REHABILITATION MANAGEMENT OF CHRONIC NONSPECIFIC LOW BACK PAIN: A MODERN PERSPECTIVE
DOI:
https://doi.org/10.32782/health-2025.2.21Keywords:
pain, chronic pain, nonspecific low back pain, multidisciplinary approach, rehabilitationAbstract
Non-specific lower back pain accounts for 80–90 % of all cases of lower back pain and is one of the leading causes of disability worldwide. Nonspecific low back pain is diagnosed by ruling out specific causes through a detailed medical history, physical examination, and does not require imaging. The clinical course of nonspecific lower back pain is often favorable, so many patients require minimal medical care or none at all. Management of chronic lower back pain focuses on reducing pain intensity, improving function, and enhancing quality of life. Clinical guidelines recommend a multidisciplinary approach, rehabilitation, psychological interventions, and educational programs based on evidence- based medicine for chronic pain. The multidisciplinary approach is based on the principles of the biopsychosocial model, involving specialists from different fields, depending on the clinical and functional status of patients. Preference is given to active rehabilitation interventions, which, in combination with psychological interventions, have a number of advantages for patient recovery. Among physical exercises, the most effective are exercises to strengthen the muscles that stabilize the spine, breathing exercises, and aerobic exercises. Pilates, yoga, tai chi, and McKenzie therapy lead to pain reduction and improved functional abilities in patients with chronic low back pain. Massage, manual techniques, acupuncture, ultrasound therapy, and TENS can be included in the rehabilitation program as adjunctive therapies. A multidisciplinary rehabilitation program should be adapted to the state medical care system and outpatient rehabilitation for the general promotion of strategies to combat chronic low back pain among Ukrainians.
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Copyright (c) 2025 Марія Олександрівна Овдій, Володимир Олексійович Зайцев, Володимир Володимирович Черняков
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