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腰痛的康复治疗:关于急性和慢性腰痛疼痛管理与功能改善的叙述性综述

Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions.

作者信息

Pergolizzi Joseph V, LeQuang Jo Ann

机构信息

NEMA Research, Inc, Naples, FL, USA.

出版信息

Pain Ther. 2020 Jun;9(1):83-96. doi: 10.1007/s40122-020-00149-5. Epub 2020 Jan 31.

Abstract

Low back pain (LBP) is prevalent and may transition into chronic LBP (cLBP) with associated reduced quality of life, pain, and disability. Because cLBP affects a heterogenous population, rehabilitation efforts must be individualized to meet the needs of various patient populations as well as individuals. This narrative review evaluated the many approaches to LBP rehabilitation including treatment-based classifications and specific types of rehabilitation efforts from exercise and physical therapy to spinal manipulation and bracing. Clinicians caring for patients with LBP or cLBP must be aware of the various options to find the right treatment course for each patient. In many cases, with proper patient expectations and care, nonpharmacological options may suffice to manage cLBP. While there is a rightful role for analgesics in the management of LBP, nonpharmacological options should be seriously considered, as they can play an important and health-sustaining role in patient management.

摘要

下背痛(LBP)很常见,可能会转变为慢性下背痛(cLBP),并伴有生活质量下降、疼痛和残疾。由于cLBP影响的人群具有异质性,康复措施必须因人而异,以满足不同患者群体以及个体的需求。这篇叙述性综述评估了多种下背痛康复方法,包括基于治疗的分类以及从运动和物理治疗到脊柱推拿和支具等具体类型的康复措施。照顾下背痛或慢性下背痛患者的临床医生必须了解各种选择,以便为每位患者找到合适的治疗方案。在许多情况下,只要患者有合理的期望并得到适当的护理,非药物治疗方法可能足以管理慢性下背痛。虽然镇痛药在治疗下背痛方面有合理的作用,但应认真考虑非药物治疗方法,因为它们在患者管理中可以发挥重要且有益健康的作用。

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