Rodriquez A A, Bilkey W J, Agre J C
Department of Rehabilitation Medicine, University of Wisconsin Medical School, Madison.
Arch Phys Med Rehabil. 1992 Sep;73(9):870-5.
Research regarding the effect of exercise on chronic benign axial pain is reviewed. Both chronic low back pain (LBP) and chronic neck pain are associated with weakness of the trunk and neck musculature; however, it is unknown whether weakness is a cause or effect. The relationship between incoordination of the neck or trunk musculature and chronic pain is unclear. Exercise is associated with improved strength and endurance and decreased pain in subjects with LBP but the literature is very sparse with respect to chronic neck pain. Range-of-motion is also diminished in those with LBP and improves with exercise, and is associated with abatement in symptoms. No evidence could be found regarding the effect of exercise on segmental motion. Exercise is also associated with improved function, however the mechanism whereby either pain report or function improves is unclear. A greater understanding of the role of exercise will require more specific studies of strength, coordination, motion, function, and pain.
本文综述了关于运动对慢性良性轴向疼痛影响的研究。慢性腰痛（LBP）和慢性颈痛均与躯干和颈部肌肉组织无力有关；然而，尚不清楚无力是原因还是结果。颈部或躯干肌肉组织不协调与慢性疼痛之间的关系尚不清楚。运动与LBP患者的力量增强、耐力提高和疼痛减轻有关，但关于慢性颈痛的文献非常稀少。LBP患者的活动范围也会减小，运动后会改善，且与症状减轻有关。未发现关于运动对节段性运动影响的证据。运动还与功能改善有关，然而疼痛报告或功能改善的机制尚不清楚。要更深入了解运动的作用，需要对力量、协调性、运动、功能和疼痛进行更具体的研究。
