BEx@SportSc (Hons), PhD, Dean@s Postdoctoral Research Fellow, Deakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Vic.
MAppSc (ExRehab), GCertHELT, PhD, ESSAM, Lecturer in Clinical Exercise Physiology, Deakin University, Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Vic; Accredited Exercise Physiologist, Deakin University, IPAN, School of Exercise and Nutrition Sciences, Vic.
Aust J Gen Pract. 2021 Mar;50(3):144-147. doi: 10.31128/AJGP-03-20-5276.
Worldwide, low back pain (LBP) is the leading cause of disability and affects 16% of the Australian population. Pain that lasts more than 12 weeks and is presumed lumbar musculoskeletal in origin is deemed non-specific chronic LBP. Managing LBP requires a multidisciplinary approach.
The aim of this article is to provide evidence for incorporating exercise training into the multidisciplinary treatment plans of patients with non‑specific chronic LBP.
There is mounting evidence in support of the integration of exercise training for the multidisciplinary treatment of non specific chronic LBP. Clinically meaningful reductions in pain intensity may be achieved with Pilates, aerobic, stabilisation/motor control and resistance exercise training. Clinically meaningful reductions in disability may be attained with resistance, stabilisation/motor control, water-based, Pilates and yoga exercise. Resistance and aerobic exercise can also improve mental health in this susceptible population group. The evidence suggests it is reasonable to consider including exercise-based services in the care team to enable patients with non-specific chronic LBP to transition to self-management.
在全球范围内，下背痛（LBP）是导致残疾的主要原因，影响了 16%的澳大利亚人口。持续时间超过 12 周且被认为起源于腰椎肌肉骨骼的疼痛被认为是非特异性慢性 LBP。管理 LBP 需要多学科方法。
本文旨在为将运动训练纳入非特异性慢性 LBP 患者的多学科治疗计划提供证据。
越来越多的证据支持将运动训练整合到非特异性慢性 LBP 的多学科治疗中。通过普拉提、有氧运动、稳定/运动控制和阻力运动训练，可以实现疼痛强度的临床显著降低。通过阻力、稳定/运动控制、水上、普拉提和瑜伽运动训练可以实现残疾程度的临床显著降低。阻力和有氧运动也可以改善这一易感人群群体的心理健康。证据表明，考虑将基于运动的服务纳入护理团队是合理的，以使患有非特异性慢性 LBP 的患者能够过渡到自我管理。
