Legaspi Owen, Edmond Susan L
A TEAM Approach, West Orange, NJ, USA.
J Orthop Sports Phys Ther. 2007 Apr;37(4):169-78. doi: 10.2519/jospt.2007.2300.
Literature review.
To synthesize the current literature addressing coupled motion between side bending and rotation in the lumbar spine to determine if a consistent pattern exists across articles.
[corrected] Low back pain is one of the most common conditions seen in outpatient physical therapy clinics. This condition is often treated with manual therapy techniques. Many approaches to manual therapy incorporate the concept of coupled motion.
Using OVID databases, we reviewed and categorized articles published between 1982 and 2006 that addressed coupled motion between side bending and rotation in the lumbar spine. We identified 24 articles in which 32 analyses addressed our clinical question. RESULTS Seventeen of the 24 articles identified concluded that some form of coupled motion exists; however, there was little agreement across articles as to the specific characteristics of coupled motion.
The inconsistency in reported patterns of coupled motion suggests that physical therapists should use caution when applying concepts of coupled motion to the evaluation and treatment of patients with low back pain.
文献综述。
综合当前关于腰椎侧屈与旋转耦合运动的文献，以确定各文章之间是否存在一致的模式。
下腰痛是门诊物理治疗诊所中最常见的病症之一。这种病症通常采用手法治疗技术进行治疗。许多手法治疗方法都包含耦合运动的概念。
利用OVID数据库，我们对1982年至2006年间发表的关于腰椎侧屈与旋转耦合运动的文章进行了回顾和分类。我们确定了24篇文章，其中32项分析涉及我们的临床问题。结果24篇已确定的文章中有17篇得出结论，认为存在某种形式的耦合运动；然而，各文章对于耦合运动的具体特征几乎没有达成一致。
所报道的耦合运动模式不一致表明，物理治疗师在将耦合运动概念应用于下腰痛患者的评估和治疗时应谨慎。
