Mayer T G, Gatchel R J, Mayer H, Kishino N D, Keeley J, Mooney V
JAMA. 1987 Oct 2;258(13):1763-7.
One hundred sixteen consecutive patients entered a functional restoration treatment program for chronic low back pain and were compared with 72 patients not treated. A two-year follow-up survey reached more than 85% of both groups; its findings were compared with earlier results of a five-month and one-year follow-up. Analysis demonstrated that 87% of the treatment group was actively working after two years, as compared with only 41% of the nontreatment comparison group. Moreover, about twice as many of the comparison group patients had additional spine surgery relative to the treatment group. The comparison group continued with an approximately five times higher rate of patient visits to health professionals in the second year as the treatment group. Also, treatment group reinjury rates were no higher than those expected in the general population, while nontreatment subjects had a higher incidence of reinjury. Finally, a small treatment "dropout" group did poorest of all, with results in almost all areas even worse than those of the comparison group patients.
116名连续入选的慢性下腰痛功能恢复治疗项目的患者与72名未接受治疗的患者进行了比较。一项为期两年的随访调查覆盖了两组中超过85%的患者；其结果与五个月和一年随访的早期结果进行了比较。分析表明，两年后治疗组中有87%的患者积极工作，而未治疗的对照组中这一比例仅为41%。此外，与治疗组相比，对照组中接受额外脊柱手术的患者数量约为治疗组的两倍。在第二年，对照组患者前往医疗专业人员处就诊的频率约为治疗组的五倍。而且，治疗组的再次受伤率不高于普通人群的预期，而未治疗的受试者再次受伤的发生率更高。最后，一个小的治疗“退出”组在所有方面表现最差，几乎所有领域的结果甚至比对照组患者更差。
