关节松动术与麦肯基技术对非特异性下腰痛的对比研究.ppt

Powers CM, Beneck GJ, Kulig K, et al. Effects of a Single Session of Posterior-to-Anterior Spinal Mobilization and Press-up Exercise on Pain Response and Lumbar Spine Extension in People With Nonspecific Low Back Pain. Phys Ther. 2008 Apr;88(4):485-93. qiang897 2011.4.5 背景及目的（ Background and Purpose ） Posterior-to-anterior (PA) mobilization and press-up exercises are common physical therapy interventions used to treat low back pain. （后向前滑动和俯卧撑练习是治疗下腰痛常用的物理治疗方式） The purpose of this study was to examine the immediate effects of PA mobilization and a press-up exercise on pain with standing extension and lumbar extension in people with nonspecific low back pain. （这篇论文研究的目的是检测，后向前滑动和俯卧撑练习对非特异性下腰痛患者的疼痛以及站立位伸展的即刻效果） Introduction People who report low back pain often have reduced spinal motion. When motion is limited, spinal extension is frequently more restricted than flexion.（经历腰痛的人常常会导致脊柱活动度下降，而脊柱的伸展比屈曲更容易受限。） Introduction Two commonly used methods for improving spinal extension are passive segmental mobilization and press-up exercises. （改善脊柱伸展通常的两种方法是脊柱松动术和麦肯基中的俯卧伸展练习） Maitland advocated the use of a segment-specific approach (ie, posterior-to-anterior [PA] mobilization)（ Maitland提倡使用特殊节段方法，例如：前向后的滑动 ） In contrast, McKenzie advocated a more general approach, in which a press-up exercise is used as a means of decreasing pain and increasing spinal motion. （然而，麦肯基提倡使用整体方案，俯卧伸展练习能减少疼痛和增加脊柱的活动度） Introduction The purpose of this study was to assess the immediate effects of a single session of PA spinal mobilization and a press-up exercise on pain with standing extension and lumbar segmental extension(as quantified by dynamic imaging techniques)in people with low back pain. Subjects The study participants were 30 adults (19 women and 11 men) who were 18 to 45 years of age and had a diagnosis of nonspecific low back pain. （受试对象为30名非特异性下腰痛成年人，19名女性和11名男性，年龄18岁-45岁） Methods Lumbar segmental extension during a press-up maneuver was measured by dynamic magnetic resonance imaging p