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Back rehabilitation - The 3R's approach. | LitMetric

Back rehabilitation - The 3R's approach.

J Bodyw Mov Ther

Norris Health, 16, Lawton Street, Congleton, Cheshire, CW12 1RP, UK. Electronic address:

Published: January 2020

AI Article Synopsis

  • Exercise is crucial for managing low back pain (LBP), but confusion arises from varying sources like research and social media, leading to uncertainty about the best practices in exercise prescription.
  • The 3R's approach—reactive, recovery, and resilience—provides an evidence-based framework for tailoring exercise to patients at different stages of their back-pain journey.
  • The text also emphasizes the importance of understanding both exercise and psychological factors, while contrasting biomedical and biopsychosocial models, to ensure comprehensive rehabilitation and effective patient progression.

Article Abstract

Exercise is vital to the management of low back pain (LBP). However, research, social media, and fitness industry interests can leave therapists confused about best practice in exercise prescription for this clinical condition. The 3R's approach to back rehabilitation is introduced as an evidence-based framework for developing patient specific exercise throughout the back-pain journey. Clinical guidelines for the management of LBP are presented, and both exercise and psychological considerations are overviewed. The contrast between biomedical and biopsychosocial models of healthcare is introduced in relation to LBP and the requirements of a successful rehabilitation programme. Interacting factors in LBP, red flags, and motor skill classification are considered. The concept of tissue capacity is introduced, and the healing timescale addressed. Both are used as a foundation for exercise choice and progression. Simple methods of structuring an exercise programme are drawn from the fitness industry and adapted for use in rehabilitation. The 3R's approach consists of 3 interrelated and overlapping phases - reactive, recovery, and resilience. Treatment aims for each are introduced with guidance given to indicate appropriate patient progression between phases. Exercise examples of each stage are illustrated with consideration given to clinical reasoning, teaching method, safety and effectiveness.

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Source
http://dx.doi.org/10.1016/j.jbmt.2019.10.016DOI Listing

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