| 张志元,管昱杰,刘可妍,王格格,涂永杰,赵彬.核心稳定性训练缓解非特异性腰痛的作用机制与临床研究进展[J].中国康复,2026,41(9):564-570 |
| 核心稳定性训练缓解非特异性腰痛的作用机制与临床研究进展 |
| Core stability training for non-specific low back pain: mechanisms and clinical progress |
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| DOI：10.3870/zgkf.2026.09.009 |
| 中文关键词: 非特异性腰痛 核心稳定性训练 脊柱稳定性 本体感觉 |
| 英文关键词: non-specific low back pain core stability training spinal stability proprioception |
| 基金项目:黑龙江省博士后基金项目（LBH-Z22290）；黑龙江省中医药科研课题（ZHY2025-173） |
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| 中文摘要: |
| 非特异性腰痛（NSLBP）是导致残疾和生产力损失的主要原因之一，严重影响患者的生活质量。核心稳定性训练（CST）作为一种安全、有效的非药物干预手段，在NSLBP康复中的应用日益广泛。当前对其作用机制尚缺乏系统性梳理。本文综合近年来CST缓解NSLBP的相关研究进展，归纳总结了CST缓解NSLBP的多重作用机制，重点从生物力学、神经肌肉控制、心理因素和炎症反应等方面进行阐述。该综述有助于加深对CST作用机制的认识，为制定精准、个体化的干预策略提供理论支持，并为NSLBP康复方案优化及未来研究方向提供参考。 |
| 英文摘要: |
| Non-specific low back pain (NSLBP) is one of the leading causes of disability and loss of productivity, seriously compromising patients’ quality of life. Core stability training (CST), as a safe and effective non-pharmacological intervention, has been increasingly applied in the rehabilitation of NSLBP. However, the underlying mechanisms of its therapeutic effects have not yet been systematically clarified. This review synthesizes recent research on CST for NSLBP and summarizes the multiple mechanisms of action through which CST alleviates NSLBP, with a particular focus on biomechanical changes, neuromuscular control, psychological factors, and inflammatory responses. A better understanding of these mechanisms will help inform the development of precise, individualized intervention strategies and provide a theoretical basis for optimizing NSLBP rehabilitation programs and guiding future research. |
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