Bitenc-Jasiejko Aleksandra, Konior Krzysztof, Lietz-Kijak Danuta
Department of Propedeutics, Physical Diagnostics and Dental Physiotherapy, Pomeranian Medical University in Szczecin, Szczecin, Poland.
Medical Center in Nowogard, Nowogard, Poland.
Pain Res Manag. 2020 Mar 19;2020:3967414. doi: 10.1155/2020/3967414. eCollection 2020.
. Lower back pain (LBP) is almost a problem of civilizations. Quite often, it is a consequence of many years of disturbed distribution of tension within the human body caused by local conditions (injuries, hernias, stenoses, spondylolisthesis, cancer, etc.), global factors (postural defects, structural integration disorders, lifestyle, type of activity, etc.), or systemic diseases (connective tissue, inflammation, tumours, abdominal aneurysm, and kidney diseases, including urolithiasis, endometriosis, and prostatitis). Therefore, LBP rehabilitation requires the use of integrated therapeutic methods, combining the competences of interdisciplinary teams, both in the process of diagnosis and treatment. . Given the above, the authors of the article conducted meta-analysis of the literature in terms of integrated therapeutic methods, indicating the techniques focused on a holistic approach to the patient. The aim of the article is to provide the reader with comprehensive knowledge about treating LBP using noninterventional methods. . An extensive search for the materials was conducted online using PubMed, the Cochrane database, and Embase. The most common noninterventional methods have been described, as well as the most relevantly updated and previously referenced treatment of LBP. The authors also proposed noninvasive (measurable) diagnostic procedures for the functional assessment of the musculoskeletal system, including initial, systematic, and cross-sectional control. All figures and images have been prepared by the authors and are their property.
This review article goes beyond combining a detailed description of each procedure with full references, as well as a comprehensive discussion of this very complex and troublesome problem.
Lower back pain is a serious health problem, and this review article will help educate physicians and physiotherapists dealing with LBP in the options of evidence-based treatment. Ultimately, the article introduces and postulates the need to systematize therapeutic procedures in LBP therapy, with a long-term perspective.
下背痛（LBP）几乎是一个文明社会的问题。通常情况下，它是由局部状况（损伤、疝气、狭窄、椎体滑脱、癌症等）、全局因素（姿势缺陷、结构整合障碍、生活方式、活动类型等）或全身性疾病（结缔组织病、炎症、肿瘤、腹主动脉瘤以及肾脏疾病，包括尿路结石、子宫内膜异位症和前列腺炎）导致人体多年来张力分布紊乱的结果。因此，下背痛的康复需要在诊断和治疗过程中运用综合治疗方法，整合跨学科团队的专业能力。
鉴于上述情况，本文作者对有关综合治疗方法的文献进行了荟萃分析，指出了注重对患者采取整体治疗方法的技术。本文旨在为读者提供关于使用非介入性方法治疗下背痛的全面知识。
通过在线使用PubMed、Cochrane数据库和Embase对资料进行了广泛检索。描述了最常见的非介入性方法以及对下背痛最相关的最新和先前引用的治疗方法。作者还提出了用于肌肉骨骼系统功能评估的非侵入性（可测量）诊断程序，包括初始、系统和横断面控制。所有图表和图像均由作者制作并归其所有。
这篇综述文章不仅详细描述了每个程序并给出了完整参考文献，还对这个非常复杂且棘手的问题进行了全面讨论。
下背痛是一个严重的健康问题，这篇综述文章将有助于教育处理下背痛的医生和物理治疗师了解循证治疗的选择。最终，本文从长远角度介绍并提出了在下背痛治疗中使治疗程序系统化的必要性。
