No one back pain treatment method works for everyone, but exercise therapy is generally considered to be a crucial component of treatment. Strong, balanced muscles throughout the core help to support proper posture and spinal stability.
Yet some people don't experience significant gains from exercise therapy. There could be many reasons for this, including a cause of pain that isn't being addressed in physical therapy or an inadequate exercise plan.
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One study recently sought to identify factors that play a role in the success or failure of exercise therapy; the results can help patients and medical professionals avoid common pitfalls and increase the likelihood of success.
Factors of Treatment Success
The study tested the disability scores of 211 patients before and after seven sessions of physical therapy, as well as at a one-year follow-up. Success was defined as a 30% or greater improvement in disability score.
One significant finding was that patients who didn't respond to therapy immediately after their seven sessions – those with higher baseline pain scores – were not in the failure group at the one-year follow-up.
This, combined with the fact that adherence to the exercise program corresponded with treatment success at follow-up, can encourage patients to stick with their exercise plans even if they don't see immediate results. Adherence to the program doubled the rate of success.