Ryan W E, Krishna M K, Swanson C E
Department of Orthopaedic Surgery, Holy Spirit Hospital, Brisbane, Queensland, Australia.
Spine (Phila Pa 1976). 1995 Feb 15;20(4):489-91. doi: 10.1097/00007632-199502001-00014.
This was a prospective study.
To evaluate the results of education and early rehabilitation in the prevention of back pain chronicity in coal mine workers.
A new mine was established in central Queensland, Australia. Preventing chronicity is important in the treatment of back pain in the industrial setting, because back pain is often refractory to treatment. Back pain patients also constitute the majority of compensation claims.
A back pain program was instituted that comprised work force education, early injury reporting, first aid at the mine, and changing workplace psychosocial perceptions. Management employees were actively involved. The time off work, number of claims per hundred workers, and costs per claim were compared with another mine in the area.
The median time to return to work was 10 days. In the study group the number of claims and costs per claim were significantly less (P < 0.01) as compared to the control group.
This was an easy to institute, inexpensive back pain program, which succeeded in preventing back pain chronicity in the studied group of mine workers, with no worker being off work for more than 60 days.
这是一项前瞻性研究。
评估教育和早期康复在预防煤矿工人背痛慢性化方面的效果。
澳大利亚昆士兰州中部新建了一座煤矿。在工业环境中，预防背痛慢性化对于背痛治疗很重要，因为背痛往往难以治疗。背痛患者也是工伤赔偿申请的主要群体。
实施了一项背痛项目，包括劳动力教育、早期损伤报告、矿区急救以及改变工作场所的社会心理认知。管理人员积极参与其中。将该煤矿的误工时间、每百名工人的索赔数量以及每次索赔的成本与该地区的另一家煤矿进行了比较。
重返工作岗位的中位时间为10天。与对照组相比，研究组的索赔数量和每次索赔的成本显著更低（P < 0.01）。
这是一个易于实施且成本低廉的背痛项目，成功预防了所研究的煤矿工人群体中的背痛慢性化，没有工人误工超过60天。
