis stabilized using specialized equipment elicits the most favourable improvements in low back strength muscle cross sectional area and vertebral bone mineral density. Improvements occur independent of diagnosis are long lasting and appear to result in less re-reutilization of the health care system than other more passive treatments.

Philadelphia Panel Evidence Based Clinical Practice Guidelines on Selected Rehabilitation Interventions for Low Back Pain

Physical Therapy
October 2001 Volume 81 Number 10
Collective Name Philadelphia Panel

Study Outcomes & Clinical Relevance:
According to this expert panel, only therapeutic exercise has enough scientific support to warrant its recommendation as an intervention in the treatment of chronic subacute and postsurgical low back pain. These recommendations essentially match other national and international practice guidelines. Advantages of an active approach to physical rehabilitation include empowering the patient, decreasing dependency on the health care provider, and impacting other health related risk factors of secondary interest. Of interest to practitioners working in MedX equipped facilities, this review did include randomized controlled trial by Risch et al (1993) that utilized MedX as an effective, high-technology intervention in the treatment of chronic low back pain.

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