- Combined manipulation and physiotherapy-supervised strengthening exercises helps functioning moderately (1-2 activities no longer limited by back pain)
- Preliminary evidence suggests that massage and lessons in the Alexander technique might help in the short term
What this study adds
- Six sessions of massage, prescription for exercise and nurse counselling, six lessons in the Alexander technique, and 24 lessons helped with back pain and functioning at three months
- Lessons in the Alexander technique still had a beneficial effect on pain and functioning after 12 months
- Six lessons in the Alexander technique followed by exercise prescription are nearly as effective as 24 lessons
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