Unit of Intervention & Implementation Research, Institute of Environmental Medicine, Karolinska Institutet, Nobels väg 13, S-171 77 Stockholm, Sweden; Research Department, Spinecenter of Southern Denmark, Hospital Lillebælt and Institute of Regional Health Research, University of Southern Denmark, Østre Hougvej 55, DK-5500 Middelfart, Denmark.
Best Pract Res Clin Rheumatol. 2013 Oct;27(5):601-12. doi: 10.1016/j.berh.2013.10.004. Epub 2013 Oct 10.
Low back pain is not a self-limiting problem, but rather a recurrent and sometimes persistent disorder. To understand the course over time, detailed investigation, preferably using repeated measurements over extended periods of time, is needed. New knowledge concerning short-term trajectories indicates that the low back pain 'episode' is short lived, at least in the primary care setting, with most patients improving. Nevertheless, in the long term, low back pain often runs a persistent course with around two-thirds of patients estimated to be in pain after 12 months. Some individuals never have low back pain, but most have it on and off or persistently. Thus, the low back pain 'condition' is usually a lifelong experience. However, subgroups of patients with different back pain trajectories have been identified and linked to clinical parameters. Further investigation is warranted to understand causality, treatment effect and prognostic factors and to study the possible association of trajectories with pathologies.
腰痛不是自限性问题，而是一种反复发作、有时持续存在的疾病。为了了解随时间推移的病程，最好使用延长时间的重复测量进行详细的调查。有关短期轨迹的新知识表明，腰痛“发作”持续时间较短，至少在初级保健环境中，大多数患者会有所改善。然而，从长期来看，腰痛通常会持续存在，估计有三分之二的患者在 12 个月后仍有疼痛。有些人从未有过腰痛，但大多数人是断断续续或持续存在腰痛。因此，腰痛“状况”通常是一种终身体验。然而，已经确定了具有不同腰痛轨迹的患者亚组，并将其与临床参数联系起来。需要进一步研究以了解因果关系、治疗效果和预后因素，并研究轨迹与病理的可能关联。
