Reitman C, Esses S I
Baylor College of Medicine, Houston, Texas, USA.
Am J Orthop (Belle Mead NJ). 1995 Feb;24(2):109-16.
Current literature does not support the efficacy of solitary use of energy-transfer therapies, such as ice or heat treatments, or electrotherapy, for the treatment of idiopathic back pain. Bed rest does not alter the natural history of back pain, and in fact can be detrimental to optimal recovery. Mechanical therapies, such as traction and orthoses, have limited usefulness. Although orthoses do not appear to weaken the trunk, they also do not appear to alter posture out of the brace, do not consistently diminish back muscle action during activities, and do not immobilize the spine. There have been no conclusive studies to substantiate the solitary use of any of these forms of treatment, although some may be beneficial at times in an adjunctive role.
当前文献并不支持单独使用能量转移疗法（如冰敷或热敷治疗、电疗法）来治疗特发性背痛的疗效。卧床休息并不会改变背痛的自然病程，实际上可能对最佳恢复不利。机械疗法，如牵引和矫形器，作用有限。虽然矫形器似乎不会削弱躯干，但它们也似乎不会改变在支具外的姿势，在活动期间不会持续减少背部肌肉的活动，也不会固定脊柱。尽管有些治疗方式有时可能起到辅助作用，但尚无确凿研究证实单独使用这些治疗方式中的任何一种的效果。
