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PHYS THER
Vol. 72, No. 9, September 1992, pp. 675-676
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Letters and Responses

Assessment and Treatment of Low Back Pain


This excerpt was created in the absence of an abstract.

To the Editor:

I read with interest the clinical perspective by DeRosa and Porterfield1 and applaud their contribution to the assessment and treatment of low back pain (LBP). I cannot, however, agree with the citation in both the commentary2 and the response3 of the work of Deyo et al.4 In the commentary, Twomey states, "for even the most severe LBP, any more than 2 days of bed rest is counterproductive and deleterious to progress in treatment and management of the condition,"2(p270) and cites the Deyo et al article. DeRosa and Porterfield concur with this sentiment in their response and also cite the article by Deyo et al.

I believe that this position overstates the work of Deyo et al.4 In the study by Deyo et al, 203 subjects from an eligible pool of 450 possible subjects agreed to participate....

Related Article: Deyo RA, Diehl AK, Rosenthal M. How many days of bed rest for acute low back pain? A randomized clinical trial. N Engl J Med. 1986;315:1064–1070.


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Related Articles

Deyo Clarifies Position
Richard A Deyo
Physical Therapy 1993 73: 48. [Abstract] [PDF]

A Physical Therapy Model for the Treatment of Low Back Pain
Carl P DeRosa and James A Porterfield
Physical Therapy 1992 72: 261-269. [Abstract] [PDF]

Commentary
Lance Twomey
Physical Therapy 1992 72: 270-271. [Abstract] [PDF]

Author Response
Carl P DeRosa and James A Porterfield
Physical Therapy 1992 72: 271-272. [Abstract] [PDF]





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Copyright © 1992 by the American Physical Therapy Association.