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David Spine Solution is a comprehensive evaluation and treatment concept for back disorders. The solution uses carefully targeted movement and controlled loading to reverse the deconditioning syndrome related to back pain.

Individualized programs are planned based on a questionnaire, physical evaluations and tests. Specially designed devices provide a safe and effective way of improving mobility, strength and spinal coordination.



Back pain is among the most common disorders in societies around the world causing more financial losses to companies and insurance systems than any other single disorder except common cold. Up to 70 % of the people have experienced back pain sometime during their lives; around 40 % had an episode lasting more than a day in the last 12 months and around 25 % during the past three months

WHO methods and data sources for global burden of disease estimates 2010-2011, WHO, Geneva November 2013.


In most back pain cases, a specific diagnosis, such as disc hernia, is not possible to obtain. However, regardless of the reason of the pain, it will cause avoidance in physical activity, further weakening the strength and coordination of the back and eventually affecting the integrity of the tissue structure.

This can produce a vicious cycle resulting in more pain and loss of function and if prolonged, also psychological effects. When the problem has reached this level, traditional methods of treatment are helpless and the possibility for permanent disability increases significantly as time passes.


Several studies have shown that movement can act as medicine for painful joints. With joints like the knee, which are relatively simple structures, movements are simple and loading is easy to apply in a controlled manner.

The spine, however, is a very complex structure involving vertebrae, discs, ligaments, dynamically functioning rotator and intervertebrae muscles and large, mostly statically functioning supporting muscles.

When pain and loss of coordination is added into the equation, it is extremely difficult to start physical exercises in a controlled manner. Special devices are required to isolate the target area provide total control in the movement and loading.

All movements should start with limited range and low loading, within the pain tolerance. Time is essential since physiological changes are slow. Ideal treatment should run for three months with an ongoing program afterwards.


Most back disorders can be treated successfully with the David Spine Concept. These include unspecific back pain, degenerative changes, herniations and post operative situations. Participation requires exclusion by a specialist of any contraindications and consent by treating surgeon within four months of the surgery. Contraindications include tumors, acute inflammations, and recent fractures. Successful treatment requires patient consent and motivation to participate.


Individualized programs require thorough understanding of the patient background, present condition and physical capacity. A standard evaluation protocol includes a validated questionnaire including patient background, pain profiles and self assessment. Physicaltherapy evaluation assesses posture, functional deficiencies and limitations. Device based tests include strength and mobility in all movement plains.

Results are recorded in a database and a very illustrative spine profile can be printed out comparing each tests to normative data. Evaluations done pre, mid and post, provide objective outcome reports for treating doctors and third‑party payers as well as added motivation for the patient.


The overall goal of a successful treatment is that the experienced pain decreases and the quality of life increases. In order to achieve this goal the active therapy must be progressive and inline with the individual’s ability to adapt the changes.

The treatment is always based on individual assessment. The progression of the program follows the patient’s subjective evaluation of the experienced resistance and the pain indicators. A default program for the Spine concept provides a safe start, which can be used in early stages of rehabilitation. At the beginning, the range of motion is designed to be small and the loading light.



With its roots in rehabilitaion and sports science, David technology was built to meet the needs of patients in pain and elite athletes. This required uncompromising biomechanical solutions. The latest evolution version of David devices is based on new, intelligent technology with automated adjustments and cloud based software.



The EVE platform manages the whole treatment process, guides through individual exercises and collects all the data for reporting. It helps therapists in making better treatment choices and motivates clients in their recovery journey..