Noninvasive interventions such as physical and massage therapy are widely recommended before invasive surgical approaches, but researchers argue there is no consensus on the optimal treatment for the condition.
Recent peer-reviewed publications have demonstrated that there is “very low to moderate quality evidence” for the efficacy of different rehabilitation methods, according to the authors.
Such interventions include Pilates, motor control training, resistance training, aerobic exercises and spinal manipulative therapies.
Researchers said that methodological limitations, inconsistent reporting and inaccurate results in clinical trials prevent physicians from finding clinically decisive conclusions, and they called for a systematic review of clinical trials examining low back pain.
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