Poiraudeau S, Lefèvre-Colau M M, Mayoux-Benhamou M A, Revel M
Service de rééducation et de réadaptation fonctionnelle de l'appareil locomoteur et des pathologies du rachis, Hôpital Cochin, Université René-Descartes.
Rev Prat. 2000 Oct 15;50(16):1779-83.
Many rehabilitation technics for low back pain are available. Their aims are short time pain decrease, muscular strengthening in flexion or extension, increased hip and lumbar spine mobility, improved lumbar and pelvic proprioceptive sensibility, improved general fitness. During the past ten years, studies meeting widely accepted validity and applicability for therapeutic trials have addressed the clinical efficacy of rehabilitation in low back pain patients. Most studies assessing the back school approach have found no benefit. Spinal extension and flexion programs have yielded short-time improvements, without difference between the two methods. There is now strong evidence that functional restoration programs provide long-term benefits including better social and occupational outcomes.
有许多针对腰痛的康复技术。其目标是短期内减轻疼痛、增强屈伸时的肌肉力量、增加髋关节和腰椎的活动度、改善腰椎和骨盆的本体感觉、提高总体健康水平。在过去十年中，符合广泛认可的治疗试验有效性和适用性标准的研究探讨了康复对腰痛患者的临床疗效。大多数评估脊柱训练方法的研究未发现其有益之处。脊柱伸展和屈曲训练方案在短期内有改善效果，但两种方法之间没有差异。现在有强有力的证据表明，功能恢复方案能带来长期益处，包括更好的社会和职业结果。
