Casso Gabriele, Cachin Claude, van Melle Guy, Gerster Jean-Charles
Anesthesiology Department, Lausanne Teaching Hospital, Lausanne, Switzerland.
Joint Bone Spine. 2004 Mar;71(2):136-9. doi: 10.1016/S1297-319X(03)00059-9.
To evaluate return-to-work status 1 year after a physical deconditioning program in manual laborers with chronic low back pain.
In this open prospective study, a questionnaire was sent to 125 patients and their physicians (115 men and 10 women, mean age 40 years). Mean sick leave duration at program initiation was 4 months. All participants had followed a physical reconditioning program 12 months earlier. The program for the present study included 6 h of physical and occupational therapy each day, 5 d a week for 3 weeks.
One hundred and nine questionnaires were evaluable. Fifty-seven patients (52.3%) were working, 39 (35.8%) full time and 18 (16.5%) part time. The remaining 52 patients were on disability leave. Among the study variables, only a favorable subjective evaluation by the patient at completion of the program and absence of clinical evidence of nonorganic pain at study inclusion significantly predicted return-to-work within 1 year.
This intensive reconditioning program for low back pain patients had positive effects on return-to-work status after 1 year.
评估慢性下背痛体力劳动者在接受身体机能恢复计划1年后的重返工作状态。
在这项开放性前瞻性研究中，向125名患者及其医生（115名男性和10名女性，平均年龄40岁）发放了问卷。计划开始时的平均病假时长为4个月。所有参与者在12个月前都参加了身体机能恢复计划。本研究的计划包括每天6小时的物理和职业治疗，每周5天，共3周。
109份问卷可用于评估。57名患者（52.3%）在工作，39名（35.8%）全职工作，18名（16.5%）兼职工作。其余52名患者在休病假。在研究变量中，只有患者在计划结束时的主观评价良好以及在纳入研究时无非器质性疼痛的临床证据能显著预测1年内的重返工作情况。
这项针对下背痛患者的强化恢复计划在1年后对重返工作状态有积极影响。
