Ernst E, Fialka V
Klinik für Physikalische Medizin und Rehabilitation, Universität Wien.
Fortschr Med. 1993 Jul 20;111(20-21):347-9.
Physical exercise is accepted by many as the first line of treatment of low back pain. Nevertheless, hard data published so far have failed to demonstrate its benefit as clearly as we would wish. A wealth of exercise programs is available that escape systematic classification. The authors differentiate between general endurance training, and stretching, flexion and extension exercises. Whether endurance training is of benefit has not yet been unequivocally established. In contrast, stretching exercises have been shown to be effective. Flexion exercises have both proponents and opponents, while most randomized studies on extension exercises appear to demonstrate their effectiveness. Thus, physical exercise may be considered, at least in part, an effective form of treatment. Further research is needed to define the optimal exercise program for the individual patient as accurately as possible.
体育锻炼被许多人视为腰痛的一线治疗方法。然而，迄今为止公布的确凿数据未能像我们期望的那样清楚地证明其益处。有大量的锻炼项目，但缺乏系统分类。作者区分了一般耐力训练以及伸展、屈伸练习。耐力训练是否有益尚未得到明确证实。相比之下，伸展练习已被证明是有效的。屈伸练习既有支持者也有反对者，而大多数关于伸展练习的随机研究似乎都证明了其有效性。因此，体育锻炼至少在一定程度上可被视为一种有效的治疗形式。需要进一步研究以尽可能准确地为个体患者确定最佳锻炼方案。
