Schönle C
Fachklinik Aukrug.
Gesundheitswesen. 1993 May;55(5):227-33.
A review of literature concerning the conservative treatment of low back pain shows that none of the different therapies is favoured. Modern conservative treatment of chronic low back pain starts with an accurate diagnosis. As a frequent cause of low back pain the instability of a spine segment following an intervertebral disc degeneration is identified. If the pathogenesis of the pain is clear, the treatment of low back pain consists of individual positioning and extension, isokinetic training, special physiotherapy, body building, physical therapy, including parts of the back school. An intensive daily training programme which consist of training of muscle endurance and muscle strength, and includes moreover education and training regarding spine function and body mechanics, as well as psychological intervention, seems to be successful.
一项关于腰痛保守治疗的文献综述表明，没有一种不同的疗法受到青睐。慢性腰痛的现代保守治疗始于准确的诊断。作为腰痛的常见原因，椎间盘退变后脊柱节段的不稳定被识别出来。如果疼痛的发病机制明确，腰痛的治疗包括个体定位和伸展、等速训练、特殊物理治疗、健身、物理疗法，包括部分脊柱康复训练。一个强化的日常训练计划，包括肌肉耐力和肌肉力量的训练，此外还包括关于脊柱功能和身体力学的教育和训练，以及心理干预，似乎是成功的。
