Frizziero Antonio, Pellizzon Giacomo, Vittadini Filippo, Bigliardi Davide, Costantino Cosimo
Department of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Centro di Medicina Spa, 31020 Villorba, Italy.
J Funct Morphol Kinesiol. 2021 Apr 22;6(2):37. doi: 10.3390/jfmk6020037.
(1) Background: Management of chronic low back pain (cLBP) is often multidisciplinary, involving a combination of treatments, including therapeutic exercises. Core stability exercises aim to improve pain and disability in cLBP increasing spinal stability, neuromuscular control, and preventing shear force that causes injury to the lumbar spine. The purpose of this study was to review the available evidence about the effectiveness in reducing pain and improving disability of core stability exercises for non-specific cLBP. (2) Methods: We perform a systematic research on common Medline databases: PubMed, Pedro, and Cochrane Library. Search results were limited to articles written in English and published between January 2005 and November 2020.The search provided a total of 420 articles. Forty-nine articles met the inclusion criteria and 371 articles were excluded. (3) Results: Core stability provides great therapeutic effects in patients with non-specific chronic low back pain reducing pain intensity, functional disability, and improving quality of life, core muscle activation, and thickness. Evidences suggest that core stability is more effective than rest or no/minimal intervention and combination with other types of exercise for cLBP have shown grater efficacy. (4) Conclusion: Core stability could be proposed in a comprehensive approach in cLBP, the combination with other modalities of therapeutic exercise should be promoted. Patient compliance is crucial to determine the efficacy of the intervention.
(1) 背景：慢性下腰痛（cLBP）的管理通常是多学科的，涉及多种治疗方法的组合，包括治疗性锻炼。核心稳定性锻炼旨在改善cLBP患者的疼痛和功能障碍，增强脊柱稳定性、神经肌肉控制能力，并防止导致腰椎损伤的剪切力。本研究的目的是回顾关于核心稳定性锻炼对非特异性cLBP减轻疼痛和改善功能障碍有效性的现有证据。(2) 方法：我们对常见的医学文献数据库进行了系统检索：PubMed、Pedro和Cochrane图书馆。检索结果仅限于2005年1月至2020年11月期间发表的英文文章。检索共得到420篇文章。49篇文章符合纳入标准，371篇文章被排除。(3) 结果：核心稳定性锻炼对非特异性慢性下腰痛患者具有显著的治疗效果，可减轻疼痛强度、改善功能障碍，并提高生活质量、激活核心肌肉和增加肌肉厚度。证据表明，核心稳定性锻炼比休息或无干预/极少干预更有效，并且与其他类型的锻炼相结合对cLBP显示出更大的疗效。(4) 结论：在cLBP的综合治疗方法中可推荐核心稳定性锻炼，应提倡将其与其他治疗性锻炼方式相结合。患者的依从性对于确定干预效果至关重要。
