六字诀与腰椎核心稳定性训练的内在联系

Discussion on Internal Relations between Liuzijue and Core Stability Training of Lumbar Spine

目的:探讨健身气功六字诀与腰椎核心稳定性训练在康复医学原理中的内在联系。方法:阐述呼吸训练中腹式呼吸、逆腹式呼吸等基本概念,并通过对六字诀呼吸吐纳与腰椎核心稳定性训练中局部稳定肌激活技巧及机制进行理论分析与总结,比较两者核心理念与核心要素之间的异同。结果:六字诀与腰椎局部稳定肌激活训练均是以逆腹式呼吸为基础,并不断强化对腹部肌群、膈肌、盆底肌等主动控制的能力,两者具有基本一致的康复理念,但在实际的训练方法、训练模式上也存在着明显的差异:六字诀以"一导一引、形气合一"为特色,强调由"意识强化""微微用意"逐渐过渡到自然状态;而腰椎局部稳定肌激活训练则强调针对训练动作不断意识强化,提高肌群的肌力、耐力及协调能力。结论:六字诀与腰椎核心稳定性训练在康复医学原理上存在着密切的关联性,可互相借鉴,这将有助于深入理解呼吸吐纳(训练)、腰椎局部稳定肌群在脊柱疾病防治中的重要作用,为慢性腰腿痛患者的诊疗提供更为开阔的思路。

Objective： To study the internal relation between Liuzijue of Qigong and core stability training of lumbar spine in prin- ciples of rehabilitation medicine. Methods：The basic concepts of respiratory training for abdominal breathing and reverse abdominal breathing were investigated. 7 similarities and differences of core concepts and elements between Liuzijue and core stability training were compared through analyzing and summarizing up the breathing of Liuzijue and the activation techniques and mechanisms for lo- cal stable muscle between breathing of Liuzijue and core of stability training of lumbar spine. Results：Both Liuzijue and activation training of local stable muscle of lumbar spine were based on reverse abdominal breathing. They can constantly strengthen the ability of the active control of abdominal muscle, diaphragm,pelvic floor muscle and so on. Both Liuzijue and activation training had the same rehabilitation concept. But there were obvious differences in the actual training method and training mode between them, such as Liuzijue was characterized by ＂guidance and orientation, unify the body and soul＂, and emphasized the gradual transition from ＂con- sciousness strengthening＂ and ＂slight attention＂ to the natural state. However,the activation training of local stable muscle of lumbar spine emphasized on the continuous consciousness enhancement for the training action,and improvement of muscle strength,en- durance and coordination capacity. Conclusion：There is a close relationship between Liuzijue and activation training of local stable muscle of lumbar spine in principles of rehabilitation medicine, and both of them can learn fi＇om each other. The fact will help to fur- filer understand the important role of breathing training and the local stable muscle of lumbar spine in the prevention and treatment of spinal diseases, to provide a more open way for the treatment of chronic lumbago-leg pain.