“Fitness and Low Back Pain,” by Len Kravitz, Ph.D. and Ron Andrews, M.S., P.T.

“The management of low back pain is a major health and economic concern in the U.S. As one of the leading causes of physical limitation in the U.S, low back pain is a chief source of incapacitation, suffering and expense. The medical costs, not including disability claims, directly attributed to low back pain exceeded $24 billion in 1990 (Lahad, Malter, Berg, & Deyo, 1994). It is also recognized that the cause of this health problem is very difficult to establish because of the irregular nature of its occurrences in individuals and the unclear etiology of low back pain. Although the effectiveness of exercise as a prevention strategy and intervention for low back pain has recently been challenged (Lahad et al., 1994), this awareness actually suggests the need for more controlled studies that may eventually lead to the development of new and improved exercise designs that prove to be viable interventions. This article will review much of the framework about what is known about this mystery and address practical issues for the fitness instructor, personal trainer and health educator.”

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