Exercise as a treatment for chronic low back pain.
Exercise as a treatment for chronic low back pain.
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DOI：
10.1016/s1529-9430(03)00174-8
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发表时间：
2004-01-01
期刊：
影响因子：
--
通讯作者：
Finno, Mark
中科院分区：
文献类型：
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作者：
Rainville, James;Hartigan, Carol;Finno, Mark
背景情况：运动是一种广泛使用的治疗慢性腰痛的方法，已证明其对改善功能和工作的有效性。目的：本文的目的是回顾运动的安全性和有效性的几个关键方面，以帮助临床医生了解其在治疗慢性腰痛中的效用。使用“运动”、“健身”、“背痛”、“背痛”和“康复”作为检索词对MEDLINE进行计算机文献检索。扫描识别的摘要，并获取有用的文章进行进一步审查。通过作者拥有的研究论文的个人收藏和通过审查关于该主题的先前评论文章获得额外的参考文献。这些最后的文件进行了仔细审查的数据有关的关键方面行使涵盖在这篇article.Results：急性，亚急性或慢性腰痛的人，没有证据表明，运动会增加额外的背部问题或工作残疾的风险。相反，目前的医学文献表明，运动要么有中性效果，要么可能会稍微降低未来背部受伤的风险。运动可以为慢性腰痛患者规定三个不同的目标。第一个也是最明显的目标是改善或消除背部柔韧性和力量的损伤，并提高耐力活动的表现。有大量的证据证实，这一目标可以为大多数慢性腰痛患者实现。运动的第二个目的是减轻背痛的强度。大多数运动研究都注意到运动治疗后背痛强度的总体降低幅度从10%到50%不等。运动的第三个目标是通过恐惧和担忧的脱敏过程，改变疼痛的态度和信念，改善情绪，减少与背痛相关的残疾。通过锻炼可以实现这一目标的机制一直是大量research.CONCLUSIONS：运动是安全的个人与背部疼痛，因为它不会增加未来的背部受伤或缺勤的风险。有大量证据支持使用锻炼作为治疗工具，以改善背部柔韧性和力量的损伤。大多数研究都观察到运动计划后整体疼痛评分的改善，许多人观察到运动可以减轻背痛综合征的行为，认知，影响和残疾方面。
BACKGROUND CONTEXT: Exercise is a widely prescribed treatment for chronic low back pain, with demonstrated effectiveness for improving function and work.PURPOSE: The goal of this article is to review several key aspects about the safety and efficacy of exercise that may help clinicians understand its utility in treating chronic back pain.STUDY DESIGN/SETTING: A computerized literature search of MEDLINE was conducted using "exercise," "fitness," "back pain," "backache" and "rehabilitation" as search words. Identified abstracts were scanned, and useful articles were acquired for further review. Additional references were acquired through the personal collections of research papers possessed by the authors and by reviewing prior review articles on this subject. These final papers were scrutinized for data relevant to the key aspects about exercise covered in this article.RESULTS: For people with acute, subacute or chronic low back pain, there is no evidence that exercise increases the risk of additional back problems or work disability. To the contrary, current medical literature suggests that exercise has either a neutral effect or may slightly reduce risk of future back injuries. Exercise can be prescribed for patients with chronic low back pain with three distinct goals. The first and most obvious goal is to improve or eliminate impairments in back flexibility and strength, and improve performance of endurance activities. There is a large body of evidence confirming that this goal can be accomplished for a majority of patients with chronic low back pain. The second goal of exercise is to reduce the intensity of back pain. Most studies of exercise have noted overall reduction in back pain intensity that ranges from 10% to 50% after exercise treatment. The third goal of exercise is to reduce back pain-related disability through a process of desensitization of fears and concerns, altering pain attitudes and beliefs and improving affect. The mechanisms through which exercise can accomplish this goal have been the subject of substantial research.CONCLUSIONS: Exercise is safe for individuals with back pain, because it does not increase the risk of future back injuries or work absence. Substantial evidence exists supporting the use of exercise as a therapeutic tool to improve impairments in back flexibility and strength. Most studies have observed improvements in global pain ratings after exercise programs, and many have observed that exercise can lessen the behavioral, cognitive, affect and disability aspects of back pain syndromes.