Stitik Todd P, Chang Michael Y, Levy Joshua, Nadler Scott F
University Rehabilitation Associates, 90 Bergen Street, Suite 3100, Newark, NJ 07103, USA.
Clin Occup Environ Med. 2006;5(3):545-69, v-vi. doi: 10.1016/j.coem.2006.05.001.
Low back injury is one of the most common conditions in the workplace. The causes are multifactorial and must be sought during the physician's examination. Failure to perform a comprehensive history and physical examination ultimately can lead to treatment failure and injury recurrence. A comprehensive history and physical may help clinicians to differentiate organic and nonorganic causes of low back pain. Different diagnoses need specific rather than generalized treatment programs. Teaching clinicians the nuances of the history and physical examination in a setting with an injured worker is the goal of this article.
下背部损伤是工作场所最常见的病症之一。其病因是多因素的，在医生检查过程中必须探寻这些病因。未能进行全面的病史采集和体格检查最终可能导致治疗失败和损伤复发。全面的病史采集和体格检查有助于临床医生区分下背部疼痛的器质性和非器质性病因。不同的诊断需要特定而非通用的治疗方案。本文的目的是在有受伤工人的环境中，教导临床医生病史采集和体格检查的细微差别。
