Cairns D, Mooney V, Crane P
Spine (Phila Pa 1976). 1984 Jan-Feb;9(1):91-5. doi: 10.1097/00007632-198401000-00020.
Multidisciplinary treatment outcomes with a 1-year follow-up is reported for 100 chronic low-back pain patients participating in inpatient rehabilitation and 100 patients participating in outpatient rehabilitation. Treatment for both groups of patients was based on principles of operant conditioning and consisted of increasing structured exercise activities and educational classes for instruction in techniques of pain management. Results are presented in terms of patient reports of decreased pain, increased activity, decreased medication, need for further treatment, and return to work. A method for predicting return to work was developed by way of a computerized discriminate analysis with the formulas presented for consideration by those interested in similar patient groups.
报告了100名参加住院康复的慢性腰痛患者和100名参加门诊康复的患者在接受为期一年的多学科治疗后的随访结果。两组患者的治疗均基于操作性条件反射原则,包括增加结构化运动活动以及开展疼痛管理技术指导的教育课程。结果以患者报告的疼痛减轻、活动增加、药物使用减少、进一步治疗需求以及重返工作岗位等方面呈现。通过计算机判别分析开发了一种预测重返工作岗位的方法,并给出了公式,供对类似患者群体感兴趣的人参考。