Medicine in Spine Exercise [MiSpEx] – a national research network to evaluate back pain

Q3 Health Professions

Deutsche Zeitschrift fur Sportmedizin Pub Date : 2018-07-01 DOI:10.5960/DZSM.2018.340

F. Mayer, A. Arampatzis, W. Banzer, H. Beck, G. Brüggemann, M. Hasenbring, M. Kellmann, J. Kleinert, M. Schiltenwolf, H. Schmidt, Christoph Schneider, D. Stengel, P.-M. Wippert, P. Platen

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引用次数: 11

Abstract

Idiopathic as well as nonspecific low back pain is relevant in health care systems as well as inleisure and high-performance sports. Neuromuscular and/or structural deficits, mostly accompanied by biopsychological factors,are known risk factors for both the onset and chronification of symptoms. Meta-analytic evidence describes positive effects of physical activity. However, type, dose-response relation, minimum of training required and setting-specific implementation has not been fully clarified. Since 2011, the national research network „Medicine in Spine Exercise“ [MiSpEx] has been following a project layout called „Ran Rucken“ focussing on the development and validation of intervention programs including neuromuscular and pain adaptation moderated by individual training status, pain behaviour, allostatic load and social settings. Overall about 8000 patients and athletes have been and are being followed experimentally and clinically in 34 studies. It could be shown that a training program focussing on compensation of external loads elicited by perturbations is effective in prevention and rehabilitation in both athletes and general population. Besides validation of further consecutively developed programs emphasis is put on the evaluation of transfer strategies to medical systems, sports as well as general population. Finally, the evaluation of an efficient dose-response relation is addressed.

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脊柱运动医学[MiSpEx] -一个评估背痛的国家研究网络

特发性和非特异性腰痛与医疗保健系统以及智力和高性能运动有关。神经肌肉和/或结构缺陷，大多伴有生物心理学因素，是症状发作和慢性化的已知风险因素。荟萃分析证据描述了体育活动的积极影响。然而，类型、剂量-反应关系、所需培训的最低限度和具体实施方案尚未完全阐明。自2011年以来，国家研究网络“脊柱运动医学”[MiSpEx]一直在遵循一个名为“Ran Rucken”的项目布局“专注于干预计划的开发和验证，包括由个人训练状态、疼痛行为、异速负荷和社会环境调节的神经肌肉和疼痛适应。总共有大约8000名患者和运动员在34项研究中进行了实验和临床跟踪。可以表明，专注于补偿的训练计划对扰动引起的外部负荷的监测对运动员和普通人群的预防和康复都是有效的。除了验证进一步连续开发的项目外，重点是评估向医疗系统、体育和普通人群的转移策略。最后，对有效的剂量-反应关系进行了评价。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Deutsche Zeitschrift fur Sportmedizin Medicine-Orthopedics and Sports Medicine

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： The Deutsche Zeitschrift fuer Sportmedizin - German Journal of Sports Medicine has been founded in 1951 and is dedicated to the biomedical science and clinical practice of Sports Medicine and its border fields which investigate the influence of exercise, physical training and sports as well as lack of exercise to healthy and sick people of all age-groups, related to prevention, diagnosis, therapy, rehabilitation and physical training. Manuscripts which deal with actual scientific and medical findings, new hypotheses, actual controversies and problems in real life will be published. Possible Topics are physiology and pathophysiology of exercise, medical and biological findings, the medical therapy of exercise-related medical problems, epidemiology of sedentary lifestyle and related disorders, therapy of sports injuries - especially the conservative postoperative treatment of injuries -, medical training and rehabilitation medicine, as well as special social, cultural, psychological and special science-related aspects of the entire scientific field.