Cleland Joshua, Schulte Connie, Durall Chris
The Physical Therapy Center of Milford, Milford, NH, USA.
J Back Musculoskelet Rehabil. 2002 Jan 1;16(2):105-15. doi: 10.3233/bmr-2002-162-309.
A systematic review of clinical trials.
To determine the effectiveness of therapeutic exercise in the treatment of instability-related lumbar spine pain.
Segmental instability of the lumbar spine contributes to the overwhelming incidence of back pain and disability. The extensive range of exercises proposed to treat segmental instability is indicative of the lack of agreement as to the most efficacious management approach.
A search of MEDLINE (1966- April 2002), the Cumulative Index of Nursing and Allied Health Literature (CINAHL) (1982- April 2002) databases was performed. The searches were restricted to articles that used human subjects and were published in English. Key words utilized for searches included, "lumbar stability", "segmental instability of the lumbar spine", "spinal stability", "low back exercises", and "treatment of lumbar instability". The aforementioned key words were combined with "clinical trial" in an attempt to locate studies that were primary sources and included original data.
The clinical trials analyzed varied considerably in the type of therapeutic exercise evaluated. However, it has been demonstrated that therapeutic exercise can be beneficial in reducing pain and improving function in patients presenting with instability-related lumbar spine pain.
Although the reviewed clinical trials have demonstrated the effectiveness of therapeutic exercise in ameliorating pain and disability, the variations in methodologies of the studies reviewed makes it difficult to speculate which specific exercises would be the most beneficial.
对临床试验的系统评价。
确定治疗性运动在治疗与腰椎不稳相关的疼痛中的有效性。
腰椎节段性不稳导致背痛和残疾的发生率极高。为治疗节段性不稳而提出的大量运动方法表明，对于最有效的治疗方法缺乏共识。
检索MEDLINE（1966年至2002年4月）、护理及相关健康文献累积索引（CINAHL）（1982年至2002年4月）数据库。检索仅限于使用人类受试者且以英文发表的文章。检索所用关键词包括“腰椎稳定性”、“腰椎节段性不稳”、“脊柱稳定性”、“腰部运动”和“腰椎不稳的治疗”。上述关键词与“临床试验”相结合，试图找到作为主要来源且包含原始数据的研究。
所分析的临床试验在评估的治疗性运动类型上差异很大。然而，已证明治疗性运动对减轻与腰椎不稳相关的疼痛患者的疼痛和改善功能有益。
尽管所综述的临床试验已证明治疗性运动在减轻疼痛和残疾方面有效，但所综述研究方法的差异使得难以推测哪种特定运动最有益。
