Cairns Douglas, Thomas Lynn, Mooney Vert, Pace Blair J
Spine Center, Rancho Los Amigos Hospital, 7601 East Imperial Highway, Downey, Calif. 90242 U.S.A.
Pain. 1976 Sep;2(3):301-308. doi: 10.1016/0304-3959(76)90007-5.
A comprehensive treatment program for chronic disability related to back disease has been presented. This program has used not only more traditional methods of medical care for the structural disabilities of chronic mechanical back disorders, but has used principles of active patient participation in the improvement process. The patients are educated in the manifestations of pain behavior in the phase II treatment program emphasis on pain sources is downgraded to allow positive reinforcement for healthy behavior to develop. By use of an organized team approach, a significant number of patients can be processed; and an overall reduction in use of alternative medical resources has occurred.
已经提出了一项针对与背部疾病相关的慢性残疾的综合治疗方案。该方案不仅采用了更传统的医疗方法来治疗慢性机械性背部疾病的结构残疾，还运用了患者积极参与改善过程的原则。在第二阶段治疗方案中，患者接受有关疼痛行为表现的教育，对疼痛源的强调程度降低，以便为健康行为的发展给予积极强化。通过采用有组织的团队方法，可以处理大量患者；并且替代医疗资源的使用总体上有所减少。
