Concepts of rehabilitation for the management of low back pain.

UnumProvident Centre for Psychosocial and Disability Research, University of Cardiff, Wales, UK.
Bailli&egrave re s Best Practice and Research in Clinical Rheumatology (Impact Factor: 3.55). 09/2005; 19(4):655-70. DOI: 10.1016/j.berh.2005.03.008
Source: PubMed

ABSTRACT This chapter develops rehabilitation principles for the clinical and occupational management of non-specific low back pain (LBP). Rehabilitation has traditionally been a secondary intervention, which focused on permanent impairment, but this is inappropriate for LBP. Most patients with LBP do not have any irremediable impairment and long-term incapacity is not inevitable: given the right care, support and opportunity, most should be able to return to work. Rehabilitation should then address obstacles to recovery and barriers to (return to) work. Rehabilitation should not be a separate, second stage after 'treatment' is complete: rehabilitation principles should be integral to clinical and occupational management. It should be possible to reduce sickness absence and long-term incapacity due to LBP by at least 30-50%, but this will require a fundamental shift in management culture.

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