Badke Mary Beth, Boissonnault William G
Department of Orthopedics and Rehabilitation, University of Wisconsin Hospital and Clinics, Madison, WI, USA.
Arch Phys Med Rehabil. 2006 Jun;87(6):749-56. doi: 10.1016/j.apmr.2006.02.033.
To assess the impact of symptom duration on functional outcome, functional improvement, pain, and patient perception of recovery after a physical therapy (PT) program for low back pain (LBP) and to determine what variables are significantly associated with improved function.
Retrospective case series.
Outpatient setting at a tertiary care facility.
Patients (N=130) who were seen for PT between June 2003 and November 2004.
A customized rehabilitation program was developed for each patient based on examination findings and included a combination of the following interventions: mobilization/manipulation, flexibility exercises, strengthening exercises, endurance exercises, massage techniques, and heat and cold modalities.
Functional outcome, functional improvement, perceived pain, and perceived improvement scores in the CareConnections Outcomes System (formerly TAOS) database.
Persons whose symptom duration was greater than 6 months had significantly less functional improvement than persons whose symptom duration was less than 1 month. The median percentage improvement score for perceived recovery was also significantly lower for the chronic group than for the acute group. There was no significant difference in the percentage decrease in pain among the acute, subacute, and chronic groups. In regression analyses, a model with age (P=.001), symptom duration (P=.002), and inclusion of strengthening, flexibility, and mobilization and manipulation exercises (P=.001) fit the data well and explained 55.5% of the variance in functional improvement score for all 3 groups combined.
Patients showed improvements in function following a rehabilitation program for LBP. The functional improvement score is influenced by age, symptom duration, and inclusion of mobilization/manipulation and strengthening and flexibility exercises.
评估症状持续时间对腰痛（LBP）物理治疗（PT）项目后功能结局、功能改善、疼痛及患者恢复感知的影响，并确定哪些变量与功能改善显著相关。
回顾性病例系列研究。
三级医疗设施的门诊环境。
2003年6月至2004年11月期间接受PT治疗的患者（N = 130）。
根据检查结果为每位患者制定定制的康复计划，包括以下干预措施的组合：松动术/整复手法、灵活性练习、强化练习、耐力练习、按摩技术以及热疗和冷疗。
CareConnections结局系统（原TAOS）数据库中的功能结局、功能改善、疼痛感知和改善感知评分。
症状持续时间大于6个月的患者，其功能改善程度显著低于症状持续时间小于1个月的患者。慢性组患者恢复感知的改善评分中位数也显著低于急性组。急性、亚急性和慢性组之间疼痛减轻的百分比无显著差异。在回归分析中，包含年龄（P = 0.001）、症状持续时间（P = 0.002）以及纳入强化、灵活性和松动术/整复手法练习（P = 0.001）的模型与数据拟合良好，解释了所有3组组合功能改善评分方差的55.5%。
患者在接受LBP康复计划后功能有所改善。功能改善评分受年龄、症状持续时间以及松动术/整复手法和强化及灵活性练习的纳入情况影响。
