Mayer T G, Gatchel R J, Kishino N, Keeley J, Capra P, Mayer H, Barnett J, Mooney V
Spine (Phila Pa 1976). 1985 Jul-Aug;10(6):482-93. doi: 10.1097/00007632-198507000-00002.
Objective functional capacity measurement techniques were used to guide a treatment program for a group of 66 chronic back pain patients. These patients were compared with a group of 38 chronic patients who were not administered the treatment program. Outcome data were collected by telephone survey at an average 1 year follow-up. In addition, functional capacity measures were collected for treatment group patients on admission and follow-up evaluations. Results demonstrated that the functional capacity measures collected for the treatment group improved in approximately 80% of the patients. These changes were also accompanied by positive changes in psychologic measures. In addition, at 1 year follow-up, the treatment group had approximately twice the rate of patients who returned to work, relative to the comparison group. Additional surgery rates were comparable for both groups (6% in the treatment and 7% in the comparison group), but the frequency of additional health-care professional visits was substantially higher in the comparison group. The findings suggest that quantitative functional capacity measures can give objective evidence of patient physical abilities and degree of effort and can significantly guide the clinician in administering an effective treatment program.
采用客观功能能力测量技术为一组66例慢性背痛患者制定治疗方案。将这些患者与一组未接受该治疗方案的38例慢性病患者进行比较。通过电话调查在平均1年的随访中收集结果数据。此外，在入院和随访评估时为治疗组患者收集功能能力测量数据。结果表明，治疗组收集的功能能力测量数据在约80%的患者中有所改善。这些变化还伴随着心理测量指标的积极变化。此外，在1年随访时，治疗组恢复工作的患者比例约为对照组的两倍。两组的再次手术率相当（治疗组为6%，对照组为7%），但对照组额外的医疗保健专业人员就诊频率明显更高。研究结果表明，定量功能能力测量可以提供患者身体能力和努力程度的客观证据，并能在临床医生实施有效治疗方案时提供重要指导。
