Norén L, Ostgaard S, Nielsen T F, Ostgaard H C
Department of Physiotherapy, Trandared Primary Care Unit, Boras, Sweden.
Spine (Phila Pa 1976). 1997 Sep 15;22(18):2157-60. doi: 10.1097/00007632-199709150-00013.
In this prospective, consecutive, controlled cohort study, the authors analyzed the impact of a differentiated, individual-based treatment program on sick leave during pregnancy for women experiencing lumbar back or posterior pelvic pain during pregnancy.
To identify patients with pain early in pregnancy and, by means of individual information and differentiated physiotherapy, reduce sick leave during pregnancy.
Sick leave for back pain during pregnancy is common, and treatment programs have been aimed at reducing pain, for that reason. In Sweden, the average sick leave due to back pain during pregnancy is 7 weeks.
All pregnant women who attended a specific antenatal clinic and experienced lumbar back or posterior pelvic pain were included in an intervention group, and results were compared with women in a control group from another antenatal clinic.
The intervention group comprised 54 women, compared with 81 women in the control group. Thirty-three women were on sick leave for an average of 30 days in the intervention group versus 45 women for an average of 54 days in the control group (P < 0.001). The reduction in sick leave reduced insurance costs by approximately $53,000 U.S.
Sick leave for lumbar back and posterior pelvic pain in the intervention group was significantly reduced with the program, and the program was cost effective.
在这项前瞻性、连续性、对照队列研究中，作者分析了一种差异化的、基于个体的治疗方案对孕期出现腰背痛或骨盆后疼痛的女性病假情况的影响。
在妊娠早期识别疼痛患者，并通过个性化信息和差异化物理治疗，减少孕期病假。
孕期因背痛请病假很常见，因此治疗方案一直旨在减轻疼痛。在瑞典，孕期因背痛的平均病假时长为7周。
所有到特定产前诊所就诊且有腰背痛或骨盆后疼痛的孕妇被纳入干预组，并将结果与来自另一家产前诊所的对照组女性进行比较。
干预组有54名女性，对照组有81名女性。干预组33名女性平均病假30天，而对照组45名女性平均病假54天（P < 0.001）。病假天数的减少使保险成本降低了约53,000美元。
该方案显著减少了干预组因腰背痛和骨盆后疼痛的病假天数，且该方案具有成本效益。
