Sikorski J M
Spine (Phila Pa 1976). 1985 Jul-Aug;10(6):571-9. doi: 10.1097/00007632-198507000-00012.
A systematic approach to low-back pain is presented that relies on the classification of patients according to their symptoms. Rational systems of physiotherapy are proposed for each group and incorporated into an algorithmn. One hundred forty-two patients with mechanical low-back pain have been treated, and their response has been assessed by means of a postal questionnaire. Patients were offered an educational program, exercises, spinal manipulation, spinal supports, and analgesic medication. Eighteen percent of patients became completely free of pain, and 59% experienced a reduction in pain level. The most effective treatment was education in back care, followed closely by an exercise program. The responses were different in the various subgroups, and a series of revised flow charts is presented.
本文介绍了一种针对腰痛的系统方法，该方法依赖于根据患者症状进行分类。针对每组患者提出了合理的物理治疗方案，并将其纳入一个算法中。对142例机械性腰痛患者进行了治疗，并通过邮寄问卷的方式评估了他们的反应。为患者提供了教育项目、锻炼、脊柱推拿、脊柱支撑和止痛药物。18%的患者完全摆脱了疼痛，59%的患者疼痛程度有所减轻。最有效的治疗方法是背部护理教育，紧随其后的是锻炼项目。不同亚组的反应有所不同，并给出了一系列修订后的流程图。
