“腰腹联合”思维对退行性腰椎滑脱症患者功能锻炼指导的应用探讨  

Application of“waist-abdomen combination”thinking on functional exercise guidance for patients with degenerative lumbar spondylolisthesis

作　　者：王楠 赵明宇[2] 寇赵淅 张向东[2] Wang Nan;Zhao Mingyu;Kou Zhaoxi;Zhang Xiangdong

机构地区：[1]河南中医药大学,450000 [2]河南省洛阳正骨医院,450016

出　　处：《中国疗养医学》2022年第6期604-606,共3页Chinese Journal of Convalescent Medicine

基　　金：河南省中医药拔尖人才培养项目(2019ZYBJ23);河南省中医药科学研究专项(2018ZYZD04)。

摘　　要：退行性腰椎滑脱症(DLS)患者的功能锻炼一般以腰背部核心肌群为主,但“腰腹联合”思维则指导患者进行功能锻炼时以腰背肌和腹部肌群两者共同为主,腰椎的稳定性由腰背肌与腹部肌群共同维持,而非单一的腰背肌考虑。本文从DLS的病理机制,“腰腹联合”思维指导DLS患者功能锻炼的理论依据、具体方法、注意事项等四个方面进行探讨,以期为临床医师指导DLS患者进行功能锻炼提供有益思路。The functional exercise of patients with degenerative lumbar spondylolisthesis(DLS)is generally dominated by the core muscles of the waist and back,However,the thinking of“waist-abdomen combination”guides patients to focus on the combination of lumbar dorsal muscle and abdominal muscle group during functional exercise,and the stability of lumbar spine is maintained by lumbar dorsal muscle and abdominal muscle group,rather than a single lumbar dorsal muscle.This paper explores the pathological mechanism of DLS,the theoretical basis,specific methods and precautions of functional exercise directed by"waist-abdomen combination"thinking among patients with degenerative lumbar spondylolisthesis(DLS),in order to provide useful ideas for clinicians to guide DLS patients to carry out functional exercise.

关 键 词：腰腹联合 退行性腰椎滑脱症 功能锻炼 

分 类 号：R274.9[医药卫生—中西医结合]