六字诀调治慢性非特异性腰背痛理论分析

慢性非特异性腰背痛为临床常见病,常反复发作,导致患者身心障碍。慢性非特异性腰背痛通常采取以保守治疗为主的多学科综合康复治疗。随着相关研究的陆续开展,呼吸与腰背痛之间的紧密联系得到很好阐释。现代康复医学认为呼吸训练可激活躯干深层稳定肌,建立适当的腹内压力,改善本体感觉,促进运动控制,从而改善患者疼痛症状及功能障碍。此外呼吸训练还可调节自主神经功能,改善心理问题。六字诀作为代表性的呼吸导引功法对慢性非特异性腰背痛患者局部症状及整体功能的改善具有重要的作用。详细介绍了呼吸六字诀功法的历史沿革,并分析其防治慢性非特异性腰背痛的理论基础及临床可行性,以丰富慢性非特异性腰背痛防治思路。

Theoretical Analysis of Liuzijue in Treating Chronic Non-specific Low Back Pain

Chronic non-specific low back pain is a common clinical disease with frequent recurrence,and it usually leads to somatopsychic disturbances. Multi-disciplinary rehabilitation therapy of conservative treatment is usually adopted. After extensive exploration,the relationship between respiration and low back pain is elucidated. Modern rehabilitation medicine holds that respiratory training can activate the deep stable muscles of the trunk,establish appropriate intra-abdominal pressure. Also it could improve proprioception,promote movement control,and therefore it could improve pain symptoms and dysfunction in patients.In addition,respiration can also regulate autonomic nervous function and improve psychological problems. Liuzijue,as a representative breathing guiding protocol,can improve the local symptoms and theoverall function of patients with chronic non-specific low back pain. This paper introduces the history,the mechanism and clinical feasibility of Liuzijue for prevention and treatment of chronic non-specific low back pain,so as to enrich the prevention and treatment for chronic non-specific low back pain.