ARC National Primary Care Centre, Keele University, Keele ST5 5BG, UK.
Physiotherapy. 2012 Jun;98(2):110-6. doi: 10.1016/j.physio.2011.03.003. Epub 2011 Jun 12.
A new randomised controlled trial of intervention in low back pain has been described recently. In this trial, a screening and targeted approach was found to be more effective and cost-effective than current best practice. Nested within the intervention arm were three different interventions targeting patients identified as 'low', 'medium' or 'high' risk dependent on the presence of (mainly) psychosocial risk factors. In this paper, the development and content of the STarT Back trial's 'high-risk' intervention is described. It offers a systematic approach, termed 'psychologically informed practice', to the integration of physical and psychological approaches to treatment for the management of people with low back pain by physiotherapists. The term 'disability' is used to refer to self-reported pain-associated functional limitations, and 'psychological' is used to refer to the beliefs/expectations, emotional responses and behavioural responses associated with low back pain.
最近描述了一项新的腰痛干预随机对照试验。在这项试验中，发现筛查和有针对性的方法比当前的最佳实践更有效和更具成本效益。在干预组中嵌套了三种不同的干预措施，针对的是根据（主要）心理社会风险因素确定的“低”、“中”或“高”风险的患者。本文描述了 STarT Back 试验“高风险”干预的发展和内容。它提供了一种系统的方法，称为“心理知情实践”，将物理和心理方法整合到治疗腰痛患者的治疗中，由物理治疗师实施。“残疾”一词用于指代自我报告的与疼痛相关的功能障碍，“心理”一词用于指代与腰痛相关的信念/期望、情绪反应和行为反应。
