呼吸训练在非特异性腰痛防治中的研究进展

doi:10.3969/j.issn.1006-9771.2020.08.008

Abstract

Abstract:

Respiratory training can prevent and treat nonspecific low back pain, mainly by activating the deep stabilizing muscles of trunk, establishing appropriate intra-abdominal pressure and optimizing the proprioceptive input of lumbar back, so as to maintain the stability and control of the spine. At present, the commonly used breathing training methods in clinic mainly include diaphragmatic breathing, inspiratory muscle training and abdominal breathing. However, the formulation of respiratory training prescriptions and the comparative study of therapeutic effects among different respiratory training methods still need to be further explored.

Key words: nonspecific low back pain, respiratory training, diaphragmatic breathing, inspiratory muscle training, abdominal breathing, core stability, review

CLC Number:

R681.5

CHEN Pei,REN Chao-xue,LI Xin-tong,DAI Rui-lan,ZHANG Heng-yin. Advance in Respiratory Training for Prevention and Treatment of Nonspecific Low Back Pain (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(8): 913-916.

References 43

[1]	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.
	Expert Group of Chinese Association of Spine and Spinal Cord. Expert Consensus on Acute/chronic Nonspecific Low Back Pain in China[J]. Chin J Spine Spinal Cord, 2016, 26(12):1134-1138.
[2]	Katz J N. Lumbar disc disorders and low-back pain: socioeconomic factors and consequences[J]. J Bone Joint Surg Am, 2006, 88(Suppl 2):21-24.
[3]	沈峥嵘, 王勇, 吴哲. 非特异性下腰痛评估量表、发病机制及诊疗的研究进展[J]. 中国临床医生杂志, 2017, 45(8):16-19.
	Shen Z R, Wang Y, Wu Z. Research progress of nonspecific low back pain assessment scale, pathogenesis, diagnosis and treatment[J]. Chin J Clinician, 2017, 45(8):16-19.
[4]	邹建鹏, 毕鸿雁, 彭伟, 等. 从呼吸角度防治慢性非特异性腰背痛理论初探[J]. 按摩与康复医学, 2018, 9(22):5-8.
	Zou J P, Bi H Y, Peng W, et al. Prevention and treatment of chronic nonspecific low back pain from the perspective of respiration[J]. Chin Manipul Rehabil Med, 2018, 9(22):5-8.
[5]	Kim C Y, Lee J S, Kim H D, et al. Short-term effects of respiratory muscle training combined with the abdominal drawing-in maneuver on the decreased pulmonary function of individuals with chronic spinal cord injury: a pilot randomized controlled trial[J]. J Spinal Cord Med, 2017, 40(1):17-25. doi: 10.1080/10790268.2016.1198576
[6]	Hodges P W, Heijnen I, Gandevia S C. Postural activity of the diaphragm is reduced in humans when respiratory demand increases[J]. J Physiol, 2001, 537(3):999-1008. doi: 10.1113/jphysiol.2001.012648
[7]	Aljuraifani R, Stafford R E, Hall L M, et al. Task specific differences in respiration-related activation of the deep and superficial pelvic floor muscles[J]. J Appl Physiol, 2019, 126(5):1343-1351. doi: 10.1152/japplphysiol.00704.2018 pmid: 30870081
[8]	Beeckmans N, Vermeersch A, Lysens R, et al. The presence of spiratory disorders in individuals with low back pain: a systematic review[J]. Man Ther, 2016, 26:77-86. doi: 10.1016/j.math.2016.07.011
[9]	Konno S I, Sekiguchi M. Association between brain and low back pain[J]. J Orthop Sci, 2018, 23(1):3-7. doi: 10.1016/j.jos.2017.11.007
[10]	王绍金, 张鹏, 夏岑峰, 等. 肿瘤坏死因子α、白细胞介素6、C反应蛋白与阻塞性睡眠呼吸暂停低通气综合征相关肺动脉高压的相关性研究[J]. 中国呼吸与危重监护杂志, 2016, 15(3):241-244.
	Wang S J, Zhang P, Xia C F, et al. Correlation between tumor necrosis factor-α, interleukin-6, C-reactive protein and pulmonary hypertension associated with obstructive sleep apnea hypopnea syndrome[J]. Chin J Respir Critic Care Med, 2016, 15(3):241-244.
[11]	Wang H, Schiltenwolf M, Buchner M. The role of TNF-alpha in patients with chronic low back pain-a prospective comparative longitudinal study[J]. Clin J Pain, 2008, 24(3):273-278. doi: 10.1097/AJP.0b013e31816111d3
[12]	Clark N, Fan V S, Slatore C G, et al. Dyspnea and pain frequently co-occur among medicare managed care recipients[J]. Ann Am Thorac Soc, 2014, 11(6):890-897. doi: 10.1513/AnnalsATS.201310-369OC
[13]	Hagins M, Lamberg E M. Individuals with low back pain breathe differently than healthy individuals during a lifting task[J]. J Orthop Sports Phys Ther, 2011, 41(3):141-148. doi: 10.2519/jospt.2011.3437
[14]	Yoon T L, Cynn H S, Choi S A, et al. Trunk muscle activation during different quadruped stabilization exercises in individuals with chronic low back pain[J]. Physiother Res Int, 2015, 20(2):126-132. doi: 10.1002/pri.v20.2
[15]	O’Sullivan P B. Altered motor control strategies in subjects with sacroiliac joint pain during the Active Straight-Leg-Raise Test[J]. Spine (Phila Pa 1976), 2002, 27(1):E1-E8. doi: 10.1097/00007632-200201010-00015
[16]	王佳媛. 核心肌肉与呼吸肌肉性能表现之间的关系研究[D]. 大连:辽宁师范大学, 2012.
	Wang J Y. Relationship between core muscle and respiratory muscle performance[D]. Dalian: Liaoning Normal University, 2012.
[17]	韩焱, 关文华, 陈殿森, 等. 青年女性慢性非特异性腰背痛椎旁肌变化的CT表现[J]. 颈腰痛杂志, 2010, 31(2):83-85.
	Han Y, Guan W H, Chen D S, et al. Computed tomography of paraspinal muscle in young females patients with non-specific chronic low back pain[J]. J Cervic Lumb, 2010, 31(2):83-85.
[18]	周同, 陆爱云. 多裂肌与慢性腰痛康复的研究现状[J]. 中国康复医学杂志, 2012, 27(4):387-390.
	Zhou T, Lu A Y. Research status of chronic multifidus pain and its rehabilitation[J]. Chin J Rehabil Med, 2012, 27(4):387-390.
[19]	Hides J, Stanton W, Mendis M D, et al. The relationship of transversus abdominis and lumbar multifidus clinical muscle tests in patients with chronic low back pain[J]. Man Ther, 2011, 16(6):573-577. doi: 10.1016/j.math.2011.05.007
[20]	Dankaerts W, O’Sullivan P B, Burnett A F, et al. Reliability of EMG measurements for trunk muscles during maximal and sub-maximal voluntary isometric contractions in healthy controls and CLBP patients[J]. J Electromyogr Kinesiol, 2004, 14(3):333-342. doi: 10.1016/j.jelekin.2003.07.001
[21]	卫杰, 赵平, 周卫, 等. 表面肌电指标屈曲伸直比诊断非特异性慢性腰背痛的可靠性研究[J]. 中国骨伤, 2008, 21(6):411-413.
	Wei J, Zhao P, Zhou W, et al. Study on reliablility of flexion-extension ratio in surface EMG for the diagnosis of nonspecific chronic low back pain[J]. Chin J Orthop Traumat, 2008, 21(6):411-413.
[22]	蒋静雅. 呼吸肌训练对非特异性慢性腰痛女性腰部姿势控制能力的影响[D]. 北京:首都体育学院, 2019.
	Jiang J Y. Effect of respiratory muscle training on waist posture control ability of women with nonspecific chronic low back pain[D]. Beijing: Capital University of Physical Educationg and Sport, 2019.
[23]	Driscoll M, Blyum L. Investigation of the inter-dependence between intra-abdominal pressure and spinal stability[J]. Clin Biomech (Bristol, Avon), 2019, 69:164-167. doi: 10.1016/j.clinbiomech.2019.07.018
[24]	Doubkova L, Andel R, Palascakova-Springrova I, et al. Diastasis of rectus abdominis muscles in low back pain patients[J]. J Back Musculoskelet Rehabil, 2018, 31(1):107-112. doi: 10.3233/BMR-169687
[25]	Kolar P, Sulc J, Kyncl M, et al. Postural function of the diaphragm in persons with and without chronic low back pain[J]. J Orthop Sports Phys Ther, 2012, 42(4):352-362. doi: 10.2519/jospt.2012.3830
[26]	刘敏, 王兆, 笪苗, 等. AECOPD机械通气患者膈肌超声监测下吸气肌锻炼研究[J]. 护理学杂志, 2018, 33(19):18-21.
	Liu M, Wang Z, Da M, et al. Ultrasound-guided inspiratory muscle training for mechanically ventilated patients with acute COPD exacerbation[J]. J Nurs Sci, 2018, 33(19):18-21.
[27]	Ki C, Heo M, Kim H Y, et al. The effects of forced breathing exercise on the lumbar stabilization in chronic low back pain patients[J]. J Phys Ther Sci, 2016, 28(12):3380-3383. doi: 10.1589/jpts.28.3380
[28]	王步标, 华明. 运动生理学[M]. 2版. 北京: 高等教育出版社, 2011.
	Wang B B, Hua M. Exercise Physiology [M]. 2nd ed. Beijing: Higher Education Press, 2011.
[29]	Riva D, Bianchi R, Rocca F, et al. Proprioceptive training and injury prevention in a professional men’s basketball team:a six-year prospective study[J]. J Strength Cond Res, 2016, 30(2):461-475. doi: 10.1519/JSC.0000000000001097
[30]	杨彩娜, 万青. 单侧下背痛患者脊柱核心肌群的磁共振成像变化[J]. 中国康复医学杂志, 2014, 29(10):933-937.
	Yang C N, Wan Q. The magnetic resonance imaging changes of the spinal core muscles in patients with unilateral low back pain[J]. Chin J Rehabil Med, 2014, 29(10):933-937.
[31]	Janssens L, McConnell A K, Pijnenburg M, et al. Inspiratory muscle training affects proprioceptive use and low back pain[J]. Med Sci Sports Exerc, 2015, 47(1):12-19.
[32]	Mendell L M. Constructing and deconstructing the gate theory of pain[J]. Pain, 2014, 155(2):210-216. doi: 10.1016/j.pain.2013.12.010 pmid: 24334188
[33]	Boyle K L, Olinick J, Lewis C. The value of blowing up a balloon[J]. N Am J Sports Phys Ther, 2010, 5(3):179-188.
[34]	范星月, 闫博馨, 丁家喻, 等. 呼吸训练对非特异性腰痛的疗效[J]. 中国康复理论与实践, 2018, 24(1):93-96.
	Fan X Y, Yan B X, Ding J Y, et al. Effects of breathing exercise on nonspecific low back pain[J]. Chin J Rehabil Theory Pract, 2018, 24(1):93-96.
[35]	Chaitow L. Breathing pattern disorders, motor control, and low back pain[J]. J Osteopath Med, 2004, 7(1):33-40. doi: 10.1016/S1443-8461(04)80007-8
[36]	Boyle K L, Demske J R. Management of a female with chronic sciatica and low back pain: a case report[J]. Physiother Theory Pract, 2009, 25(1):44-54. doi: 10.1080/09593980802622677
[37]	Kang J I, Jeong D K, Choi H. Effect of exhalation exercise on trunk muscle activity and Oswestry Disability Index of patients with chronic low back pain[J]. J Phys Ther Sci, 2016, 28(6):1738-1742. doi: 10.1589/jpts.28.1738 pmid: 27390406
[38]	Sonetti D A, Wetter T J, Pegelow D F, et al. Effects of respiratory muscle training versus placebo on endurance exercise performance[J]. Respi Physiol, 2001, 127(2-3):185-199.
[39]	Wong M L, Anderson R G, Garcia K, et al. The effect of inspiratory muscle training on respiratory variables in a patient with ankylosing spondylitis: a case report[J]. Physiother Theory Pract, 2017, 33(10):805-814. doi: 10.1080/09593985.2017.1346023
[40]	Volianitis S, Mcconnell A K, Koutedakis Y, et al. Inspiratory muscle training improves rowing performance[J]. Med Sci Sports Exerc, 2001, 33(5):803-809.
[41]	Son H H. The effects of stabilization exercise with abdominal breath on balance and Oswestry Disability Index for low back pain patients[J]. J Korean Soc Phys Med, 2015, 10(1):107-113.
[42]	费龙攀, 朱江, 侯永康, 等. 呼吸训练对非特异性腰痛患者临床症状的改善效果研究[J]. 中国学校体育(高等教育), 2018, 5(10):88-93.
	Fei L P, Zhu J, Hou Y K, et al. Effect of respiratory training on clinical symptoms of patients with nonspecific low back pain[J]. Chin Sch Phys Educ (Higher Educ), 2018, 5(10):88-93.
[43]	周国庆, 姚新苗, 李华, 等. 六字诀与腰椎核心稳定性训练的内在联系[J]. 康复学报, 2016, 26(4):47-51.
	Zhou G Q, Yao X M, Li H, et al. Discussion on internal relationship between Liuzijue and core stability training of lumbar spine[J]. Rehabil Med, 2016, 26(4):47-51.

Advance in Respiratory Training for Prevention and Treatment of Nonspecific Low Back Pain (review)

RichHTML

PDF (PC)

Knowledge

Abstract

Cite this article

share this article

References 43

Related Articles 15

Metrics

Comments

Recommended 0

[1]	SHAO Weiting, LEI Jianghua. Effect of response interruption and redirection as a behavioral intervention on vocal stereotypy in children with autism spectrum disorder: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 10-20.
[2]	WANG Hangyu, GE Keke, FAN Yonghong, DU Lilu, ZOU Min, FENG Lei. Effect of active music therapy on cognitive function for older adults with cognitive impairment: a systematic review based on ICD-11 and ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 36-43.
[3]	WEN Jianing, JIN Qiuyan, ZHANG Qi, LI Jie, SI Qi. Effect of cognitively engaging physical activity on developing executive function of children and adolescents: a systematic review based on ICF [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 44-53.
[4]	GE Keke, FAN Yonghong, WANG Hangyu, DU Lilu, LI Changjiang, ZOU Min. Health benefit of mindfulness intervention for older adults with insomnia disorders: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2024, 30(1): 54-60.
[5]	ZHANG Jingya, ZOU Min, SUN Hongwei, SUN Changlong, ZHU Juntong. Effect of psychological intervention on anxiety or depression in children and adolescents with hearing impairment: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1004-1011.
[6]	WANG Junyu, YANG Yong, YUAN Xun, XIE Ting, ZHUANG Jie. Effect of high-intensity interval training on executive function for healthy children and adolescents: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1012-1020.
[7]	WEI Xiaowei, YANG Jian, WEI Chunyan. Psychological and behavioral benefits of adapted yoga exercise for children with autism spectrum disorder in special education schools: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1021-1028.
[8]	YANG Yaru, YANG Jian. School-based physical activity-related health services and their health benefits within the World Health Organization health-promoting school framework: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1040-1047.
[9]	WANG He, HAN Liang, KAN Mengfan, YU Shaohong. Efficacy of electrical stimulation on shoulder-hand syndrome after stroke: a systematic review and meta-analysis [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1048-1056.
[10]	SHI Jiawei, LI Lingyu, YANG Haojie, WANG Qinlu, ZOU Haiou. Effect of preoperative prerehabilitation training on total knee arthroplasty: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1057-1064.
[11]	MA Shengnan, KE Jingyue, DONG Hongming, LI Jianping, ZHANG Honghao, LIU Chao, SHEN Shuang, LI Guqiang. Effect of core stability training on dynamic balance and surface electromyography after anterior cruciate ligament reconstruction [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 882-889.
[12]	JIANG Changhao, HUANG Chen, GAO Xiaoyan, DAI Yuanfu, ZHAO Guoming. Effect of neurofeedback training on cognitive function in the elderly: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 903-909.
[13]	WEI Xiaowei, YANG Jian, WEI Chunyan, HE Qiling. Adapted physical education programs for psychomotor development in school settings for children with intellectual and developmental disabilities: a systematic review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(8): 910-918.
[14]	ZHANG Yuan, YANG Jian. School health services and effectiveness based on World Health Organization health-promoting school framework: a scoping review [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 791-799.
[15]	WANG Shaopu, CHEN Gang. Psychological-behavioral health services and its outcome based on World Health Organization health-promoting school framework: a systematic review of systematic reviews [J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(7): 800-807.