Department of Sport Rehabilitation, Shanghai University of Sport, Shanghai, China.
PLoS One. 2012;7(12):e52082. doi: 10.1371/journal.pone.0052082. Epub 2012 Dec 17.
OBJECTIVE: To review the effects of core stability exercise or general exercise for patients with chronic low back pain (LBP). SUMMARY OF BACKGROUND DATA: Exercise therapy appears to be effective at decreasing pain and improving function for patients with chronic LBP in practice guidelines. Core stability exercise is becoming increasingly popular for LBP. However, it is currently unknown whether core stability exercise produces more beneficial effects than general exercise in patients with chronic LBP. METHODS: Published articles from 1970 to October 2011 were identified using electronic searches. For this meta-analysis, two reviewers independently selected relevant randomized controlled trials (RCTs) investigating core stability exercise versus general exercise for the treatment of patients with chronic LBP. Data were extracted independently by the same two individuals who selected the studies. RESULTS: From the 28 potentially relevant trials, a total of 5 trials involving 414 participants were included in the current analysis. The pooling revealed that core stability exercise was better than general exercise for reducing pain [mean difference (-1.29); 95% confidence interval (-2.47, -0.11); P = 0.003] and disability [mean difference (-7.14); 95% confidence interval (-11.64, -2.65); P = 0.002] at the time of the short-term follow-up. However, no significant differences were observed between core stability exercise and general exercise in reducing pain at 6 months [mean difference (-0.50); 95% confidence interval (-1.36, 0.36); P = 0.26] and 12 months [mean difference (-0.32); 95% confidence interval (-0.87, 0.23); P = 0.25]. CONCLUSIONS: Compared to general exercise, core stability exercise is more effective in decreasing pain and may improve physical function in patients with chronic LBP in the short term. However, no significant long-term differences in pain severity were observed between patients who engaged in core stability exercise versus those who engaged in general exercise. SYSTEMATIC REVIEW REGISTRATION: http://www.crd.york.ac.uk/PROSPERO PROSPERO registration number: CRD42011001717.
目的：综述核心稳定性练习或一般运动对慢性下背痛（LBP）患者的影响。
背景资料概要：在实践指南中，运动疗法似乎对慢性 LBP 患者的疼痛缓解和功能改善有效。核心稳定性练习在 LBP 中越来越受欢迎。然而，目前尚不清楚核心稳定性练习是否比一般运动对慢性 LBP 患者产生更有益的效果。
方法：使用电子检索从 1970 年到 2011 年 10 月发表的文章。对于这项荟萃分析，两位审查员独立选择了有关核心稳定性练习与一般运动治疗慢性 LBP 患者的相关随机对照试验（RCT）。数据由同一两位选择研究的人员独立提取。
结果：从 28 项潜在相关试验中，共有 5 项涉及 414 名参与者的试验被纳入当前分析。汇总结果表明，核心稳定性练习在短期随访时比一般运动更能减轻疼痛[平均差异（-1.29）；95%置信区间（-2.47，-0.11）；P=0.003]和残疾[平均差异（-7.14）；95%置信区间（-11.64，-2.65）；P=0.002]。然而，在 6 个月[平均差异（-0.50）；95%置信区间（-1.36，0.36）；P=0.26]和 12 个月[平均差异（-0.32）；95%置信区间（-0.87，0.23）；P=0.25]时，核心稳定性练习与一般运动在减轻疼痛方面无显著差异。
结论：与一般运动相比，核心稳定性练习在短期内更能有效减轻疼痛，并可能改善慢性 LBP 患者的身体功能。然而，在接受核心稳定性练习与接受一般运动的患者之间，在疼痛严重程度方面未观察到长期的显著差异。
系统评价注册：http://www.crd.york.ac.uk/PROSPERO PROSPERO 注册号：CRD42011001717.
J Athl Train. 2017-1
Cochrane Database Syst Rev. 2014-3-14
Cochrane Database Syst Rev. 2013-8-1
J Athl Train. 2011
Medicine (Baltimore). 2018-9
Medicine (Baltimore). 2019-11
Bioengineering (Basel). 2025-8-10
J Med Assoc Thai. 2011-5
Int J Gynaecol Obstet. 2011-4-1
J Bodyw Mov Ther. 2011-1
Clinics (Sao Paulo). 2010
J Electromyogr Kinesiol. 2010-12
Spine (Phila Pa 1976). 2010-7-15
Zotero 插件
