非特异性下腰痛(non-specific low back pain，NLBP)是指找不到确切的组织病理学结构改变，又不能通过客观检查明确其病因的腰痛，具有高患病率及高复发率的特点。麦肯基疗法是治疗NLBP的一种常用物理治疗方法，在 2019 年我国运动疗法治疗腰痛的体育科学、康复科学和骨科领域等专家组专家共识中被推荐用于NLBP的治疗，证据等级为Ⅰ级。本文就麦肯基疗法在NLBP中的临床应用进行总结，并从缓解腰椎疼痛、改善腰椎活动度、增强躯干肌肉力量，提高功能性活动等方面对其作用机制进行综述。
Research Progress of McKenzie Therapy in the Treatment of Non-specific Low Back Pain
Non-specific low back pain(NLBP)is defined as low back pain with no exact histopathological changes and no objective examination to determine the cause.It is characterized by high prevalence and recurrence rate.McKenzie therapy is a common physical therapy method for the treatment of NLBP,and was recommended for the treatment of NLBP in the expert consensus of the expert group in the field of sports science,rehabilitation science and orthopedics in China in 2019,with evidence level Ⅰ.In this paper,the clinical application of McKenzie therapy in NLBP was summarized,and its mechanism of action was reviewed in terms of relieving lumbar pain,improving lumbar motion,strengthening trunk muscle strength,and improving functional activity.
McKenzie therapyNon-specific low back painLumbar functionRehabilitation
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