Ernst E
Physikalische Medizin und Rehabilitation, Universität Wien.
Fortschr Med. 1991 Apr 30;109(13):271-2.
Today, its epidemic frequency makes back pain a major problem. Bed rest continues to be a common form of treatment. However, it also leads to a number of effects that must be considered negative in this situation. In contrast, physical exercise may, in principle, have a positive effect on a variety of functional systems. Controlled clinical studies show that bedrest, in particular if longer than two days, is of no advantage. Thus, these patients should be less often confined to bed, but, should instead be encouraged to take sensible physical exercise and accept more responsibility for their own health. A change in attitudes would appear desirable on the part both of the physician and the patient.
如今，背痛的流行频率使其成为一个主要问题。卧床休息仍然是一种常见的治疗方式。然而，在这种情况下，它也会导致一些被认为是负面的影响。相比之下，体育锻炼原则上可能会对多种功能系统产生积极影响。对照临床研究表明，卧床休息，尤其是超过两天的卧床休息，并无益处。因此，这些患者应减少卧床时间，而应被鼓励进行合理的体育锻炼，并对自身健康承担更多责任。医生和患者双方似乎都应改变态度。
