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福島県立医科大学学術成果リポジトリ = Fukushima Medical University Repository >
福島医学会 = The Fukushima Society of Medical Science >
Fukushima Journal of Medical Science >
Vol.63 (2017) >
Please use this identifier to cite or link to this item:
http://ir.fmu.ac.jp/dspace/handle/123456789/574
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| Title: | Therapeutic efficacy of nonsteroidal anti-inflammatory drug therapy versus exercise therapy in patients with chronic nonspecific low back pain: a prospective study |
| Authors: | Takahashi, Naoto
Omata, Jun-Ichi
Iwabuchi, Masumi
Fukuda, Hironari
Shirado, Osamu |
| Affiliation: | 会津医療センター整形外科・脊椎外科学講座
会津医療センターリハビリテーション部 |
| Source title: | Fukushima Journal of Medical Science |
| Volume: | 63 |
| Issue: | 1 |
| Start page: | 8 |
| End page: | 15 |
| Issue Date: | 2017 |
| Abstract: | Therapy for chronic, nonspecific low back pain is mainly conservative: medication and/or exercise. Pharmacotherapy, however, has side effects, and the quantities of concomitant drugs in older persons require attention. Although exercise promises improved function, its use to alleviate pain is controversial. Thus, we compared the efficacy of pharmacotherapy versus exercise for treating chronic nonspecific low back pain. The pharmacotherapy group (n=18: 8 men, 10 women) were prescribed celecoxib monotherapy. The exercise group (n=22: 10 men, 12 women) undertook stretching exercises. Because of drop-outs, the NSAID group (n=15: 7 men, 8 women) and the exercise group (n =18: 8 men, 10 women) were finally analyzed. We applied a visual analog scale, Roland-Morris disability scores, and the 36-Item Short Form Health Survey. We used a paired t-test for within-group analyses and an unpaired t-test for between-group analyses. Pain relief was achieved after 3 months of pharmacotherapy or exercise. Quality of life improved only in the exercise group. Recovery outcomes for the two groups were not significantly different. Efficacy of exercise therapy for strictly defined low back pain was almost equivalent to that of pharmacotherapy and provided better quality of life. |
| Publisher: | The Fukushima Society of Medical Science |
| Publisher (Alternative foam): | 福島医学会 |
| language: | eng |
| URI: | http://ir.fmu.ac.jp/dspace/handle/123456789/574 |
| Full text URL: | http://ir.fmu.ac.jp/dspace/bitstream/123456789/574/1/FksmJMedSci_63_p8.pdf |
| ISSN: | 0016-2590
2185-4610 |
| DOI: | 10.5387/fms.2016-12 |
| PubMed ID: | 28331155 |
| Related Page: | http://doi.org/10.5387/fms.2016-12 |
| Rights: | © 2017 The Fukushima Society of Medical Science |
| Appears in Collections: | Vol.63 (2017)
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