核心训练治疗慢性非特异性腰痛的多维度机制研究进展

doi:10.3969/j.issn.1006-5725.2025.22.022

摘要/Abstract

摘要：

非特异性腰痛是全球范围内导致生产力下降及残疾的重要原因，其发病机制尚不明确，缺乏显著的器质性病变和影像学特征，病程持续3个月以上则称为慢性非特异性腰痛。目前慢性非特异性腰痛的康复常侧重于单一的生物医学模式，且缺乏对其治疗机制的多角度分析，对于这种复杂的高患病率、高复发率病症，多维度分析其康复手段的作用机制与应用，可能有助于更精准地开展治疗。核心训练是慢性非特异性腰痛康复的重要方法，该文从生物力学、神经调控及心理适应方面，对核心训练治疗慢性非特异性腰痛的作用机制进行综述，并探讨其与虚拟现实等新兴技术的联合应用，从而提高治疗依从性和成效的可能，旨在为慢性非特异性腰痛精准化康复提供思路，实现向多因素、多学科整合模式的过渡。

关键词: 核心训练, 慢性非特异性腰痛, 生物力学, 神经可塑性, 心理适应, 康复

Abstract:

Non-specific low back pain is a major cause of productivity decline and disability worldwide. Its pathogenesis remains unclear， lacking significant organic lesions and imaging features. When the disease course persists for more than three months， it is referred to as chronic non-specific low back pain. Currently， rehabilitation for chronic non-specific low back pain often focuses on a single biomedical model and lacks multi-perspective analysis of its therapeutic mechanism. For such a complex condition with high prevalence and high recurrence rate， a multidimensional analysis of the mechanism of action and application of rehabilitation methods may contribute to more precise treatment.core training is an important method for the rehabilitation of chronic non-specific low back pain. This article reviews the mechanism of action of core training in treating chronic non-specific low back pain from the perspectives of biomechanics， neuromodulation， and psychological adaptation， and explores its combined application with emerging technologies such as virtual reality， thereby potentially improving treatment compliance and efficacy， aiming to provide insights for chronic non-specific low back pain precision rehabilitation and to facilitate the transition toward a multifactorial， multidisciplinary integrated model.

Key words: core training, chronic non-specific low back pain, biomechanics, neuropla-sticity, psychological adaptation, rehabilitation

中图分类号:

冯宇泽,孔琦琪,熊道海. 核心训练治疗慢性非特异性腰痛的多维度机制研究进展[J]. 实用医学杂志, 2025, 41(22): 3625-3630.

Yuze FENG,Qiqi KONG,Daohai XIONG. Research progress on the multidimensional mechanisms of core training in the treatment of chronic nonspecific low back pain[J]. The Journal of Practical Medicine, 2025, 41(22): 3625-3630.

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