Some low back pain improvement with physiotherapist-directed exercise combined with advice .
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Physiotherapist-Directed Exercise, Advice, or Both for Subacute Low Back Pain: A Randomized Trial
Ann Intern Med. 2007 Jun 5;146(11):787-96259 patients with subacute low back pain were randomized to one of four groups in order to examine the effects of treatment on the outcomes of pain, function, and global perceived effect. The four groups were: exercise and advice, sham exercise and advice, exercise and sham advice, or sham exercise and sham advice. Results indicated that physiotherapist-prescribed exercise and advice combined had the greatest effect, and that both exercise and advice individually were more effective than the placebo at 6 weeks. The only effect that persisted at 12 months was a small effect on function.
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