Article

It has been widely recommended that clinical trials on people with low back disorders (LBDs)
should have a greater focus on subgroup specific treatment in order to increase the likelihood of clinically
meaningful effects being demonstrated. Functional restoration is a treatment approach that has
demonstrated some evidence of effectiveness in subacute and chronic LBDs. However, studies to date
have not used a clearly defined and appropriately detailed clinical protocol or applied the treatment to
homogenous pathoanatomical based subgroups.
Objectives: This paper presents a detailed classification and treatment protocol for people with LBDs and
clinical features thought to be indicative of non-reducible discogenic pain or disc herniation with associated
radiculopathy.
Discussion: A pathoanatomical interpretation of traditional functional restoration, classification principles
and particular treatment components in the clinical protocol are discussed.
Conclusion: The described clinical protocol will be used in the Specific Treatment for Problems of the Spine
trials comparing specific physiotherapy to evidence-based advice.

Langue : ANGLAIS