GOOD PROGNOSIS FOR LOW-BACK-PAIN WHEN LEFT UNTAMPERED - A RANDOMIZED CLINICAL-TRIAL

被引：315

作者：

INDAHL, A

VELUND, L

REIKERAAS, O

机构：

[1] Oestfold Central Hospital, Fredrikstad

[2] National Center for Orthopedics, Oslo

来源：

SPINE | 1995年 / 20卷 / 04期

关键词：

LOW BACK PAIN; ACTIVITY; SICKNESS LEAVE; TREATMENTS;

D O I：

10.1097/00007632-199502001-00011

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Objective, This randomized clinical trial was designed to determine the effect of treating low back pain as a benign, self limiting condition by light normal activity. Methods. Patients on sickness leave from work for more than 8 weeks were randomized into two groups: intervention (n = 463) and control (n = 512). Those in the intervention group were examined, provided information, and given instruction. Outcome was measured by return or failure to return to work (still on sickness leave). Results. Survival analysis showed a highly significant (P = 0.000) reduction in sickness leave in the intervention group as compared with the control group. At 200 days 60% were still on sickness leave in the control group vs. 30% in the intervention group. A multivariate analysis with age, sex, and treatment as cofactors showed that sex had no effect on length of sickness leave and that treatment retained its effect when adjusting for differences in age composition. Conclusion. This study indicates that low back pain treated as a benign, self limiting condition recommended to light mobilization gives superior results as compared to treatment within a conventional medical system.

引用

页码：473 / 477

页数：5

共 31 条

[1]

Basmajian J.V., Acute back pain and spasm. A controlledmulticenter trial of combined analgesic and antispasm agents, Spine, 14, pp. 438-439, (1989)

[2]

Statistical Software Manual, (1990)

[3]

Colt E., Wardlaw S.L., Frantz A.G., The effect of running on plasma S-endorphin, Life Sci, (1981)

[4]

Deyo R.A., Diehl A.K., Rosenthal M., How many days of bed rest for acute low back pain? A randomized clinical trial, N Engl J Med, 315, pp. 1064-1070, (1986)

[5]

Ernst E., Does a Supportive “muscle corset” Prevent Spinal Complaints? (German) Wiener Mediz Wochensch, 142, pp. 291-293, (1992)

[6]

Franson R.C., Saal J.S., Saal J.A., Human disc phospholipase A2 is inflammatory, Spine, 17, pp. 129-132, (1992)

[7]

Frymoyer J.W., Predicting disability from low back pain, Clin Orthop, 279, pp. 101-109, (1992)

[8]

Grabiner M.D., Koh T.J., El Ghazawi A., Decoupling of bilateral paraspinal excitation in subjects with low back pain, Spine, 17, pp. 1219-1229, (1992)

[9]

Hadler N.M., Regional back pain, N Engl J Med, 315, pp. 1090-1092, (1986)

[10]

Haldeman S., Failure of the pathology model to predict back pain, Spine, 15, pp. 718-724, (1990)

← 1 2 3 4 →