alternative treatments

A Cochrane review by Rubinstein et al. demonstrated that spinal manipulative therapy was relatively safe compared to other therapeutic interventions. However, it did not provide more benefit in acute low back pain patients when compared to sham or alternative interventions and did not offer an additional benefit when added to another intervention [1]. The authors did note that a small number of studies limited the review. Other limitations include heterogeneity in outcomes, comparison groups, and follow-up intervals. The authors note that future research is warranted. Another systematic review by Rubinstein and colleagues concluded that spinal manipulative therapy had a small and statistically significant but not clinically relevant, short-term effect on pain relief and improving function in patients with chronic low back pain compared to alternative therapy interventions [2].

Rubinstein等发表的Cochrane系统综述表明，与其他治疗相比，整脊术相对安全。然而，与假手术或其他干预相比，整脊术并不能缓解急性腰痛，在与其他干预措施同时应用时也没有提供额外的疗效[1]。作者指出，这一结论受到相关研究数量少的制约，综述的其他局限性还包括各研究间的预后、对照组和随访间隔的不同。作者指出未来还需进一步研究。Rubinstein及其同事的另一项系统综述得出结论，与其他疗法干预措施相比，脊柱手法疗法在缓解慢性腰痛和改善功能具有较小的短期作用，虽有统计学意义，但无临床意义[2]。

整脊术应该也属于替代疗法吧，所以这里的alternative是不是其他的意思？

The goals of MCE include restoring coordination and control of the deep trunk muscles which include the transverse abdominis, lumbar multifidus, and the pelvic floor muscles.A Cochrane review evaluating MCE for acute nonspecific low back pain concluded that while there is some literature indicating MCE was not superior to alternative treatments, more research was needed to determine the utility of MCE in acute and subacute low back pain [6]. A systematic review by Bystrom et al reviewing MCE’s effect on pain and disability demonstrated the superiority of MCE when compared with general exercise in regard to pain in the short and immediate term and during all time periods for disability. MCE was more effective than manual therapy with regard to disability but not pain. MCE was superior to minimal intervention with regard to pain and disability [7]. Core strengthening exercises remain a vital part of rehabilitation efforts in the recovery of acute, subacute, and chronic low back pain and should be a part of a comprehensive treatment plan.

运动控制练习的目标包括恢复躯干深部肌肉（包括腹横肌、腰多裂肌和盆底肌）的协调和控制。评价用于急性非特异性腰痛的运动控制练习的Cochrane综述的结论是，虽有某些文献表明运动控制练习并不优于其他疗法，但还需要更多的研究来确定运动控制练习在急性和亚急性腰痛中的有效性[6]。Bystrom 等的系统综述回顾了运动控制练习对疼痛和失能的影响，证明在短期和即刻甚至在失能的所有时间段内，相对于一般运动练习，对于疼痛治疗运动控制练习更有优势。与手法治疗相比，对失能（而非疼痛）而言，运动控制练习更有效。无论是疼痛还是残疾，运动控制练习总是有利的[7]。核心肌群强化练习仍然是急性、亚急性和慢性腰痛康复治疗的重要组成部分，且应作为综合治疗计划的一部分。

这里的alternative是不是也是其他的意思？不是“替代疗法”的意思？

谢谢