脊椎穩定運動簡介

Introduction to Stabilization Exercises

王子娟(Tzyy-Jiuan Wang)

《中華民國物理治療學會雜誌》 18卷1期 (1993/03) Pp. 109-120

https://doi.org/10.29616/JPTAROC.199303.0012

摘要

脊椎穩定運動是近五年來十分受重視的背痛治療運動，其強調將一個功能有問題或疼痛的脊椎藉由脊柱四週的肌肉收縮控制使之保持在最不痛的、平衡的及中立的位置，在此姿勢下從事所有的工作及日常活動。是以病人需由基礎的穩定訓練中找到自己最佳的脊椎姿勢以練習控制能力，進而在難度增加的情形下，藉由反覆練習以期建立大腦中正確的動作模式。不同作者在文獻報告中提出的理念不盡相同，著眼點亦有所出入。本文目的即在於綜合文獻報告之脊椎穩定運動的理論基礎及技巧應用原則，並以一整套運動詳細介紹基礎級與進修級的訓練內容以闡述脊椎穩定運動在臨床運用上的意義。

關鍵字

穩定運動 ； 脊椎 ； 腹肌保護

並列摘要

Stabilization means placing a diseased or painful spinal segment in a pain-free, balanced or neutral position and holding it there while performing any task. It is a retraining program of all muscles which control the motion and position of the lumbar spine and pelvis. The exercises emphasize the concept of muscle fusion or abdominal bracing which involves the cocontraction of the abdominal muscles and trunk extensors to maintain a corsetting effect on the spine. Through the basic and advanced training courses, the patient is taught to find his neutral position and performs each exercise in this position. The exercise must be done precisely and repeatedly so that the brain can engram the proper spinal movement pattern. According to the literature, many authors presented their rationale of stabilization exercises from different points of view. This paper is aimed to introduce and summarize the concept and the scientific rationale of stabilization. A specific program including both basic and advanced levels is also presented.

並列關鍵字

Stabilization ； Spine ； Abdominal bracing