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Exercise and education can prevent some recurrences of low back pain, but most studied interventions have involved group sessions, direct clinician supervision, and equipment, all of which increase costs. Walking improves a variety of health outcomes inexpensively, but whether it helps prevent recurrence of low back pain is unknown.
Australian investigators randomized 700 adults (80% women; mean age, 54) who had recovered from an episode of nonspecific low back pain (pain duration, ≥24 hours; median lifetime episodes, 33) during the past 6 months to an individualized, progressive walking and education program or to no treatment. The intervention was structured to optimize long-term adherence and involved 6 in-person or remote sessions with a…