探討腰椎穩定訓練對於慢性下背痛患者改善效益與訓練策略之系統性回顧

A systematic review of randomized controlled trials to investigate the effects and training strategies of lumbar stabilization training for patients with chronic low back pain

慢性下背痛是現代人常見的健康問題。此疼痛已被證明與腰椎的肌肉無力有關，在病程中往往伴隨著腰椎產生不穩定。因此腰椎穩定訓練的復健方式被運動醫學專業人士提倡能有效改善病症。儘管過去已有回顧文獻探討腰椎穩定訓練對於慢性下背痛之影響，然而僅描述改善效益，並沒有詳細彙整腰椎穩定訓練之處方，因此較難提供復健治療師臨床上之應用。故本篇研究目的利用系統性回顧方法，探討腰椎穩定訓練對於慢性下背痛的改善效益，同時彙整腰椎穩定訓練計畫的策略。期許本文能提供運動醫學專業人士擬定復健計畫之參考。

Chronic low back pain is a common health problem. This disease has been shown to be associated with core muscle weakness and usually accompanied by instability of the lumbar spine. Therefore, core stabilization exercises have been recommended for this population by sports medicine professionals. Although there have been published systematic reviews of stabilization exercises for chronic low back pain, these articles only describe the benefits and does not summarize the strategy of lumbar stabilization training. Therefore, the purpose of this study is to use a systematic review method to explore the effectiveness of lumbar stabilization exercises and detailed strategies of lumbar spine stabilization training programs for chronic low back pain. It is hoped that this article can provide a reference for sports medicine professionals to formulate rehabilitation plans, and help patients reduce pain and improve the quality of daily life.