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Commentary

RM Nelson, PhD, PT, is Professor and Chairman, Thomas Jefferson University, Edison Building, 130 S 9th St, Philadelphia, PA 19107

This excerpt was created in the absence of an abstract.

The randomized, controlled clinical trial study is the best type of experiment to use when examining treatment effectiveness. This study is designed well and executed well and is one of the first studies to examine the philosophy of activity for the treatment of patients with low back injuries. The Swedish system of socialized medicine allows for the design and implementation of this form of intervention study. The authors should be congratulated for an excellent study, which incorporates a physical therapist as the central participant. The role of physical therapists in the treatment of musculoskeletal injuries must evolve and move in the direction of treatment intervention as described in this manuscript. The operant conditioning for activity according to the quota versus the pain-dependent approach is another significant aspect of this study....

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