The Role of Specific Stabilization Training in the Management of Lumbar Clinical Instability

特定穩定訓練對治療腰椎臨床不穩所扮演的角色

蔣正德(Rick Chiang) ； 洪於琇(Yu-Shiow Horng)

《物理治療》 29卷6期 (2004/12) Pp. 421-428

摘要

腰椎穩定度不足被認爲是導致慢性下背痛的主要因素之一。而特定穩定訓練則是針對環繞腰椎的深層肌肉進行活化，以改善因腰椎臨床不穩所造成的生物力學與動作控制之失常。此一訓練的原理是架構於Panjabi的中立地帶模型，以及下背痛患者腹橫肌和腰椎多歧肌率先遭到抑制的現象。本篇回顧將藉討論近十年間一系列的基礎與臨床研究來闡述特定穩定訓練的發展史，希望讀者能藉此了解特定穩定訓練在腰椎臨床不穩中所扮演的角色。

關鍵字

特定穩定訓練 ； 腹橫肌 ； 腰椎多歧肌 ； 不穩定性

並列摘要

Lumbar clinical instability is believed to be one of the major contributors to chronic low back pain. The specific stabilization training (SST), which targets at the deep muscles surrounding lumbar spine, has been developed to address the biomechanical and motor control deficits associated with lumbar instability. The training principle is based upon Panjabi’s neutral zone model as well as the preferential inhibition of the transversus abdominis and lumbar multifidus in low back pain sufferers. This review illustrated the history of the SST by discussing a series of basic and clinical experiments in the last decade. It is hoped that readers will appreciate the role of the SST in the management of lumbar clinical instability.

並列關鍵字

Specific stabilization training ； Transversus abdominis ； Lumbar multifidus ； Instability