| 吴玉丽.腰痛与腹横肌相关性研究进展[J].中国康复,2025,40(12):760-764 |
| 腰痛与腹横肌相关性研究进展 |
| Research progress on the correlation between low back pain and transversus abdominis |
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| DOI：10.3870/zgkf.2025.12.010 |
| 中文关键词: 腰痛 腹横肌 评估技术 干预手段 |
| 英文关键词: low back pain transversus abdominis assessment techniques intervention strategies |
| 基金项目:浙江省中医药科技计划项目（2023ZL514）; 杭州市医学重点学科建设项目资助(OO202000097) |
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| 中文摘要: |
| 腰痛作为全球高发的肌肉骨骼系统疾病，其病理机制与核心稳定系统功能异常密切相关。腹横肌作为深层核心稳定肌群的关键组成部分，其结构与功能异常在腰痛发生发展中具有关键病理意义。本文系统综述腹横肌的解剖与生物力学特性、功能评估技术及其与腰痛的关联机制，并总结以腹横肌为靶向的康复干预策略。现有研究表明，腰痛患者普遍存在腹横肌厚度减少、激活延迟、弹性功能下降及相关皮层功能改变，运动训练、神经调控及生物反馈等干预手段可通过改善腹横肌功能缓解疼痛。然而，评估方法的单一性、干预疗效的异质性及相关皮层功能改变与腰痛相互作用机制的不确定性仍需进一步探索。未来研究需整合多模态评估技术与个体化治疗方案，以推动腰痛精准康复的发展。 |
| 英文摘要: |
| Low back pain (LBP), a highly prevalent musculoskeletal disorder globally, is closely associated with dysfunction of the core stabilization system. As a key component of the deep core stabilizing muscles, structural and functional abnormalities of the transversus abdominis (TrA) play a critical role in the pathogenesis of LBP. This article systematically reviews the anatomical and biomechanical characteristics of the TrA, techniques for assessing its function, mechanisms linking TrA dysfunction to LBP, and rehabilitation strategies targeting the TrA. Current studies indicate that patients with LBP commonly exhibit reduced TrA thickness, delayed activation, diminished elastic function, and changes in related cortical functions. Interventions such as exercise training, neuromodulation, and biofeedback may alleviate pain by improving TrA function. However, the singularity of assessment methods, the heterogeneity in therapeutic efficacy of interventions, and the uncertainty surrounding the interaction mechanisms between cortical functional alterations and LBP remain to be further explored. Future research should integrate multimodal assessment technologies and individualized treatment protocols to advance precision rehabilitation for LBP. |
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