Baerga-Varela Luis, Abréu Ramos Antonio M
University of Puerto Rico School of Medicine, Department of Physical Medicine, Rehabilitation, and Sports Medicine.
Bol Asoc Med P R. 2006 Jan-Mar;98(1):56-61.
Core strengthening concepts have gained increased popularity in low back rehabilitation. Traditional low back pain rehabilitation is based on a static spine stability model and is composed mostly of modalities, stretching and strengthening exercises. More recent theories, however, include newer concepts of dynamic spinal stability, coordination and neuromuscular control. Core strengthening exercises incorporate these new concepts. Although more research is necessary, the best available evidence suggests that a core strengthening program may be beneficial in reducing pain scores, functional disability and recurrences of acute low back pain episodes. This article reviews "core" anatomy, physiologic models of spinal stability, effects, of low back pain on spinal stability, evidence-based reasoning behind core strengthening and the basic concepts involved in designing a core strengthening program.
核心强化概念在腰痛康复中越来越受欢迎。传统的腰痛康复基于静态脊柱稳定性模型，主要由理疗、拉伸和强化练习组成。然而，最近的理论包括动态脊柱稳定性、协调性和神经肌肉控制等新概念。核心强化练习纳入了这些新概念。尽管还需要更多研究，但现有最佳证据表明，核心强化计划可能有助于降低疼痛评分、功能障碍以及急性腰痛发作的复发率。本文综述了“核心”解剖结构、脊柱稳定性的生理模型、腰痛对脊柱稳定性的影响、核心强化背后的循证推理以及设计核心强化计划所涉及的基本概念。
