Beazell James R, Mullins Melise, Grindstaff Terry L
University of Virginia-HEALTHSOUTH, USA.
J Man Manip Ther. 2010 Mar;18(1):9-14. doi: 10.1179/106698110X12595770849443.
Identification and management of chronic lumbar spine instability is a clinical challenge for manual physical therapists. Chronic lumbar instability is presented as a term that can encompass two types of lumbar instability: mechanical (radiographic) and functional (clinical) instability (FLI). The components of mechanical and FLI are presented relative to the development of a physical therapy diagnosis and management. The purpose of this paper is to review the historical framework of chronic lumbar spine instability from a physical therapy perspective and to summarize current research relative to clinical diagnosis in physical therapy.
对于手法物理治疗师而言，慢性腰椎不稳定的识别与管理是一项临床挑战。慢性腰椎不稳定作为一个术语，涵盖了两种类型的腰椎不稳定：机械性（影像学）不稳定和功能性（临床）不稳定（FLI）。机械性不稳定和功能性不稳定的组成部分是相对于物理治疗诊断和管理的发展而呈现的。本文的目的是从物理治疗的角度回顾慢性腰椎不稳定的历史框架，并总结目前与物理治疗临床诊断相关的研究。
