Bochdansky T, Zauner-Dungl A
Universitätsklinik für Physikalische Medizin und Rehabilitation, Wien.
Wien Med Wochenschr. 1994;144(24):605-9.
In Physical Medicine and Rehabilitation structural and functional disorders in the genesis of back pain are of great importance. From an epidemiological point of view this has great consequences. Active and passive forms of physical therapy are available. Assuming that the intradiscal pressure has an influence on the origin of back pain, the aim of physiotherapy has to be that any movement of the vertebral column has to be controlled with a minimum of muscular contraction. Passive forms of physical therapy like heat and cold, electrotherapy or mechanotherapy have a reflective reaction beside a physical effect. Sometimes a combination of active and passive forms are of benefit. Every treatment concept has to pay regard to the actuality of pain, the load of every day life and the physical and social situation of the patient. Last but not least one has to learn to cope with the pain.
在物理医学与康复领域，背痛成因中的结构和功能紊乱至关重要。从流行病学角度来看，这会产生重大影响。有主动和被动两种形式的物理治疗方法。假设椎间盘内压力对背痛的起因有影响，那么物理治疗的目标就必须是，以最少的肌肉收缩来控制脊柱的任何活动。诸如热疗、冷疗、电疗或机械疗法等被动物理治疗形式，除了物理作用外，还会产生反射性反应。有时主动和被动形式相结合会有帮助。每个治疗方案都必须考虑到疼痛的现状、日常生活的负荷以及患者的身体和社会状况。最后但同样重要的是，患者必须学会应对疼痛。
