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[慢性下腰痛的诊断、治疗与评估]

[Diagnosis, therapy and assessment of chronic lower back pain].

作者信息

Werber A, Schiltenwolf M

机构信息

Orthopädischen Universitätsklinik Heidelberg.

出版信息

Versicherungsmedizin. 2013 Jun 1;65(2):68-72.

Abstract

Evaluation of lower back pain (LBP) in terms of legal assessment is important since pain, as the most frequent symptom of diseases of the human musculoskeletal system, is a subjective sensation. Frequently, medical findings are not consistent with the subjective pain sensation. Because of multi-dimensional causes of (chronic) LBP and a high impact of psychosomatic comorbidity, the assessor has to prove all complaints of a test subject in terms of consistency with the (objective) findings. Therefore, it is often necessary to include psychosomatic aspects into the evaluation of multi-dimensional origins of LBP.

摘要

从法律评估的角度对下背痛(LBP)进行评估很重要,因为疼痛作为人类肌肉骨骼系统疾病最常见的症状,是一种主观感受。通常,医学检查结果与主观疼痛感受并不一致。由于(慢性)下背痛的病因具有多维度性,且身心共病的影响很大,评估者必须根据(客观)检查结果来证实受测者的所有主诉。因此,在评估下背痛多维度病因时,常常有必要纳入身心方面的因素。

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