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Excerpts — Low Back Disorders 3rd Edition With Web Resource

Five stages to reduce back pain through exercise

Neurophysiological mechanisms of pain are highly modulated by movement and exercise. Endorphin release has long been known to occur with exercise, but the molecular basis for these links is not well understood.

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Models for measuring biological signals to assess risk

The final approach for risk assessment is to measure biological signals from each subject to capture the unique ways people perform their jobs and then use sophisticated anatomical, biomechanical, and physiological relationships to assign forces to the tissues.

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Postural tests for formal assessment

A formal assessment of posture includes an assessment of sitting, standing, and lying. Pain is present because the back is currently a weak link. Functional tests help to sort out why the back is a weak link and help indicate what is required to bolster the deficit.

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Treatment isn't a recipe from a cookbook: Strategies for individualizing rehabilitation

Given the wide variety of patients with low back issues, we cannot expect to succeed in low back rehabilitation by treating everyone with the same cookbook program. The following strategies will help guide clinical decisions to individualize - and thus optimize - the rehabilitation program.

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