Schenk Ron, Lawrence Helen, Lorenzetti Joseph, Marshall William, Whelan Gillian, Zeiss Russell
Daemen College, Amherst, NY, USA.
Catholic Health System, Buffalo, NY, USA.
J Man Manip Ther. 2016 Feb;24(1):21-5. doi: 10.1179/2042618614Y.0000000102.
To determine the correlation between the Quebec Task Force Classification (QTFC) system and outcome in patients with non-specific low back pain (LBP).
Forty-nine patients who were treated in outpatient physical therapy clinics of Catholic Health System (CHS) of Western New York (WNY) were classified according to the QTFC at the initial examination by physical therapists (PTs) with training in Mechanical Diagnosis and Therapy (MDT). The patient's perceived level of function was assessed with the Focus On Therapeutic Outcomes (FOTO) tool at the initial examination, 2 weeks following the initiation of physical therapy and again at discharge.
A linear regression model between acuity and change in FOTO score was performed and demonstrated statistical significance (P<0·05) as the more favorable outcome was found with the more acute patients. Spearman correlations between change in FOTO score and QTFC, duration of treatment and acuity of condition, and number of visits and change in FOTO score were not found to be statistically significant.
The patients treated in this study demonstrated functional improvement in an average of eight visits, indicating efficacious care. Future research is needed to determine prioritized intervention strategies for designated LBP classifications.
确定魁北克工作组分类（QTFC）系统与非特异性腰痛（LBP）患者的治疗结果之间的相关性。
在纽约西部（WNY）天主教健康系统（CHS）的门诊物理治疗诊所接受治疗的49例患者，由接受过机械诊断与治疗（MDT）培训的物理治疗师（PT）在初次检查时根据QTFC进行分类。在初次检查时、物理治疗开始2周后以及出院时，使用聚焦治疗结果（FOTO）工具评估患者的功能感知水平。
对严重程度与FOTO评分变化之间进行线性回归模型分析，结果显示具有统计学意义（P<0·05），因为病情越严重的患者治疗结果越理想。未发现FOTO评分变化与QTFC、治疗持续时间和病情严重程度之间以及就诊次数与FOTO评分变化之间的Spearman相关性具有统计学意义。
本研究中接受治疗的患者平均经过8次就诊后功能得到改善，表明治疗有效。未来需要开展研究以确定针对特定LBP分类的优先干预策略。
