J Orthop Sports Phys Ther. 2019 Jun;49(6):425-436. doi: 10.2519/jospt.2019.8825. Epub 2019 May 15.
Although biomechanics plays a role in the development and perhaps the persistent or recurrent nature of low back pain (LBP), whether biomechanics alone can provide the basis for intervention is debated. Biomechanics, which refers to the mechanics of the body, including its neuromuscular control, has been studied extensively in LBP. But, can gains be made in understanding LBP by research focused on this component of biology in the multifactorial biopsychosocial problem of LBP? This commentary considers whether biomechanics research has the potential to advance treatment of LBP, and how likely it is that this research will lead to better treatment strategies. A point-counterpoint format is taken to present both sides of the argument. First, the challenges faced by an approach that considers biomechanics in isolation are presented. Next, we describe 3 models that place substantial emphasis on biomechanical factors. Finally, reactions to each point are presented as a foundation for further research and clinical practice to progress understanding of the place for biomechanics in guiding treatment of LBP. .
尽管生物力学在腰痛（LBP）的发展中发挥作用，也许在持续或反复发生的性质中发挥作用，但生物力学是否可以单独为干预提供依据仍存在争议。生物力学是指身体的力学，包括其神经肌肉控制，在 LBP 中已经进行了广泛的研究。但是，通过专注于 LBP 的这种生物学组成部分的研究，是否可以在理解 LBP 方面取得进展，从而制定出更好的治疗策略？本评论探讨了生物力学研究是否有可能推进腰痛的治疗，以及这种研究是否有可能导致更好的治疗策略。采用正反观点的形式来呈现争论的双方。首先，提出了一种单独考虑生物力学的方法所面临的挑战。接下来，我们描述了 3 个模型，这些模型都非常强调生物力学因素。最后，针对每一点提出了反应，为进一步的研究和临床实践提供了基础，以加深对生物力学在指导腰痛治疗中的作用的理解。
