Healthy lifestyle interventions in general practice: Part 15: Lifestyle and lower back pain

被引:0
作者
Schwellnus, M. P. [1 ]
Patel, D. N. [2 ]
Nossel, C. [2 ]
Whitesman, S. [3 ]
Derman, E. W. [1 ]
机构
[1] Univ Cape Town, Int Olymp Comm Res Ctr, Dept Human Biol, UCT MRC Res Unit Exercise Sci & Sports Med, Rondebosch, South Africa
[2] Vital Wellness, Chicago, IL 60606 USA
[3] Inst Mindfulness South Africa, Pretoria, South Africa
关键词
lifestyle; low back pain; spine; exercise; psychosocial factors; education;
D O I
10.1080/20786204.2011.10874105
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Lower back pain (LBP) is one of the most common medical problems in the adult population. LBP can be defined as pain, muscle tension or stiffness that is localised below the costal margin (inferior rib cage) and above the inferior gluteal folds and that can present either with or without leg pain (sciatica), and it can be classified as "specific" or " non- specific". LBP has a high lifetime prevalence and is associated with a substantial direct and indirect cost to the individual and society. In this review, the focus is on the identification of lifestyle risk factors and interventions that are associated with mainly nonspecific chronic LBP. In addition to pharmacotherapy, the best treatment approach is exercise therapy (including physical reconditioning), psychosocial and behavioural intervention and therapeutic education. Other lifestyle changes include nutritional intervention and smoking cessation.
引用
收藏
页码:304 / 311
页数:8
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