Carneiro Kevin A, Rittenberg Joshua D
Department of Physical Medicine and Rehabilitation, University of North Carolina, CB#7200, Chapel Hill, NC 27599, USA.
Phys Med Rehabil Clin N Am. 2010 Nov;21(4):777-92. doi: 10.1016/j.pmr.2010.06.006.
The determination of whether a patient should pursue an active or passive treatment program is often made by medical practitioners. Knowledge about all forms of treatment, including complementary and alternative (CAM) treatments, is essential in the treatment of low back pain. Medical practitioner-directed active treatments that have been shown to be effective for the treatment of low back pain include physical therapy-directed exercise programs such as core stabilization and mechanical diagnosis and therapy (MDT). Based on the current literature, it appears that yoga is the most effective nonphysician-directed active treatment approach to nonspecific low back pain when comparing other CAM treatments. Acupuncture is a medical practitioner-directed passive treatment that has been shown to be a good adjunct treatment. More randomized controlled studies are needed to support both CAM treatments and exercise in the treatment of low back pain.
患者应采取积极治疗方案还是被动治疗方案，通常由医学从业者来决定。了解包括补充和替代医学（CAM）疗法在内的所有治疗形式，对于治疗腰痛至关重要。已被证明对腰痛治疗有效的由医学从业者指导的积极治疗方法包括物理治疗指导的运动计划，如核心稳定性训练和机械诊断与治疗（MDT）。根据当前文献，与其他CAM治疗方法相比，瑜伽似乎是治疗非特异性腰痛最有效的非医生指导的积极治疗方法。针灸是一种由医学从业者指导的被动治疗方法，已被证明是一种很好的辅助治疗方法。需要更多的随机对照研究来支持CAM治疗和运动在腰痛治疗中的应用。
