Hebert Jeffrey, Koppenhaver Shane, Fritz Julie, Parent Eric
The University of Utah, College of Health, 520 Wakara Way, Salt Lake City, UT 84108, USA.
Clin Sports Med. 2008 Jul;27(3):463-79, ix-x. doi: 10.1016/j.csm.2008.03.002.
Treatment-based classification, one approach to subgrouping patients with "nonspecific" lower back pain, focuses on identifying clusters of findings from the history and clinical examination that predict a more favorable outcome with a specific treatment approach. By matching patients with the appropriate specific exercise, stabilization exercise, spinal manipulation, or traction treatment, providers may expect a high probability of a successful clinical outcome. This article reviews the evidence for various interventions commonly used in the treatment of lower back pain.
基于治疗的分类是对“非特异性”下背痛患者进行亚组划分的一种方法,它侧重于从病史和临床检查中识别出一系列结果,这些结果预示着采用特定治疗方法会有更良好的预后。通过为患者匹配适当的特定运动、稳定化运动、脊柱推拿或牵引治疗,医疗服务提供者有望获得较高的临床成功概率。本文回顾了常用于治疗下背痛的各种干预措施的证据。