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脊柱疼痛康复:住院和门诊治疗结果及预后预测指标的发展

Spinal pain rehabilitation: inpatient and outpatient treatment results and development of predictors for outcome.

作者信息

Cairns D, Mooney V, Crane P

出版信息

Spine (Phila Pa 1976). 1984 Jan-Feb;9(1):91-5. doi: 10.1097/00007632-198401000-00020.

DOI:10.1097/00007632-198401000-00020
PMID:6232714
Abstract

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.

摘要

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。

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1
Spinal pain rehabilitation: inpatient and outpatient treatment results and development of predictors for outcome.脊柱疼痛康复:住院和门诊治疗结果及预后预测指标的发展
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引用本文的文献

1
Philosophy and efficacy of multidisciplinary approach to chronic pain management.慢性疼痛管理多学科方法的理念与疗效
J Anesth. 1998 Sep;12(3):142-152. doi: 10.1007/BF02480093.
2
Who will have Sustainable Employment After a Back Injury? The Development of a Clinical Prediction Model in a Cohort of Injured Workers.背部损伤后谁能拥有可持续就业?对受伤工人队列的临床预测模型的开发。
J Occup Rehabil. 2017 Sep;27(3):445-455. doi: 10.1007/s10926-016-9678-6.
3
Coping with low-back pain: Remaining disabilities 5 years after multidisciplinary rehabilitation.
应对下背痛:多学科康复 5 年后的持续残障。
J Occup Rehabil. 1992 Jun;2(2):73-88. doi: 10.1007/BF01079014.
4
Prediction of return to work by rehabilitation professionals.康复专业人员对重返工作岗位的预测。
J Occup Rehabil. 1991 Dec;1(4):271-80. doi: 10.1007/BF01073692.
5
Predictive model to determine cost/benefit of early detection and intervention in occupational low back pain.预测模型,用于确定职业性下腰痛早期检测和干预的成本效益。
J Occup Rehabil. 1991 Jun;1(2):113-31. doi: 10.1007/BF01073382.
6
Demographic, psychometric, and case progression information as predictors of return-to-work in teachers undergoing occupational rehabilitation.人口统计学、心理计量学和病例进展信息预测教师职业康复过程中的返岗情况。
J Occup Rehabil. 1995 Dec;5(4):219-34. doi: 10.1007/BF02109987.
7
Chronic back pain and work disability: Vocational outcomes following multidisciplinary rehabilitation.慢性背痛与工作残疾:多学科康复治疗后的职业结果。
J Occup Rehabil. 1994 Dec;4(4):229-51. doi: 10.1007/BF02331618.
8
[The "healthy pain patient"].["健康的疼痛患者"]
Schmerz. 1990 Dec;4(4):179-83. doi: 10.1007/BF02527901.
9
Age as a predicting factor in the therapy outcome of multidisciplinary treatment of patients with chronic low back pain--a prospective longitudinal clinical study in 405 patients.年龄作为慢性下腰痛患者多学科治疗疗效的预测因素——一项对405例患者的前瞻性纵向临床研究。
Clin Rheumatol. 2007 Mar;26(3):385-92. doi: 10.1007/s10067-006-0368-1. Epub 2006 Jul 25.
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[Multidisciplinary treatment program for chronic low back pain, part 2. Somatic aspects].[慢性下腰痛的多学科治疗方案,第2部分。躯体方面]
Schmerz. 1996 Oct 28;10(5):237-53. doi: 10.1007/s004829600024.