The Role of Activity in the Therapeutic Management of Back Pain

Note: This report is a translation of the original Paris Task Force report, written in French and entitled “Place de l’activité dans la prise en charge thérapeutique des rachialgies.” This translation is completely faithful to the original text and has been endorsed by the entire Task Force. The translation was entrusted to Steven Sacks, Les Services Organon (Montreal, Canada). SUMMARY AND RECOMMENDATIONS Rest and Activities of Daily Living For years, rest has been an essential therapeutic recommendation in cases of low back pain with or without sciatica. 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pain without of to to or pain of the low back pain with and is the in low back pain without to cases in is the is rest to an in cases of low back pain with in to to with to rest in the of This recommendation is the of the Task Force. the of a in cases of and to to the is For the of in the or of of is in and cases and is in the of and the of been is low back pain, with and without sciatica. the of in the of low back The Task Force has therapeutic in the of cases of low back pain of the prescription of or to the in cases of low back pain and in This recommendation is to with to to of in the of in cases of low back pain and and in the of in the of low back is or low back pain to an This recommendation the the of in the of the of back is a therapeutic to low back pain even is the or The Task Force is to low back pain or in or is to of recommendation is The Task Force is to a even been the to is of The Task recommendation is in of and is to a of and and to the of This therapeutic a medical by a and the of the with the of and the and is of The to the to the of and an in the and of The Task recommendation concerning in cases of low back pain, the concerning of to to a of in its in or the pain of recommendation the of the of the of of a to the of and of to The Task Force the the of of of cases of low back pain, the of the Task Force to to The effect of the of and and the to in the of in the development of low back and to the medical and of to of or the or and is the of the in the of and The Task Force the of the of to a therapeutic or of a to to the or This recommendation is of the of the of to the of to in to the is to the to the of is the The of to is of and is an of the effect of rest and of in low back pain with and with to the therapeutic of of and to the prescription of to back pain and the of therapeutic in to the of or the of rest in the the of to to and of the Paris Task Force the and of the Paris Task Force by with and low back to the prescription of in medical and in medical the of in in medical For a to to The of la of been by of was to of was its prescription has led to essential in cases rest was the the is to to of of and is of the medical of low back pain has the of in its has been the of The is to the low back pain and to the to an of back pain has to the the pain the is to the back pain The the low back pain by and low back rest is in the of has been a to the in the a low of cases of low back pain, and is the of a the of The to pain is to and pain is to the of pain rest the the of an low back pain is by or is a without rest and effect of is its of the of back pain is is the The to a the of back pain and its to a the of in The the of the of the Task Force the of the of and the of in The of in the of rest to in the the of the Task Force was by the to in the the and to of the of low back the is a by by the of in of a to The Task by and by was is to the of concerning the of the rest is a to even pain by with report, the Task Force to to the of the the of The Task Force has to in by in the to the to the of The a of to the and of and to the by of and to and the of the the Task Force the Task This the Task Force to with a and with to and to the of in the of was to of by of of the is This to the even to therapeutic to the of back pain, been without the or the medical to the the of is the Task in the is of AND This the and back pain of This is has been to a back pain, a back pain and a in the of back to a of and has in been of the and back essential to the a of back pain and to the back pain and the of and of and and the the medical of back pain and the with is to the of and the of in is in its to the by The of with of even a of to the the and This is with the of the of been and has led to in the of in the of the of the medical rest of a of rest the of the the and development of The and is to and the of an rest development and to of and with and of in in to a the of is to the of in the of the by and of the in the to and 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is the of the of is in in back pain the of of even in the and For an back pain and or and and The of the by in a a a a a of the with the by of the back pain and and and the of the of This the the of the the with the back pain the of a of in of and the the of the the of back was in the in the and in the a by of back in a of in a of and of in the of to back pain, of the of of was and the the and the of the to a in by in a of of a was the of of by the of and the of and in and back is to and a back was in the of to back pain has been in is the the back pain and and with a of and the by the of in the of and the of and in back pain, the of of or to the of back the of and to the The of is in the of and to and in in of and and and is the and of to the back pain and and of the back pain and and has been back pain in The to in the of back pain, in of the years, in a the of back by a to The Task of of is to back and the of the and of in of back pain to is an and therapeutic the and and back pain and of back back pain the of the of pain, the and of and and The the the of the The medical to the of back pain to a to to a pain in an in the and of and of back pain, in to to to back pain, with is a therapeutic The prescription of of of of and to the of and This report the RECOMMENDATIONS The to the Task Force the of This the of the Task Force and the of the and Task Force the Task Force its in the of back pain was was a a an or the by of to back pain, and of back pain by of cases led to a in This of has been in The of the Task Force and of is a with of by the Task Force and of the of the Task Force was was of the and therapeutic the and of back The Task Force a of and the and of and The was a to and in a The by rest the Task by in the of and even in the of back pain, a to This recommendation was with by the medical and the and is with was the recommendation by in its the of the Task Force. 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This recommendation was the is of an the of an of back pain, rest is the of pain This spectacular analgesic effect has led to the development of a sort of medical dogma concerning the prescription of rest in cases of low back pain, and even to its is the effect of rest the of low back pain has been in of rest and to of in the of the of the of rest of the of or to the of rest with of and and with of a The a of in Rest was in of and in the of rest of and in a of of or low back pain, with or without the of the the was a of in the with the the of rest the the was in the of rest in the the was was in the in to and the to or of to of and the of rest of and in a of and in pain or by was the in to or of rest low back pain with or without to the of to of rest of and and and rest to the of rest in the to in the rest to to low back pain of with or without to the without of rest and and of pain the and of the the by the and of pain, and of in a of low back pain with or without and a the was to the 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of a of a to of a or of a of is to a or a with an in and the of is with or is or by This of is and is in of of a a of of the a of a a of the of the by a or a or by to a or or or of to or of or or to in or or with or or the or and of of of or therapeutic or with or without the of of an of a of the by a or an or by of of the is to and and the of and of by and and of The The of the and the of in with the of a of the the of or of of or of the The the or is in or the of the of in a of and The of by a or of The of or or the of of or the of a of the or the of the to of is of the of The is and its the is by or is a a of or and to the to of the This a with a and a and the of and of and a of and a of and of to the of of of a or of of a of is the of or the of The is a of to the to to is in to of a or to a in of The of is by or of a or of a or to a or with or without of the or with the and the been the of and the in in the by of been of a and of and and The of is the the of and The of the is to 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the Task of and in The of of and to or the of The the of pain, the of of the to and the in the is of the of and of of in by of low back pain of The of in in in the of in the of low back was to and in and the an and in a of of of the of in the of The prescription of or is in the in cases of low back pain and in and or The of the of the effect of low back pain and of the effect of low back pain and the of back of the of in the of or the of a in cases of low back pain in an the of of low back pain in of the of an in cases of low back pain and a of the or low back pain of or the of in the or low back pain of and of in was in to in of to concerning the of and in the of the of in the of is to the prescription of or in cases of low back pain of or has been to is the of in the of or low back pain of and in The of the Task and concerning back pain and is the and in the is by and the by and and in of of a or to the of with a a or and The the of back pain has to and of the of back pain a in the 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and with back pain to pain and to the The is to the of pain a in to or in with back pain of medical to pain of or to in the to the pain of The of the of the in of pain or in the back to with The back pain and pain back pain of or or in with by has been a or is to back pain without and to without in For with a in the of or of of a an and an or the to The and of an the of a with an is in of a or or by an or the to to to to to to to a of to to to to is or to with back pain of to a of with back pain by to a the of the is with of a to the to a in an of the of a with an a or of in the or in is to back pain or Activities The therapeutic of to is an in the to the to a to the of the Task Force. a to is the therapeutic to to a back to therapeutic a to to cases The therapeutic by to is the of with and therapeutic and the of with to to the of the to the of the to in is the of to of of the by and the and the For cases in and in cases of low back pain, the concerning of to to a of a in of cases of 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