Beekman C E, Axtell L
Phys Ther. 1985 Nov;65(11):1649-57. doi: 10.1093/ptj/65.11.1649.
The purpose of this study was to investigate changes in ambulation distance, activity level, medical care sought, and perceived pain in 49 patients with chronic spinal pain who completed an inpatient rehabilitation program. Therapy included patient education, reduction in pain medications, increased quotas for activity and ambulation, and reinforcement of nonpain behaviors. Change was measured by a 12-minute walk, an activity check list, and pain and activity self-ratings. Tests were administered at admission and discharge and at one, three, and six months after discharge. Patients improved significantly in walking distance, frequency of both exercises and physical conditioning activities performed, and pain self-rating. Medical care sought decreased. Activity self-rating on a 10-point scale was unchanged. This program had a positive effect on a number of factors and warrants consideration for patients with chronic spinal pain.
本研究的目的是调查49名完成住院康复项目的慢性脊柱疼痛患者在步行距离、活动水平、寻求的医疗护理以及感知疼痛方面的变化。治疗包括患者教育、减少止痛药物用量、增加活动和步行配额，以及强化无疼痛行为。通过12分钟步行测试、活动检查表以及疼痛和活动自评来衡量变化。在入院时、出院时以及出院后1个月、3个月和6个月进行测试。患者在步行距离、进行的锻炼和体能活动频率以及疼痛自评方面有显著改善。寻求的医疗护理减少。10分制的活动自评没有变化。该项目对多个因素有积极影响，值得慢性脊柱疼痛患者考虑。
