Sawyer M, Zbieranek C K
Clin Sports Med. 1986 Apr;5(2):387-405.
There are a number of modalities available for the treatment of soft tissue that are applicable to spinal injuries. Each has a long history of use; however, there is relatively little scientific data to support the effects often seen in the clinical setting. Only through careful evaluation and specific diagnosis can these methods of treatment be utilized to their fullest potential. The underlying pathology must always be addressed as well as its soft-tissue manifestations. Direct treatment of the mechanical derangement must take precedence when such conditions exist. The total treatment must incorporate patient education in posture and positioning as well as prophylactic measures. In later stages of rehabilitation, a general strengthening program to further prevent reinjury should be embarked upon. It must always be remembered that treatment of soft tissue alone rarely provides long-lasting relief of symptoms.
有多种可用于治疗软组织的方法适用于脊柱损伤。每种方法都有悠久的使用历史；然而，相对而言，支持临床中常见效果的科学数据较少。只有通过仔细评估和明确诊断，这些治疗方法才能发挥最大潜力。必须始终解决潜在的病理学问题及其软组织表现。当存在此类情况时，必须优先直接治疗机械性紊乱。整个治疗必须包括对患者进行姿势和体位教育以及预防措施。在康复后期，应开展全面的强化计划以进一步预防再次受伤。必须始终牢记，仅治疗软组织很少能长期缓解症状。
