双水相萃取脂肪酶课件斯巴鲁售后服务经 理人培训他汀类药 物的安全性及对策胎膜早破病人护理查房糖尿病自我管理课件躯干稳定性训练对腰痛的效果躯干稳定性训练对腰痛的效果 The Effect of Trunk Stabilization Exercise The Effect of Trunk Stabilization Exercise on Low Back Painon Low Back PainDennis CheungDennis Cheung PhysiotherapistPhysiotherapist MSc (sports sci), BSc (physio), M.A.P.A.MSc (sports sci), BSc (physio), M.A.P.A.双水相萃取脂肪酶课件斯巴鲁售后服务经 理人培训他汀类药 物的安全性及对策胎膜早破病人护理查房糖尿病自我管理课件腰痛腰痛 Low Back PainLow Back Pain双水相萃取脂肪酶课件斯巴鲁售后服务经 理人培训他汀类药 物的安全性及对策胎膜早破病人护理查房糖尿病自我管理课件Low Back PainLow Back Pain 是经济发达国家最常见的问题是经济发达国家最常见的问题 The most common The most common health problems in economically developed countries health problems in economically developed countries (Bruce 2000, Bruce et al 2004)(Bruce 2000, Bruce et al 2004) 70-85%70-85%的人一生中有过腰痛的人一生中有过腰痛 70-85% of all people 70-85% of all people have LBP at some time in life (Andersson 1999, Jin et al have LBP at some time in life (Andersson 1999, Jin et al 2004)2004) 是引起美国是引起美国4545岁以下人群活动受限的最主要岁以下人群活动受限的最主要 原因原因 Most common causes activity limitation in people Most common causes activity limitation in people younger than 45 years old in USA (Andersson 1999)younger than 45 years old in USA (Andersson 1999)双水相萃取脂肪酶课件斯巴鲁售后服务经 理人培训他汀类药 物的安全性及对策胎膜早破病人护理查房糖尿病自我管理课件Low Back PainLow Back Pain 澳大利亚成人中很常见澳大利亚成人中很常见 Bruce et al (2004) LBP is a Bruce et al (2004) LBP is a common problems in Australian adult populationcommon problems in Australian adult population 随机抽样随机抽样30003000人人 Random sample 3000Random sample 3000 反应率反应率69% 69% 69% response rate69% response rate 10%10%的人过去的人过去6 6个月中因为腰痛明显影响活动个月中因为腰痛明显影响活动 10% had been significantly disable by LBP in the past 6 10% had been significantly disable by LBP in the past 6 monthsmonths双水相萃取脂肪酶课件斯巴鲁售后服务经 理人培训他汀类药 物的安全性及对策胎膜早破病人护理查房糖尿病自我管理课件Low Back PainLow Back Pain 上海上海3 3种不同职业人群腰痛研究种不同职业人群腰痛研究 Jin et al (2004) Jin et al (2004) studied LBP in three occupational groups in Shanghaistudied LBP in three occupational groups in Shanghai 教师、电池生产工人和服装工人教师、电池生产工人和服装工人 Teachers, Teachers, Battery Kiln workers and Garment workersBattery Kiln workers and Garment workers 自我报告自我报告/ /体检体检 Self reported/physical examinationSelf reported/physical examination 结果：结果：3 3组人群中腰痛超过组人群中腰痛超过1 1天以上者达天以上者达50% 50% Results showed LBP lasting more than one day by among Results showed LBP lasting more than one day by among 3 work groups is 50%3 work groups is 50% 服装工人最多、教师其次、电池生产工人最服装工人最多、教师其次、电池生产工人最 少少 Garment worker Teachers Battery kiln workersGarment worker Teachers Battery kiln workers双水相萃取脂肪酶课件斯巴鲁售后服务经 理人培训他汀类药 物的安全性及对策胎膜早破病人护理查房糖尿病自我管理课件Low Back PainLow Back Pain 脊柱病变脊柱病变 SpondylosisSpondylosis 劳损劳损 Overuse injuryOveruse injury 脊椎滑脱脊椎滑脱 SpondylolisthesisSpondylolisthesis 椎间盘突出椎间盘突出 Protruding intervertebral discProtruding intervertebral disc 神经卡压神经卡压 Nerve entrapmentNerve entrapment 扭伤扭伤 Sprain and strainSprain and strain 骶髂关节病变骶髂关节病变 Sacroiliac jointSacroiliac joint 肌肉失衡肌肉失衡 Muscle imbalanceMuscle imbalance双水相萃取脂肪酶课件斯巴鲁售后服务经 理人培训他汀类药 物的安全性及对策胎膜早破病人护理查房糖尿病自我管理课件Low Back PainLow Back Pain 常用治疗常用治疗 Commonly prescribed treatment (Maher 2004)Commonly prescribed treatment (Maher 2004) 外科手术外科手术 Surgical treatmentSurgical treatment 药物（非甾体类抗炎药）药物（非甾体类抗炎药）Drugs (NSAID)Drugs (NSAID) 心理治疗心理治疗 Psychological treatmentPsychological treatment 针灸针灸 AcupunctureAcupuncture 电疗电疗 Electrical stimulationElectrical stimulation 注射治疗注射治疗 Injection therapyInjection therapy 腰围腰围 Lumbar supportLumbar support 按摩按摩 MassageMassage 激光激光 LaserLaser 运动锻炼运动锻炼 ExerciseExercise双水相萃取脂肪酶课件斯巴鲁售后服务经 理人培训他汀类药 物的安全性及对策胎膜早破病人护理查房糖尿病自我管理课件Low Back PainLow Back Pain 认知行为治疗认知行为治疗 Cognitive-behavioral treatmentCognitive-behavioral treatment 多专业康复多专业康复 Multidisciplinary rehabilitationMultidisciplinary rehabilitation 脊柱手法治疗脊柱手法治疗 Spinal manipulationSpinal manipulation 肌肉能量治疗肌肉能量治疗 Muscle energyMuscle energy 麦肯基手法麦肯基手法 McKenzieMcKenzie 穆里更手法穆里更手法 MulliganMulligan 水疗水疗 HydrotherapyHydrotherapy 牵引牵引 TractionTraction 腰痛学校腰痛学校 Back schoolsBack schools 粘贴治疗粘贴治疗 TapingTaping 治疗性普拉提治疗性普拉提 Clinical pilatesClinical pilates双水相萃取脂肪酶课件斯巴鲁售后服务经 理人培训他汀类药 物的安全性及对策胎膜早破病人护理查房糖尿病自我管理课件 Low Back Pain Low Back Pain (Richardson and Hides 2000)(Richardson and Hides 2000)神经控制 Neural Control主动（肌肉） Active (spinal muscles)被动 （脊柱） Passive (spinal column)双水相萃取脂肪酶课件斯巴鲁售后服务经 理人培训他汀类药 物的安全性及对策胎膜早破病人护理查房糖尿病自我管理课件Low Back PainLow Back Pain 被动被动 PassivePassive 关节关节 JointJoint 韧带韧带 LigamentsLigaments 提供中立位有限的稳定性提供中立位有限的稳定性 Provide minimal stability in Provide minimal stability in the neutral positionthe neutral position双水相萃取脂肪酶课件斯巴鲁售后服务经 理人培训他汀类药 物的安全性及对策胎膜早破病人护理查房糖尿病自我管理课件Low Back PainLow Back Pain 主动主动 ActiveActive 肌肉系统肌肉系统 （局部和全身肌肉）（局部和全身肌肉）Musculotendinous Musculotendinous system (local and global muscle)system (local and global muscle) 为运动和稳定性控制提供力量为运动和稳定性控制提供力量 Provide force for Provide force