Oland G, Tveiten G
Rauland Rehabilitation Centre, Rauland, Norway.
Spine (Phila Pa 1976). 1991 Apr;16(4):457-9. doi: 10.1097/00007632-199104000-00012.
Of 66 nonoperated low-back pain patients who entered a 4-week program of modern active rehabilitation after 13 months' sick leave, only 15 (23%) had returned to work at 18 months' follow-up. Effective pain modulation with pool traction did not influence the vocational status or pain level at the time of follow-up. The prevalence of blue-collar workers among the clients were doubled compared with the general population, and a high proportion were unskilled (71%). It is concluded that the resources of health services should be used in the subacute stage to produce an earlier and more precise organic and psychosocial diagnosis and to state the preference of an active attitude supported by general physical training.
在66名非手术治疗的下背痛患者中，他们在病休13个月后参加了为期4周的现代主动康复计划，在18个月的随访时，只有15人（23%）重返工作岗位。水疗牵引的有效疼痛调节对随访时的职业状况或疼痛程度没有影响。与普通人群相比，客户中蓝领工人的比例增加了一倍，且很大一部分是无技能工人（71%）。得出的结论是，卫生服务资源应在亚急性期使用，以更早、更精确地进行器质性和社会心理诊断，并表明支持全身体育锻炼的积极态度的偏好。
