Tilscher H
Ludwig-Boltzmann-Institut für konservative Orthopädie, Wien.
Wien Med Wochenschr. 1993;143(10):274-7.
The increasing number of people suffering from vertebral column disorders, despite great progress having been made in both diagnosis and treatment, shows the necessity of an effective prophylaxis. The therefore requisite recognition, generally and from case to case, of pathogenic factors, is of essential importance. Influencing prevailing physical conditions such as static, dynamic, muscular and other functional factors by appropriate, drilled exercises, takes priority. Later, correction and instruction for day to day living, such as standing, walking, sitting down, sitting, lifting, carrying and lying correctly, is of equal importance to taking into consideration the possible harmful effects at the place of work, and of sport and also psychosomatic mechanism. The problem with the prophylaxis is that the activities listed should be carried out all life long, but the effects, particularly by primary prevention, cannot be seen till later.
尽管在脊柱疾病的诊断和治疗方面已经取得了很大进展，但脊柱疾病患者的数量仍在增加，这表明进行有效预防的必要性。因此，从总体上和逐案识别致病因素至关重要。优先考虑通过适当的、有针对性的锻炼来影响当前的身体状况，如静态、动态、肌肉和其他功能因素。随后，对日常生活中的姿势进行纠正和指导，如正确站立、行走、坐下、就坐、提举、搬运和躺卧，与考虑工作场所、运动以及身心机制可能产生的有害影响同样重要。预防的问题在于，上述活动应终身进行，但效果，尤其是一级预防的效果，要到后期才能显现。
