Shete Kiran M, Suryawanshi Prachi, Gandhi Neha
Spinalogy Clinic, Vidya building, Next to Hotel Sarja, ITI Road, Aundh, Pune, Maharashtra, India.
J Craniovertebr Junction Spine. 2012 Jan;3(1):7-10. doi: 10.4103/0974-8237.110117.
Low back pain is a very common phenomenon in computer users. More than 80% people using computers for more than 4 h complain of back pain.
To compare the effectiveness of multidisciplinary treatment approach and conventional treatment approach amongst computer users.
A prospective interventional study was carried out at a private spine clinic amongst the computer users with the complaint of low back pain. The study participants were randomly distributed in two groups. The first group comprised the study participants treated by conventional approach and the second group was treated by multidisciplinary approach. Primary outcomes analyzed were pain intensity, sick leave availed, and quality of life. Statistical analysis was done using proportions, unpaired "t" test, and Wilcoxon signed-rank test.
Totally 44 study participants were randomly assigned to groups I and II, and each group had 22 study participants. Intensity of pain was reduced significantly in the group treated by multidisciplinary approach (t = 5.718; P = 0.0001). Similarly only 4 (19.19%) of the study participants of the group treated by multidisciplinary approach availed sick leave due to low back pain, while 14 (63.63%) study participants availed sick leave in the other group (P = 0.02). The quality of life amongst the study participants treated by multidisciplinary approach was significantly improved compared to the group treated by conventional approach (t = 7.037; P = 0.0001).
The multidisciplinary treatment approach was better than the conventional treatment approach in low back pain cases when some factors like pain and quality of life were assessed. The multidisciplinary approach for treatment of low back pain should be promoted over conventional approach. Larger studies are required to confirm the findings in different settings.
下背痛在电脑使用者中是一种非常常见的现象。超过80%使用电脑超过4小时的人抱怨有背痛问题。
比较多学科治疗方法和传统治疗方法对电脑使用者的有效性。
在一家私立脊柱诊所对有下背痛主诉的电脑使用者进行了一项前瞻性干预研究。研究参与者被随机分为两组。第一组由采用传统方法治疗的研究参与者组成，第二组采用多学科方法治疗。分析的主要结果是疼痛强度、病假天数和生活质量。使用比例、非配对“t”检验和Wilcoxon符号秩检验进行统计分析。
共有44名研究参与者被随机分配到第一组和第二组，每组有22名研究参与者。采用多学科方法治疗的组疼痛强度显著降低（t = 5.718；P = 0.0001）。同样，采用多学科方法治疗的组中只有4名（19.19%）研究参与者因下背痛请病假，而另一组有14名（63.63%）研究参与者请病假（P = 0.02）。与采用传统方法治疗的组相比，采用多学科方法治疗的研究参与者的生活质量有显著改善（t = 7.037；P = 0.0001）。
在评估疼痛和生活质量等因素时，多学科治疗方法在治疗下背痛病例方面优于传统治疗方法。应推广多学科治疗下背痛的方法而非传统方法。需要更大规模的研究在不同环境中证实这些发现。
