FUNCTIONAL RESTORATION WITH BEHAVIORAL SUPPORT - A ONE-YEAR PROSPECTIVE-STUDY OF PATIENTS WITH CHRONIC LOW-BACK-PAIN
FUNCTIONAL RESTORATION WITH BEHAVIORAL SUPPORT - A ONE-YEAR PROSPECTIVE-STUDY OF PATIENTS WITH CHRONIC LOW-BACK-PAIN
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DOI：
10.1097/00007632-198902000-00003
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发表时间：
1989-02-01
期刊：
影响因子：
3
通讯作者：
FRYMOYER, JW
中科院分区：
文献类型：
--
作者：
HAZARD, RG;FENWICK, JW;FRYMOYER, JW
患有慢性致残性腰痛的患者重返工作岗位的前景不佳。作者通过对平均 19 个月残疾且无手术可纠正疾病证据的患者进行 1 年前瞻性观察，测试了通过行为支持进行功能恢复的治疗方案。研究对象为 90 名患者：59 名项目毕业生、5 名项目退出者、17 名患者拒绝其保险公司的项目授权，以及 6 名交叉患者。三名患者入院但拒绝参加治疗计划。所有四组的初始人口统计、身体状况和自我评估属性均相似。截至年底，81% 的项目毕业生、40% 的辍学者和 29% 的拒绝该项目的人重返工作岗位。所有六名交叉患者在治疗后 6 个月都可以工作。经过三周的治疗后，项目毕业生在自我评估的疼痛、残疾和抑郁以及身体能力方面表现出显着改善。除了频繁举重、骑车耐力和等速躯干伸展力量部分下降外，这些改进全年保持不变。通过自我评估、身体能力和重返工作岗位来衡量，通过行为支持进行功能恢复是慢性、致残性腰痛患者的有效治疗方法。
Patients with chronic disabling low-back pain have poor prospects of returning to work. The authors tested a treatment program of functional restoration with behavioral support through 1 year prospective observation of patients disabled for an average of 19 months without evidence of surgically correctable disease. Ninety patients were studied: 59 program graduates, five program dropouts, 17 patients denied program authorization by their insurance carriers, and six crossover patients. Three patients were admitted but refused to participate in the treatment program. Initial demographic, physical, and self-assessment attributes were similar for all four groups. At year''s end, 81% of program graduates, 40% of the dropouts, and 29% of those denied the program had returned to work. All six crossover patients were working 6 months after treatment. Program graduates showed signficant improvements in self-assessed pain, disability, and depression, and in physical capacities after 3 weeks of treatment. These improvements were maintained through the year except for partial decreases in frequent lifting, cycling endurance, and isokinetic trunk extension strength. Functional restoration with behavioral support is an effective treatment for patients with chronic, disabling low-back pain, as measured by self-assessments, physical capacities, and return to work.