Department of Rehabilitation Medicine, University of Washington Medical Center, Seattle, WA.
Curr Sports Med Rep. 2022 Aug 1;21(8):267-271. doi: 10.1249/JSR.0000000000000982.
The purpose of this review is to highlight the role of exercise in preventing and managing acute and chronic axial low back pain (LBP). LBP is one of the leading contributors to years lived with disability as well as health care expenditures in the United States. With an expected increase in prevalence due to an aging population, sports medicine providers have a unique opportunity to provide effective treatment strategies incorporating exercise advice and prescription. Although the majority of individuals with acute LBP will have their symptoms resolve spontaneously, almost 40% will have recurrence or develop chronic LBP within 1 year. No single exercise method has been shown to be more effective than another. The evidence for walking programs, aerobic exercise, yoga, Pilates, and tai chi for LBP is discussed. Our review summarizes the beneficial role of a personalized exercise program and related counseling strategies in the prevention and management of LBP.
本综述的目的在于强调运动在预防和治疗急性和慢性轴向腰痛（LBP）中的作用。腰痛是导致美国残疾年数和医疗保健支出的主要原因之一。由于人口老龄化，预计腰痛的患病率将会增加，因此运动医学提供者有机会提供有效的治疗策略，包括运动建议和处方。尽管大多数急性腰痛患者的症状会自行缓解，但近 40%的患者在 1 年内会复发或发展为慢性腰痛。没有哪种单一的运动方法被证明比其他方法更有效。本文讨论了步行计划、有氧运动、瑜伽、普拉提和太极在腰痛中的应用。我们的综述总结了个性化运动计划和相关咨询策略在预防和管理腰痛中的有益作用。
