Slacklining as therapy to address non-specific low back pain in the presence of multifidus arthrogenic muscle inhibition  

作　　者：Charles Philip Gabel Hamid Reza Mokhtarinia Markus Melloh Sebastien Mateo 

机构地区：[1]Department of Physiotherapy,Access Physiotherapy,Coolum Beach 4573,QLD,Australia [2]Department of Ergonomics,University of Social Welfare and Rehabilitation Sciences,Tehran 0001,Iran [3]Department of Physiotherapy,University of Social Welfare and Rehabilitation Sciences,Tehran 0001,Iran [4]School of Health Professions,Zurich University of Applied Sciences,Winterthur 8310,Switzerland [5]INSERM U1028,CNRS UMR5292,Lyon Neuroscience Research Center,Universitéde Lyon,Lyon 69000,France

出　　处：《World Journal of Orthopedics》2021年第4期178-196,共19页世界骨科杂志（英文版）

摘　　要：Low back pain(LBP)represents the most prevalent,problematic and painful of musculoskeletal conditions that affects both the individual and society with health and economic concerns.LBP is a heterogeneous condition with multiple diagnoses and causes.In the absence of consensus definitions,partly because of terminology inconsistency,it is further referred to as non-specific LBP(NSLBP).In NSLBP patients,the lumbar multifidus(MF),a key stabilizing muscle,has a depleted role due to recognized myocellular lipid infiltration and wasting,with the potential primary cause hypothesized as arthrogenic muscle inhibition(AMI).This link between AMI and NSLBP continues to gain increasing recognition.To date there is no‘gold standard’or consensus treatment to alleviate symptoms and disability due to NSLBP,though the advocated interventions are numerous,with marked variations in costs and levels of supportive evidence.However,there is consensus that NSLBP management be cost-effective,self-administered,educational,exercise-based,and use multi-modal and multi-disciplinary approaches.An adjuvant therapy fulfilling these consensus criteria is‘slacklining’,within an overall rehabilitation program.Slacklining,the neuromechanical action of balance retention on a tightened band,induces strategic indirect-involuntary therapeutic muscle activation exercise incorporating spinal motor control.Though several models have been proposed,understanding slacklining’s neuro-motor mechanism of action remains incomplete.Slacklining has demonstrated clinical effects to overcome AMI in peripheral joints,particularly the knee,and is reported in clinical case-studies as showing promising results in reducing NSLBP related to MF deficiency induced through AMI(MF-AMI).Therefore,this paper aims to:rationalize why and how adjuvant,slacklining therapeutic exercise may positively affect patients with NSLBP,due to MF-AMI induced depletion of spinal stabilization;considers current understandings and interventions for NSLBP,including the contributing role

关 键 词：Slacklining Arthrogenic muscle inhibition Low back pain Therapyintervention MULTIFIDUS HYPOTHESIS 

分 类 号：R685[医药卫生—骨科学]