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一项跨学科军事疼痛项目随机对照试验的初步结果。

Preliminary findings of a randomized controlled trial of an interdisciplinary military pain program.

作者信息

Gatchel Robert J, McGeary Donald D, Peterson Alan, Moore Mysti, LeRoy Karen, Isler William C, Hryshko-Mullen Ann S, Edell Tom

机构信息

The University of Texas at Arlington, 501 S. Nedderman Drive, No. 313, Arlington, TX 76019, USA.

出版信息

Mil Med. 2009 Mar;174(3):270-7. doi: 10.7205/milmed-d-03-1607.

Abstract

Chronic pain related to musculoskeletal conditions is the leading cause of medical discharge from active duty military service. The present study is the first randomized controlled trial of an interdisciplinary pain treatment program (functional restoration, FR) to decrease chronic musculoskeletal pain and increase functioning in an active duty military population. Sixty-six military participants were randomly assigned to either an FR treatment group or a standard anesthesia pain clinic treatment comparison group. A repeated measures design was employed and data were analyzed for pre- to post-treatment differences, as well as for 6-months and 1-year post-treatment outcomes. Findings revealed significantly greater improvements for the FR group on self-reported pain, disability, functional status, and fitness for military duty at the post-treatment and follow-up points, relative to the comparison group. These results clearly demonstrate the efficacy and military relevance of a FR program for active duty military personnel who have chronic musculoskeletal pain disorders.

摘要

与肌肉骨骼疾病相关的慢性疼痛是现役军人因病退役的主要原因。本研究是第一项针对跨学科疼痛治疗项目(功能恢复,FR)的随机对照试验,该项目旨在减轻现役军人的慢性肌肉骨骼疼痛并提高其功能。66名军事参与者被随机分配到FR治疗组或标准麻醉疼痛诊所治疗对照组。采用重复测量设计,并分析治疗前至治疗后的差异以及治疗后6个月和1年的结果。研究结果显示,与对照组相比,FR组在治疗后和随访时的自我报告疼痛、残疾、功能状态和军事职责适应性方面有显著更大的改善。这些结果清楚地证明了FR项目对患有慢性肌肉骨骼疼痛疾病的现役军人的有效性和军事相关性。

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