Gottlieb H, Strite L C, Koller R, Madorsky A, Hockersmith V, Kleeman M, Wagner J
Arch Phys Med Rehabil. 1977 Mar;58(3):101-8.
Seventy-two patients having chronic back pain, representative of high-risk demographic and personality populations, received a broad range of therapeutic modalities designed around the theme of self-regulation. The self-regulation principle was used in: (1) biofeedback training for teaching self-regulated muscle relaxation; (2) psychological counseling emphasizing self-control techniques for the management of stress and anxiety, including assertion training; (3) patient-regulated medication program; (4) patient involved case conferences; (5) physical therapy program emphasizing reconditoning; (6) comprehensive vocational rehabilitation services; (7) a series of educational lectures; (8) a therapeutic milieu designed for relaxation, recreation and socialization. Utilizing a success criteria of functional physical activity at discharge (average length of stay, 45 days) and levels of vocational restoration (employable, in training, or employed at 30 days postdischarge), 57 of the patients demonstrated unimpaired physical functioning levels and 59 of the patients were at success levels of vocational restoration.
72名患有慢性背痛的患者，代表了高危人口统计学和性格人群，接受了围绕自我调节主题设计的广泛治疗方式。自我调节原则被用于：（1）生物反馈训练，用于教授自我调节的肌肉放松；（2）心理咨询，强调用于管理压力和焦虑的自我控制技巧，包括自信训练；（3）患者调节的药物治疗方案；（4）患者参与的病例讨论会；（5）强调康复训练的物理治疗方案；（6）全面的职业康复服务；（7）一系列教育讲座；（8）为放松、娱乐和社交设计的治疗环境。采用出院时功能性身体活动的成功标准（平均住院时间45天）和职业恢复水平（出院后30天可就业、在培训或已就业），57名患者的身体功能水平未受损，59名患者达到职业恢复的成功水平。
