Linton S J, Kamwendo K
Phys Ther. 1987 Sep;67(9):1375-83. doi: 10.1093/ptj/67.9.1375.
The purpose of this article is to review and evaluate the empirical literature concerning low back schools. Although the low back school is a popular method of dealing with the growing number of patients with back pain, a general lack of studies exists of the effectiveness of this intervention technique. The studies that have been conducted, moreover, often lack control conditions and appropriate measurement techniques. The goal of most schools is to increase "self-care" behaviors and thereby decrease other related problems, such as pain intensity and absenteeism. The literature, however, provides limited support for the idea that a low back school can influence variables such as the number of health care contacts, sick leave, work status, pain intensity or duration, activity level, or medication consumption. Whether the patient's level of knowledge improves as a result of attending the low back school is unclear. Some evidence suggests that patients' attitudes toward back care do change. We conclude, therefore, that more information is needed about the effects of low back schools so that they may be improved. A central concept of low back school programs that should be examined is patient compliance. How well patients comprehend the material presented in the low back school or whether the school results in behavioral changes in the participants remains to be determined.
本文的目的是回顾和评估有关腰痛学校的实证文献。尽管腰痛学校是处理越来越多背痛患者的一种常用方法，但对于这种干预技术的有效性普遍缺乏研究。此外，已开展的研究往往缺乏对照条件和适当的测量技术。大多数腰痛学校的目标是增加“自我护理”行为，从而减少其他相关问题，如疼痛强度和旷工。然而，文献对腰痛学校能够影响诸如医疗接触次数、病假、工作状态、疼痛强度或持续时间、活动水平或药物消耗等变量的观点支持有限。参加腰痛学校是否能提高患者的知识水平尚不清楚。一些证据表明患者对背部护理的态度确实会改变。因此，我们得出结论，需要更多关于腰痛学校效果的信息，以便对其进行改进。腰痛学校项目中一个应予以审视的核心概念是患者的依从性。患者对腰痛学校所讲授内容的理解程度如何，或者该学校是否能导致参与者行为改变，仍有待确定。
