关于腰痛的临床实习治疗指南发表在2012年4月的美国JOSPT杂志(骨科和运动理疗杂志)上。

Early treatment seems to be key to decreasing your pain and getting back to full activity. Treatments that focus on exercise and staying active limit the amount of time your back pain lasts and reduce the chance that it will reoccur.

早期治疗的关键是减少患者的疼痛和重返完全的活动。治疗的重点是运动和保持有限的活动，减少疼痛复发的机会。

训练时机的选择

Based on your examination, the best treatment for acute low back pain may be manual therapy (mobilization / manipulation) or exercises that restore motion anddecrease pain in the leg that is linked to your low back pain. Exercises that improve coordination, strength, and endurance are best added to treatment once the pain lessens. However, if your pain becomes chronic, moderate- to high-intensity exercises and progressive exercises that focus on finess and endurance are helpful in pain management.

急性下腰痛最佳治疗可能是手法治疗，或恢复性运动训练和减少腿部疼痛。

一旦疼痛减轻，最好加入协调，力量和耐力训练。

如果疼痛变成慢性的， 中~高强度的训练（体适能和耐力）有助于疼痛管理。

训练方案

Back Stretches For Lower Back Pain

Standing hamstring stretch 腘绳肌牵伸（站立）

Do 10 to 25 repetitions, then relax. Do not attempt this exercise if the pain is too severe. This exercise builds strength in the lower back area.

10~25次，如果太疼痛，不要尝试这个练习

Quadruped arm/leg raise 四点跪位（伸上肢/腿）

Keeping your knees bent, squeeze the buttocks and hold for a second or two,then relax. Do 10 repetitions. This is another strength-buildingexercise.

保持1~2秒，重复10次

Pull one knee toward your chest and hold a second. Extend the otherleg out atthe same time. Stretch the back muscle on one side, then repeat withthe otherleg. Repeat 10 times. Discontinue the exercise if pain is overbearing.

Gluteal stretch臀肌牵伸

Pull one knee toward your chest and hold a second. Extend the other leg out at the same time. Stretch the back muscle on one side, then repeat with the other leg. Repeat 10 times. Discontinue the exercise if pain is overbearing.

将一侧膝关节拉向胸前，保持1s，重复10次。如果痛苦持续，停止运动。

Cat and camel

A helpful starting exercise is controlled,gentle spine movement with the Cat & Camel. First arch your back up towardthe ceiling, like an angry cat. Increase the movement with a deep inhale. Thenexhale, tighten (or brace) your abdominals, dro your chest toward the floorand lift your head slightly as shown. Repeat this exercise 10 times.

首先向上弓起你的背，就像一个愤怒的猫。运动时加强深吸气，然后呼气，收紧腹部，放平躯干，抬起头，如图所示。 重复动作10次。调整脊柱运动协调。

Pelvic tilt骨盆前倾

Staying in the same position, bring both knees up together and holdthatposition for a second or two. dro your feet to the floor and repeat again.Do this 10 times.

每次1~2秒，重复动作10次。

Partial curl 躯干旋转

Hold the position for 5 to 7 seconds,release and relax for 2~3 seconds before repeating.

保持5~7秒，之间休息2~3秒，重复10次

Extension exerise 躯干伸展训练

Hold the position for 5 to 7 seconds,release and relax for 2~3 seconds before repeating.

保持5~7秒，之间休息2~3秒，重复10次

Side Plank 侧向支撑

Hold the position for 5 to 7 seconds,release and relax for 2~3 seconds before repeating.

保持5~7秒，之间休息2~3秒，重复5次

核心力量训练

来源：JRC康复密码

作者：吴华 劳方金

• 欢迎订阅此账号：康复医学网

• 微信平台ID：cnkfyx （每天推送最新康复资讯）

• 主编微信ID：721786001（为你的康复健康护航）