THE FUNCTIONAL RESTORATION APPROACH TO THE TREATMENT OF CHRONIC PAIN IN PATIENTS WITH SOFT-TISSUE AND BACK INJURIES

被引：80

作者：

MITCHELL, RI

CARMEN, GM

机构：

[1] WORKERS COMPENSAT BOARD ONTARIO,TORONTO,ON,CANADA

[2] WORKERS COMPENSAT,GEORGE WESTON LTD,TORONTO,ON,CANADA

来源：

SPINE | 1994年 / 19卷 / 06期

关键词：

FUNCTIONAL RESTORATION; CHRONIC PAIN; NO STATISTICAL SIGNIFICANCE;

D O I：

10.1097/00007632-199403001-00001

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

A prospective randomized study of 542 injured workers with continuing pain compared 271 workers who were treated at either one of two clinics that provided functional restoration with a control group of 271 subjects. Chronic pain was caused by low back injury in 78% of patients; 79% of those treated were at work 12 months after completion of treatment compared with 78% of the control subjects. When the patients were divided into subsets, based on the accident date and followed monthly, the duration of absence from work, the compensation costs, the disability award costs, and the total costs were less for those treated than the control subjects, but these were not statistically significant. Using the difference in total costs as a measure of relative success, back injuries had better results than other injuries in this study.

引用

页码：633 / 642

页数：10

共 18 条

[1] Aronoff G.M., Evans W.O., Enders P.L., Et al., A review of follow-up studies of multidisciplinary pain units, Pain, 16, pp. 1-11, (1983)
[2] Aronoff G.M., McAlary P.W., Et al., Pain treatment programs: Do they return workers to the workplace?, Occup Med, 3, pp. 123-136, (1988)
[3] Catchlove R., Integrated management of chronic pain, Can Anaesth Soc J, 33, pp. S13-S15, (1986)
[4] Catchove R., Cohen K., Effects of a directive return to work approach in the treatment of workman’s compensation patients with chronic pain, Pain, 14, pp. 181-191, (1982)
[5] Deardorff W.W., Rubin H.S., Scott D.W., Comprehensive multidisciplinary treatment of chronic pain: A follow-up study of treated and non-treated groups, Pain, 45, pp. 35-43, (1991)
[6] Fordyce W.E., Roberts A.H., Sternbach R.A., The behavioral management of chronic pain: A response to critics, Pain, 22, pp. 113-125, (1985)
[7] Fordyce W., McMahon R., Rainwater G., Et al., Pain complaint: Exercise performance relationship in chronic pain, Pain, 10, pp. 311-321, (1981)
[8] Fredrickson B.E., Trief P.M., Et al., Rehabilitation of the patient with chronic back pain. A search for outcome predictors, Spine, 13, pp. 351-353, (1988)
[9] Hazard R.G., Fenwick J.W., Kalisch S.M., Et al., Functional restoration with behavioral support. A one-year prospective study of patients with chronic low-back pain, Spine, 14, pp. 157-161, (1989)
[10] Pain terms: A list with definitions and notes on usage, Pain, 6, pp. 249-252, (1979)

← 1 2 →