Chang Wen-Dien, Lin Hung-Yu, Lai Ping-Tung
Department of Sports Medicine, China Medical University, Taiwan.
Department of Occupational Therapy, I-Shou University, Taiwan.
J Phys Ther Sci. 2015 Mar;27(3):619-22. doi: 10.1589/jpts.27.619. Epub 2015 Mar 31.
[Purpose] Through core strength training, patients with chronic low back pain can strengthen their deep trunk muscles. However, independent training remains challenging, despite the existence of numerous core strength training strategies. Currently, no standardized system has been established analyzing and comparing the results of core strength training and typical resistance training. Therefore, we conducted a systematic review of the results of previous studies to explore the effectiveness of various core strength training strategies for patients with chronic low back pain. [Methods] We searched for relevant studies using electronic databases. Subsequently, we evaluated their quality by analyzing the reported data. [Results] We compared four methods of evaluating core strength training: trunk balance, stabilization, segmental stabilization, and motor control exercises. According to the results of various scales and evaluation instruments, core strength training is more effective than typical resistance training for alleviating chronic low back pain. [Conclusion] All of the core strength training strategies examined in this study assist in the alleviation of chronic low back pain; however, we recommend focusing on training the deep trunk muscles to alleviate chronic low back pain.
[目的] 通过核心力量训练,慢性下腰痛患者可增强其躯干深层肌肉力量。然而,尽管存在众多核心力量训练策略,但独立训练仍具有挑战性。目前,尚未建立起分析和比较核心力量训练与典型抗阻训练结果的标准化体系。因此,我们对既往研究结果进行了系统综述,以探讨各种核心力量训练策略对慢性下腰痛患者的有效性。[方法] 我们使用电子数据库检索相关研究。随后,通过分析所报告的数据对其质量进行评估。[结果] 我们比较了四种评估核心力量训练的方法:躯干平衡、稳定、节段稳定和运动控制练习。根据各种量表和评估工具的结果,核心力量训练在缓解慢性下腰痛方面比典型抗阻训练更有效。[结论] 本研究中所考察的所有核心力量训练策略均有助于缓解慢性下腰痛;然而,我们建议着重训练躯干深层肌肉以缓解慢性下腰痛。