Kent Peter M, Keating Jennifer L
School of Physiotherapy, La Trobe University, Melbourne, Victoria, Australia.
Chiropr Osteopat. 2005 Jul 26;13:13. doi: 10.1186/1746-1340-13-13.
This descriptive review provides a summary of the prevalence, activity limitation (disability), care-seeking, natural history and clinical course, treatment outcome, and costs of low back pain (LBP) in primary care. LBP is a common problem affecting both genders and most ages, for which about one in four adults seeks care in a six-month period. It results in considerable direct and indirect costs, and these costs are financial, workforce and social. Care-seeking behaviour varies depending on cultural factors, the intensity of the pain, the extent of activity limitation and the presence of co-morbidity. Care-seeking for LBP is a significant proportion of caseload for some primary-contact disciplines. Most recent-onset LBP episodes settle but only about one in three resolves completely over a 12-month period. About three in five will recur in an on-going relapsing pattern and about one in 10 do not resolve at all. The cases that do not resolve at all form a persistent LBP group that consume the bulk of LBP compensable care resources and for whom positive outcomes are possible but not frequent or substantial.
本描述性综述总结了初级保健中腰痛（LBP）的患病率、活动受限（残疾）情况、寻求治疗情况、自然史和临床病程、治疗结果以及费用。腰痛是一个影响男女及大多数年龄段人群的常见问题，约四分之一的成年人在六个月内会寻求治疗。它会导致相当可观的直接和间接费用，这些费用包括财务、劳动力和社会方面的。寻求治疗的行为因文化因素、疼痛强度、活动受限程度以及合并症的存在而有所不同。对于某些初级接触学科而言，因腰痛寻求治疗的病例占相当大的比例。大多数新发腰痛发作会缓解，但在12个月内只有约三分之一会完全康复。约五分之三会以持续复发的模式复发，约十分之一根本不会缓解。那些根本不缓解的病例形成了一个持续性腰痛群体，他们消耗了大部分可补偿的腰痛护理资源，对于他们来说，虽有可能获得积极结果，但并不常见或显著。
