Hazard R G
Department of Orthopaedics and Rehabilitation, McClure Musculoskeletal Research Center, University of Vermont, Burlington, USA.
Bull Hosp Jt Dis. 1996;55(4):213-6.
Chronic disability generates most of the costs associated with occupational low back pain, so the search for interventions that can reduce disability has been extensive. Outcome studies have been complicated by multiple study design and execution issues, as well as by the discrepancies between pain, impairment, and disability inherent in chronic pain populations. Differences in treatment program contents and in socioeconomic settings of the various trials of functional restoration must be considered in outcomes analysis. These differences suggest strategies for improving our future approach to reducing disability from occupational low back pain. Overall, functional restoration programs administered by well-integrated, multidisciplinary staffs can be very effective in reducing disability from occupational low back pain.
慢性残疾产生了与职业性腰痛相关的大部分费用，因此对能够减少残疾的干预措施的探寻一直在广泛进行。由于存在多种研究设计和实施问题，以及慢性疼痛人群中疼痛、功能障碍和残疾之间固有的差异，结果研究变得复杂。在结果分析中必须考虑功能恢复的各种试验在治疗方案内容和社会经济环境方面的差异。这些差异为改进我们未来减少职业性腰痛导致的残疾的方法提供了策略。总体而言，由整合良好的多学科工作人员实施的功能恢复计划在减少职业性腰痛导致的残疾方面可能非常有效。
