Chronic low back pain is a significant public health problem in industrialized society. The intact spine carries the upper body and external loads, allows motion in a physiological range and protects the spinal cord. These different demands necessitate a high degree of complexity with various sources for disorders and pain. The Julius Wolff Institute conducts research in order to counter pain causes and to further optimize the pain treatment.
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Improvement of intervention programs for the prevention of back pain
In various meta-analyzes and international guidelines different treatment recommendations are given, which should generally contribute an increase in physical activity for the prevention of back pain. However, the effects are estimated to moderate and only short-term effective. In addition, only simple clinical and sometimes imprecise tests were often used to determine the performance in these studies. They did not include fundamental influencing factors of backs health, such as the spine-pelvic relations, the sagittal (from the side viewed) profile of the spine and pelvis as well as the not to be underestimated impact of the lower extremities, as differences in leg length or stress factors.
The goal is the development and validation of functional diagnostics (indices for the evaluation of back-spine shape and motility as well as the core stability) for differentiating subjects with and without low back pain in order to increase the efficiency of preventive intervention programs.