【心身疗法加运动治疗腰痛更有效：对针灸的启示】李永明博士 纽约中医论坛
2017/4/29 纽约TCM论坛

    

    

     据2017年4月24发表在美国内科年鉴的综述报告，经分析包括864名患者的多个临床试验表明，正念减压疗法(Mindfulness based stress reduction，冥想疗法)可以短期轻度改善腰痛症状。同时发现，如果另加瑜伽运动，改善功能障碍的效果更好。作者因此认为，心理因素和物理运动对腰痛康复很重要。

     这个研究报告再次指出，复合疗法对腰痛康复效果要好于单一疗法。这也正符合很多针灸师治疗腰痛的临床经验。针刺止痛有效，但如果加上让患者入静、放松、听轻音乐等“软针灸”疗法，或再加上“带针运动”等康复技巧，效果会更好。问题是，如何设计一个严格的临床试验，来证明“复合针灸疗法”要优于单一疗法，使之能够被光明正大地推广应用，而不是隐蔽在各种针灸的“独家秘诀”之中。 (李永明)

     Mindfulness-Based Stress Reduction Programs Improve Low Back Pain Only Slightly, Temporarily, Research Suggests

     Reuters (4/24, Boggs) reports a review of previous research, published online in Annals of Internal Medicine, found that “mindfulness-based stress reduction programs (MSBR) appear to improve low back pain only slightly, and only temporarily.” Dennis Anheyer of University of Duisburg-Essen, Germany, told Reuters Health by email, “Our review also showed that studies using MBSR programs that included yoga had better effects on disability and physical functioning than studies using MBSR programs without yoga.” He added that “physical activity might therefore be important for these factors.”

    

    

    

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