Twomey L, Taylor J
Curtin University of Technology, Perth, Western Australia.
Spine (Phila Pa 1976). 1995 Mar 1;20(5):615-9. doi: 10.1097/00007632-199503010-00021.
Current research clearly indicates the importance of exercise and mobility in the treatment of low back pain and also that bed rest and inactivity should play a relatively small part in treatment. The use of intensive, physical exercise and "work hardening" routines have been shown to be necessary for treating chronic low back pain and returning individuals to work. Evidence derived from valid clinical studies of the use of manipulation in the treatment of low back pain shows a role for it in the acute treatment of "mechanical" low back disorders. These studies have demonstrated that manipulative procedures result in more rapid pain and functional relief compared with other conservative therapies. Over a longer time frame, this advantage disappears.
当前的研究清楚地表明了运动和活动能力在腰痛治疗中的重要性，同时也表明卧床休息和不活动在治疗中应占相对较小的比重。事实证明，采用强化体育锻炼和“工作强化训练”程序对于治疗慢性腰痛并使患者恢复工作是必要的。从关于手法治疗腰痛的有效临床研究中获得的证据表明，手法治疗在“机械性”下腰痛疾病的急性治疗中具有作用。这些研究表明，与其他保守疗法相比，手法治疗程序能更快地缓解疼痛和改善功能。从更长的时间范围来看，这种优势会消失。
