Härkäpää K, Mellin G, Järvikoski A, Hurri H
Rehabilitation Foundation, Helsinki, Finland.
Scand J Rehabil Med. 1990;22(4):181-8.
The long-term outcome results of inpatient and outpatient treatment of low back pain (LBP) were studied in 476 subjects (aged 35-54, 63% men) randomly assigned to three study groups: inpatients (n = 157), outpatients (n = 159), and controls (n = 160). The study included changes in the severity of low back pain, grade and disability, compliance with self-care, data on disability pensions, and days of sickness allowance during a 2.5-year follow-up period. These variables were used as outcome criteria. Pain and disability had decreased significantly in the two treated groups up to the 3-month follow-up. LBP was still a little slighter in the inpatients at the 1.5-year and 22-month follow-ups, but there were no significant differences between the groups in disability caused by LBP. The refresher programme carried out 1.5 years after the first one did not bring about as clear short-term improvement in pain and disability as the first treatment. During the whole 2.5-year follow-up compliance with self-care was better in the two treated groups, especially in the inpatients. Days of sickness allowance had increased somewhat more in the controls than in the inpatients during the follow-up. No differences between the groups were found in the number of disability pensions granted.
对476名受试者（年龄35 - 54岁，63%为男性）进行了研究，这些受试者被随机分配到三个研究组：住院患者组（n = 157）、门诊患者组（n = 159）和对照组（n = 160），以研究腰痛（LBP）住院和门诊治疗的长期结果。该研究包括在2.5年的随访期内腰痛严重程度、分级和残疾情况的变化、自我护理依从性、残疾抚恤金数据以及病假天数。这些变量被用作结果标准。在3个月的随访时，两个治疗组的疼痛和残疾情况均有显著改善。在1.5年和22个月的随访时，住院患者的腰痛仍稍轻一些，但腰痛导致的残疾在各组之间没有显著差异。在第一次治疗1.5年后开展的进修项目，在疼痛和残疾方面并未带来像第一次治疗那样明显的短期改善。在整个2.5年的随访期间，两个治疗组的自我护理依从性更好，尤其是住院患者组。随访期间，对照组的病假天数比住院患者组增加得更多。在发放的残疾抚恤金数量上，各组之间未发现差异。
