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Of the 291 conditions studied in the Global Burden of Disease 2010 Study, low back pain (LBP) rates highest in terms of years lost to disability (YLD) and sixth in terms of overall burden.Because LBP has no mortality, YLD are the same as disability adjusted life years (DALYs).

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The trial design has important strengths, because it is to be conducted in hospitals under medical supervision, because ECTT is to be compared with a standard therapy and because the assessor and analyst are to be blinded.

The findings from this trial will provide evidence of the efficacy of ECTT for chronic low back pain compared with standard physiotherapy treatment.

Such treatments are usually referred to as complementary and alternative medicine (CAM), an ill-defined group of treatments [] with the difference between “complementary” and “alternative” rarely, if ever, defined.

For the purposes of this article, complementary treatments are defined as working in conjunction with and in support of medical professionals, and patients are not expected to reduce their frequency of medical doctor visits; in contrast, alternative treatments aim, at least in part, to replace the work of registered medical professionals.

One approach may be to target the connective tissue (including fascia) because this represents a substantial part of the body [] and considered to be involved in back pain [9, p.

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