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• Machado LAC, de Souza MvS, Ferreira PH, Ferreira ML, The McKenzie Method for low back pain. A systematic review of the literature with a meta-analysis approach, Spine, 31:E254-E262, 2006
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• Can Chronic Disability Be Prevented?: A Randomized Trial of a Cognitive-Behavior Intervention and Two Forms of Information for Patients With Spinal Pain, Spine, 1 November 2000 – Volume 25 – Issue 21 – pp 2825-2831
  Randomized Trial
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• Treatment expectancy and credibility are associated with the outcome of both physical and cognitive-behavioral treatment in chronic low back pain. Smeets RJ(1), Beelen S, Goossens ME, Schouten EG, Knottnerus JA, Vlaeyen
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• Predicting response to a cognitive-behavioral approach to treating low back pain: Secondary analysis of the BeST data set. Arthritis Care Res (Hoboken). 2011 Sep;63(9):1271-9.
• The CONECSI trial: results of a randomized controlled trial of a multidisciplinary cognitive behavioral program for coping with chronic neuropathic pain after spinal cord injury. Pain. 2012 Jan;153(1):120-8.
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• Patient Engagement—What Works? April/June 2012 – Volume 35 – Issue 2 – p 80–89 Journal of Ambulatory Care Management
• Improving Chronic Illness Care: Translating Evidence Into Action Edward H. Wagner, Health Affairs
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• Effect of pelvic forward tilt on low back compressive and shear forces during a manual lifting task.Hayashi S, Katsuhira J, Matsudaira K, Maruyama H. J Phys Ther Sci. 2016 Mar;28(3):802-6.
• Changes in Habitual and Active Sagittal Posture in Children and Adolescents with and without Visual Input – Implications for Diagnostic Analysis of Posture. Ludwig O, Mazet C, Mazet D, Hammes A, Schmitt E. J Clin Diagn Res. 2016 Feb;10(2):SC14-7.
• Internal Oblique and Transversus Abdominis Muscle Fatigue Induced by Slumped Sitting Posture after 1 Hour of Sitting in Office Workers. Waongenngarm P, Rajaratnam BS, Janwantanakul P. Saf Health Work. 2016 Mar;7(1):49-54.
• Relationships between each part of the spinal curves and upright posture using Multiple stepwise linear regression analysis.
  Boulet S, Boudot E, Houel N. J Biomech. 2016 May 3;49(7):1149-55.
• Postural Cueing to Increase Lumbar Lordosis Increases Lumbar Multifidus Activation During Trunk Stabilization Exercises: Electromyographic Assessment Using Intramuscular Electrodes. Beneck GJ, Story JW, Donald S. J Orthop Sports Phys Ther. 2016 Apr;46(4):293-9.
• Age-related differences on low back pain and postural control during one-leg stance: a case-control study. da Silva RA, Vieira ER, Carvalho CE, Oliveira MR, Amorim CF, Neto EN. Eur Spine J. 2016 Apr;25(4):1251-7.
• Postural strategy and trunk muscle activation during prolonged standing in chronic low back pain patients. Ringheim I, Austein H, Indahl A, Roeleveld K. Gait Posture. 2015 Oct;42(4):584-9.
• Effect of an exercise program for posture correction on musculoskeletal pain. Kim D, Cho M, Park Y, Yang Y. J Phys Ther Sci. 2015 Jun;27(6):1791-4.

Our custom equipment reduces chronic spine-related pain issues, restores spinal function, reduces or eliminates the need for ongoing care, and improve patients’ quality of life.

• Lumbar Strengthening in Chronic Low Back Pain Patients Spine
• Muscle – In Rehabilitation of the Spine: Science and Practice Orthopedics Today
• A Preliminary Report on the Effect of Measured Strength Training in Adolescent Idiopathic Scoliosis Journal of Spinal Disorders
• Changes in Isometric Strength and Range of Motion of the Isolated Cervical Spine After Eight Weeks of Clinical Rehabilitation Spine
• Comparison of Female Geriatric Lumbar Extension Strength Journal of Spinal Disorders
• Effect of Focused Strength Training After Low Back Injury North American Spine Society
• Effect of Reduced Training Frequency and Detraining on Lumbar Extension Strength Spine
• Effect of Resistance Training on Lumbar Extension Strength The American Journal of Sports Medicine
• Effect of Training Frequency and Specificity on Isometric Lumbar Extension Strength Spine
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• The Role of Measured Resistance Exercises in Adolescent Scoliosis Orthopedics
• Two-year follow-up of a randomized clinical trial of spinal manipulation and two types of exercise for patients with chronic neck pain Spine
• Effect of Resistance Training Volume on Strength and Muscle Thickness Medicine & Science in Sports & Medicine
• Effects of Isolated Lumbar Extension Resistance Training on Bone Mineral Density of the Elderly American College of Sports Medicine
• Effects of Three Different Training Modalities on the Cross Sectional Area of the Lumbar Multifidus British Journal of Sports Medicine
• Electromyographic Analysis of Four Techniques for Isometric Trunk Muscle Exercises Arch Phys Med Rehabil
• Frequency and Volume of Resistance Training Arch Phys Med Rehabil
• Isometric Torso Rotation Strength Arch Phys Med Rehabil
• Pelvic Stabilization During Resistance Training: Its Effect on the Development of Lumbar Extension Strength Arch Phys Med Rehabil
• Quantitative Assessment and Training of Isometric Cervical Extension Strength Medicine & Science in Sports & Medicine
• Quantitative Assessment of Full Range-of-Motion Isometric Lumbar Extension Strength Arch Phys Med Rehabil
• Strength Testing Can Identify Malingering The Journal of Workers Compensation
• The Effect of early Isolated Lumbar Extension Exercise Program for Patients with Herniated Disc Undergoing Lumbar Discectomy Neurosurgery
• A Rational Approach to the Treatment of Low Back Pain The Journal of Musculoskeletal Medicine
• The Clinical Effects of Intensive, Specific Exercise on Chronic Low-Back Pain: A Controlled Study of 895 Consecutive Patients with One Year Follow-Up Low Back Pain
• One Lumbar Extension Training Session per Week Is Sufficient for Strength Gains and Reductions in Pain in Patients with Chronic Low Back Pain Ergonomics
• Specific Spinal Exercise: Three Case Studies Using the MedX Lumbar Extension Machine IART Research