Wolsko Peter M, Eisenberg David M, Davis Roger B, Kessler Ronald, Phillips Russell S
Center for Alternative Medicine Research and Education, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Department of Medicine, Boston, MA, USA.
Spine (Phila Pa 1976). 2003 Feb 1;28(3):292-7; discussion 298. doi: 10.1097/01.BRS.0000042225.88095.7C.
We conducted a nationally representative random household telephone survey to assess therapies used to treat back or neck pain.
The main outcome was complementary therapies used in the last year to treat back or neck pain.
Back pain and neck pain are common medical conditions that cause substantial morbidity. Despite the presumed importance of complementary therapies for these conditions, studies of care for back and neck pain have not gathered information about the use of complementary therapies.
Our nationally representative survey sampled 2055 adults. The survey gathered detailed information about medical conditions, conventional and complementary therapies used to treat those conditions, and the perceived helpfulness of those therapies.
We found that of those reporting back or neck pain in the last 12 months, 37% had seen a conventional provider and 54% had used complementary therapies to treat their condition. Chiropractic, massage, and relaxation techniques were the most commonly used complementary treatments for back or neck pain (20%, 14%, and 12%, respectively, of those with back or neck pain). Chiropractic, massage, and relaxation techniques were rated as "very helpful" for back or neck pain among users (61%, 65%, and 43%, respectively), whereas conventional providers were rated as "very helpful" by 27% of users. We estimate that nearly one-third of all complementary provider visits in 1997 (203 million of 629 million) were made specifically for the treatment of back or neck pain.
Chiropractic, massage, relaxation techniques, and other complementary methods all play an important role in the care of patients with back or neck pain. Treatment for back and neck pain was responsible for a large proportion of all complementary provider visits made in 1997. The frequent use and perceived helpfulness of commonly used complementary methods for these conditions warrant further investigation.
我们进行了一项具有全国代表性的随机家庭电话调查，以评估用于治疗背部或颈部疼痛的疗法。
主要结果是去年用于治疗背部或颈部疼痛的补充疗法。
背痛和颈痛是常见的医学病症，会导致相当高的发病率。尽管补充疗法对这些病症的重要性已得到公认，但针对背痛和颈痛的护理研究尚未收集有关补充疗法使用情况的信息。
我们具有全国代表性的调查对2055名成年人进行了抽样。该调查收集了有关医疗状况、用于治疗这些状况的传统和补充疗法以及这些疗法的感知疗效的详细信息。
我们发现，在过去12个月中报告有背部或颈部疼痛的人群中，37%看过传统医疗服务提供者，54%使用补充疗法来治疗他们的病情。整脊疗法、按摩和放松技巧是治疗背部或颈部疼痛最常用的补充疗法（分别占背部或颈部疼痛患者的20%、14%和12%）。整脊疗法、按摩和放松技巧在使用者中被评为对背部或颈部疼痛“非常有帮助”（分别为61%、65%和43%），而传统医疗服务提供者被27%的使用者评为“非常有帮助”。我们估计，1997年所有补充医疗服务提供者就诊中近三分之一（6.29亿次中的2.03亿次）是专门为治疗背部或颈部疼痛而进行的。
整脊疗法、按摩、放松技巧和其他补充方法在背部或颈部疼痛患者的护理中都发挥着重要作用。1997年所有补充医疗服务提供者就诊中有很大一部分是针对背部和颈部疼痛的治疗。这些常用补充方法在这些病症中的频繁使用和感知疗效值得进一步研究。
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