专题

非特异性腰痛患者主动运动康复的研究进展

  • 李嘉玉 ,
  • 郭瑜洁
展开
  • 南通大学护理学院,江苏南通市 226001
李嘉玉(1992-),女,汉族,江苏南通市人,硕士研究生,护师,主要研究方向:康复护理。

收稿日期: 2019-01-18

  修回日期: 2019-02-18

  网络出版日期: 2019-04-24

基金资助

国家社会科学基金项目(No. 15BSH124)

Advance in Exercise Rehabilitation for Nonspecific Low Back Pain (review)

  • LI Jia-yu ,
  • GUO Yu-jie
Expand
  • School of Nursing, Nantong University, Nantong, Jiangsu 226001, China

Received date: 2019-01-18

  Revised date: 2019-02-18

  Online published: 2019-04-24

Supported by

National Social Science Fund of China (No. 15BSH124)

摘要

非特异性腰痛是全球疾病负担的主要影响因素,且所有年龄段人群均可能受其影响。作为全球公认的腰痛治疗管理的关键策略,运动康复受到各临床实践指南的一致推荐。但指南并未对非特异性腰痛患者运动康复的最佳运动类型、运动强度、运动频率、持续时间做出明确表示。未来应突出运动康复方案的设计特征,明确受益于特定运动康复方案的患者亚群,积极开发和推广各种有效且更具成本效益的运动康复方案,促进非特异性腰痛患者进行主动运动康复。

本文引用格式

李嘉玉 , 郭瑜洁 . 非特异性腰痛患者主动运动康复的研究进展[J]. 中国康复理论与实践, 2019 , 25(4) : 396 -400 . DOI: 10.3969/j.issn.1006-9771.2019.04.006

Abstract

Nonspecific low back pain is a major contributor to disease burden worldwide and may affect people of all ages. As a key strategy in the management of low back pain, exercise rehabilitation has been unanimously recommended by several clinical practice guidelines. However, the guidelines didn't make it clear that the most optimum types, intensity, frequency and duration of exercise rehabilitation for patients with nonspecific low back pain. In the future, researchers should highlight the design of the exercise program, identify the patient subsets benefiting from specific exercise programs, exploit and popularize more effective and cost-effective exercise programs and promote active exercise in the patients with nonspecific low back pain to achieve complete rehabilitation.

参考文献

[1] ViolanteF S, MattioliS, BonfiglioliR. Low-back pain [J]. Handb Clin Neurol, 2015, 131(3): 397-410.
[2] 中国康复医学会脊柱脊髓专业委员会专家组. 中国急/慢性非特异性腰背痛诊疗专家共识[J]. 中国脊柱脊髓杂志, 2016, 26(12): 1134-1138.
[3] HoyD, BainC, WilliamsG, et al. A systematic review of the global prevalence of low back pain [J]. Arthritis Rheum, 2012, 64(6): 2028-2037.
[4] ChouR, FuR, CarrinoJ A. Imaging strategies for low-back pain: systematic review and meta-analysis [J]. Lancet, 2009, 373(9662): 463-472.
[5] GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and incidencenational, prevalence, and years lived with disability for310diseases and injuries, 1990-2015a systematic analysis for the Global Burden of Disease Study 2015[J]. Lancet,2016, 388(10053): 1545-1602.
[6] AlmeidaM, SaragiottoB, RichardsB, et al. Primary care management of non-specific low back pain: key messages from recent clinical guidelines [J]. Med J Aust, 2018, 208(6): 272-275.
[7] National Institute for Health and Clinical Excellence (NICE). Low back pain and sciatica in over16s: Assessment and management [EB/OL]. (2016-11-30). https://www.nice.org.uk/guidance/ng59.
[8] HaydenJ A, Van TulderM W, MalmivaaraA, et al. Exercise therapy for treatment of non-specific low back pain [J]. Cochrane Database Syst Rev, 2005, 20(3): CD000335.
[9] OliveiraC B, MaherC G, PintoR Z, et al. Clinical Practice Guidelines for the Management of Non-specific Low Back Pain in Primary Care: an updated overview [J]. Eur Spine J, 2018, 27(11): 2791-2803.
[10] StaalJ B, HlobilH, TwiskJ W, et al. Graded activity for low back pain in occupational health care: a randomized, controlled trial [J]. Ann Intern Med, 2004, 140(2): 77-84.
[11] 杨静宜. 对运动疗法分类和专用术语的意见和建议[J]. 中国康复医学杂志, 2005, 20(5): 371-373.
[12] AndersonB E, Huxel BlivenK C. The use of breathing exercises in the treatment of chronic, non-specific low back pain [J]. J Sport Rehabil, 2016, 26(5): 452-458.
[13] IrandoustK, TaheriM. The effects of aquatic exercise on body composition and nonspecific low back pain in elderly males [J]. J Phys Ther Sci, 2015, 27(2): 433-435.
[14] 樊卫星. 长期太极拳训练周期对中老年腰肌劳损患者艾灸治疗效果的影响[J]. 中国老年学杂志, 2018, 38(5): 1136-1137.
[15] 朱鹏展. 易筋经锻炼在骨科疾病治疗中的应用[J]. 北京中医药, 2017, 36(9): 859-860.
[16] 裘鹏. 普拉提运动对非特异性下腰痛老年患者的干预效果[J]. 中国老年学杂志, 2014, (9): 2549-2551.
[17] WielandL S, SkoetzN, PilkingtonK, et al. Yoga treatment for chronic non-specific low back pain [J]. Cochrane Database Syst Rev, 2017, 12(1): CD010671.
[18] HuH, ZhengY, WangX, et al. Correlations between lumbar neuromuscular function and pain, lumbar disability in patients with nonspecific low back pain: a cross-sectional study [J]. Medicine (Baltimore), 2017, 96(36): e7991.
[19] 于瑞,王楚怀,潘翠环,等. 悬吊运动疗法治疗慢性非特异性下腰痛后站立位腰屈伸运动表面肌电信号的变化[J]. 中国康复理论与实践, 2015, 21(8): 943-946.
[20] 童艳,郭险峰,张兰,等. 脊柱功能评估训练系统用于非特异性腰痛治疗的研究[J]. 中国康复医学杂志, 2010, 25(12): 1161-1165.
[21] MacedoL G, SaragiottoB T, YamatoT P, et al. Motor Control Exercise for Acute Non-specific Low Back Pain (review) [M]. John Wiley & Sons, Ltd., 2016.
[22] NiedererD, VogtL, WippertP M, et al. Medicine in spine exercise (MiSpEx) for nonspecific low back pain patients: study protocol for a multicentre, single-blind randomized controlled trial [J]. Trials, 2016, 17: 507.
[23] KuukkanenT, MälkiäE. Effects of a three-month therapeutic exercise programme on flexibility in subjects with low back pain [J]. Physiother Res Int, 2010, 5(1): 46-61.
[24] HelmhoutP H, HartsC C, StaalJ B, et al. Comparison of a high-intensity and a low-intensity lumbar extensor training program as minimal intervention treatment in low back pain: a randomized trial [J]. Eur Spine J, 2004, 13(6): 537-547.
[25] GordonR, BloxhamS. A systematic review of the effects of exercise and physical activity on non-specific chronic low back pain [J]. Healthcare (Basel), 2016, 4(2): 22.
[26] HoffmanM D, ShepanskiM A, MackenzieS P, et al. Experimentally induced pain perception is acutely reduced by aerobic exercise in people with chronic low back pain [J]. J Rehabil Res Dev, 2005, 42(2): 183-190.
[27] Carol EwingG, BryanB, DeschenesM R, et al. American college of sports medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise [J]. Med Sci Sports Exerc, 2011, 43(7): 1334-1359.
[28] HenchozY, KailikS A. Exercise and nonspecific low back pain: a literature review [J]. Joint Bone Spine, 2008, 75(5): 533-539.
[29] RainvilleJ, JouveC A, HartiganC, et al. Comparison of short- and long-term outcomes for aggressive spine rehabilitation delivered two versus three times per week [J]. Spine J, 2002, 2(6): 402-407.
[30] SavignyP, WatsonP, UnderwoodM. Early management of persistent non-specific low back pain: summary of NICE guidance [J]. BMJ, 2009, 338: b1805.
[31] ListedN. Physical Activity Guidelines Advisory Committee report, 2008. To the secretary of health and human services. Part a: executive summary [J]. Nutr Rev, 2009, 67(2): 114-120.
[32] JenkinsonC, CoulterA, GyllR, et al. Measuring the experiences of health care for patients with musculoskeletal disorders (MSD): development of the Picker MSD questionnaire [J]. Scand J Caring Sci, 2010, 16(3): 329-333.
[33] FroudR, PatelS, RajendranD, et al. A systematic review of outcome measures use, analytical approaches, reporting methods, and publication volume by year in low back pain trials published between 1980 and 2012: respice, adspice, et prospice [J]. PLoS One, 2016, 11(10): e0164573.
[34] ChiarottoA, OsteloR W, BoersM, et al. A systematic review highlights the need to investigate the content validity of patient-reported outcome measures for physical functioning in low back pain [J]. J Clin Epidemiol, 2018, 3(95): 73-93.
[35] ChiarottoA, MaxwellL J, TerweeC B, et al. Roland-Morris disability questionnaire and Oswestry Disability Index: Which has better measurement properties for measuring physical functioning in nonspecific low back pain? A systematic review and meta-analysis [J]. Phys Ther, 2016, 96(10): 1620.
[36] FritzJ M, IrrgangJ J. A comparison of a modified Oswestry Low Back Pain Disability Questionnaire and the Quebec Back Pain Disability Scale [J]. Phys Ther, 2001, 81(2): 776-788.
[37] DeyoR A, DworkinS F, AmtmannD, et al. Focus article: report of the NIH task force on research standards for chronic low back pain [J]. Eur Spine J, 2014, 23(10): 2028-2045.
[38] Robinson-PappJ, GeorgeM C, DorfmanD, et al. Barriers to chronic pain measurement: a qualitative study of patient perspectives [J]. Pain Med, 2015, 16(7): 1256-1264.
[39] LauridsenH H, MannicheC, KorsholmL, et al. What is an acceptable outcome of treatment before it begins? Methodological considerations and implications for patients with chronic low back pain [J]. Eur Spine J, 2009, 18(12): 1858-1866.
[40] AskewR L, CookK F, RevickiD A, et al. Clinical validity of PROMIS (®) Pain Interference and pain behavior in diverse clinical populations [J]. J Clin Epidemiol, 2016, 3(73): 103-111.
[41] KeanJ, MonahanP O, KroenkeK, et al. Comparative responsiveness of the PROMIS Pain Interference short forms, Brief Pain Inventory, PEG, and SF-36 Bodily Pain subscale [J]. Med Care, 2016, 54(4): 414-421.
[42] ShawW S, HartvigsenJ, WoiszwilloM J, et al. Psychological distress in acute low back pain: a review of measurement scales and levels of distress reported in the first two months after pain onset [J]. Arch Phys Med Rehabil, 2016, 97(9): 1573-1587.
[43] ChapmanJ R, NorvellD C, HermsmeyerJ T, et al. Evaluating common outcomes for measuring treatment success for chronic low back pain [J]. Spine, 2011, 36(21 Suppl): S54-S68.
[44] TurkD C, DworkinR H, TrudeauJ J, et al. Validation of the hospital anxiety and depression scale in patients with acute low back pain [J]. J Pain, 2012, 13(4): 1012-1021.
[45] SmithC, GrimmersomersK. The treatment effect of exercise programmes for chronic low back pain [J]. J Eval Clin Pract, 2010, 16(3): 484-491.
[46] 燕铁斌,陈文华,冯珍,等. 中国康复治疗师规范化培训专家共识[J]. 中国康复医学杂志, 2017, (10): 1095-1097.
[47] 燕铁斌,陈文华. 中国康复治疗师岗位能力考核与培训制度专家共识[J]. 中国康复医学杂志, 2018, 33(6): 623-625.
[48] JordanJ L, HoldenM A, MasonE E, et al. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults [J]. Cochrane Database Syst Rev, 2010(1): CD005956.
[49] SladeS C, PatelS, UnderwoodM, et al. What are patient beliefs and perceptions about exercise for nonspecific chronic low back pain? A systematic review of qualitative studies [J]. Clin J Pain, 2014, 30(11): 995-1005.
[50] JackK, McleanS M, MoffettJ K, et al. Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review [J]. Man Ther, 2010, 15(3): 220-228.
文章导航

/