Lumbar functional instability: a critical appraisal of the literature
Lumbar functional instability: a critical appraisal of the literature
复制标题
DOI：
10.1016/j.annrmp.2007.05.007
复制
发表时间：
2007-11-01
期刊：
影响因子：
--
通讯作者：
Vanderthommen, M.
中科院分区：
文献类型：
--
作者：
Demoulin, C.;Distree, V.;Vanderthommen, M.
本文的目的是定义不稳定的概念，描述不稳定的评估方式，报告腰痛 (LBP) 患者脊柱稳定系统的损伤，引用推荐的练习，最后检查基于腰椎稳定的计划的结果。患有腰椎不稳定的患者似乎属于 LBP 受试者的特定亚组。在文献中，已经提出了腰椎不稳定的几种定义。例如，放射学不稳定不同于功能不稳定。诊断仍然很困难：静态和动态放射线照片的相关性似乎有限，而文献中已经描述了几种体征和临床不稳定性测试，但仍存在争议。脊柱的功能稳定系统由三个相互依赖的部分组成：被动子系统、主动子系统和神经肌肉子系统。腰椎稳定计划或 LBP 患者的益处已得到强调。腰椎稳定练习的目的是脊柱稳定肌的感觉运动重新编程，旨在提高其运动控制技能和反应延迟，从而补偿被动稳定系统的弱点。 (c) 2007 年 Elsevier Masson SAS。版权所有。
The goal of this paper were to define the concept of instability, to describe the way it can be assessed, to report on impairments of the spine stabilization system in patients with low back pain (LBP), to cite the recommended exercises and, lastly, to examine the results of programs based on lumbar stabilization. Patients suffering from lumbar instability appear to belong to a particular subgroup of subjects with LBP. In the literature, several definitions of lumbar instability have been proposed. Radiological instability, for instance, differs from functional instability. Diagnosis remains difficult: the relevance of static and dynamic radiographs appears limited whereas several signs and clinical instability tests have been described in the literature but remain controversial. The functional stability system of the spine consists of three interdependent components: the passive, the active and the neuromuscular subsystems. The benefits of lumbar stabilization programs or LBP patients have been underlined. Lumbar stabilization exercises are aimed at sensorimotor reprogrammation of spine stabilizer muscles intended to improve their motor control skill and delay of response and consequently to compensate for weakness of the passive stabilization system. (c) 2007 Elsevier Masson SAS. All rights reserved.