Kennedy David J, Noh Maureen Y
Department of Orthopaedics and Rehabilitation, University of Florida, PO Box 112727, Gainesville, FL 32611, USA.
Phys Med Rehabil Clin N Am. 2011 Feb;22(1):91-103. doi: 10.1016/j.pmr.2010.12.002.
Lumbosacral radiculopathy is relatively common, and most cases resolve with appropriate conservative management. Along with pain control, the mainstay of treatment is a comprehensive rehabilitation program to correct for biomechanical factors that adversely affect spinal stability and predispose the patient to recurrent pain. Developing an appropriate treatment plan depends on thorough understanding of the structures providing core stability and the exercises to correct identifiable deficits. A comprehensive rehabilitation program includes postural training, muscle reactivation, correction of flexibility and strength deficits, and subsequent progression to functional exercises. This article reviews the current concepts regarding core stability and rehabilitation in lumbosacral radiculopathy.
腰骶神经根病相对常见,大多数病例通过适当的保守治疗可得到缓解。除了疼痛控制外,治疗的主要支柱是一个全面的康复计划,以纠正那些对脊柱稳定性产生不利影响并使患者易患复发性疼痛的生物力学因素。制定适当的治疗计划取决于对提供核心稳定性的结构以及纠正可识别缺陷的锻炼方法的透彻理解。一个全面的康复计划包括姿势训练、肌肉再激活、灵活性和力量缺陷的纠正,以及随后向功能锻炼的进展。本文综述了目前关于腰骶神经根病核心稳定性和康复的概念。