Nyiendo J
Western States Chiropractic College, Portland, Oregon 97230.
J Manipulative Physiol Ther. 1991 May;14(4):231-9.
This paper reports on time loss incurred by chiropractic (DC) and medical (MD) claimants with disabling low back work-related injuries in Oregon. Clinical categorization was accomplished using medical records and was based on reported symptomatology, objective clinical findings and functional impairment. The median time loss days for cases with comparable clinical presentation (severity) was 9.0 for DC cases and 11.5 for MD cases. Chiropractic claimants had a higher frequency of return to work with 1 wk or less of time loss. No difference was seen in time loss days for MD or DC claimants with no documented history of low back pain. However, for claimants with a history of chronic low back problems, the median time loss days for MD cases was 34.5 days, compared to 9 days for DC cases. It is suggested that chiropractors are better able to manage injured workers with a history of chronic low back problems and to return them more quickly to productive employment.
本文报告了俄勒冈州因与工作相关的致残性腰伤而提出索赔的脊椎按摩治疗师（DC）和医生（MD）的误工情况。临床分类是通过病历完成的，基于报告的症状、客观临床发现和功能损害。临床表现（严重程度）相当的病例，脊椎按摩治疗师治疗的病例误工天数中位数为9.0天，医生治疗的病例为11.5天。脊椎按摩治疗师治疗的索赔者在误工1周或更短时间内复工的频率更高。对于没有记录在案的腰痛病史的医生或脊椎按摩治疗师治疗的索赔者，误工天数没有差异。然而，对于有慢性腰痛病史的索赔者，医生治疗的病例误工天数中位数为34.5天，而脊椎按摩治疗师治疗的病例为9天。有人认为，脊椎按摩治疗师更有能力管理有慢性腰痛病史的受伤工人，并使他们更快地恢复生产性工作。
