A prospective short-term study of chronic low back pain patients utilizing novel objective functional measurement |
| |
| Authors: | T G Mayer R J Gatchel N Kishino J Keeley H Mayer P Capra V Mooney |
| |
| Institution: | 1. Division of Orthopedic Surgery University of Texas Health Science Center, Dallas, TX 75235, U.S.A.;2. Division of Psychology, University of Texas Health Science Center, Dallas, TX 75235,U.S.A.;3. Productive Rehabilitation Institute of Dallas for Ergonomics, Dallas, TX 75247 U.S.A.;1. Department of Orthopaedics, Innlandet Hospital Trust, Anders Sandvigsgate 17, 2629 Lillehammer, Norway;2. Department of Orthopaedic Surgery, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis St., Boston, MA 02115, USA;3. Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, 55 Fruit St., Boston, MA 02214, USA;4. Center for Spinal Disorders, Department of Neurosurgery, St Olav’s University Hospital, Trondheim, Norway;5. FORMI, Communication Unit for Musculoskeletal Disorders, Oslo University Hospital, Ullevaal, Oslo, Norway;6. Department of Ophthalmology and Neurosurgery, University Hospital of Northern Norway, The Norwegian Registry for Spine Surgery (NORspine), Northern Norway Regional Health Authority, Tromsø, Norway;1. Department of Neurology, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, PA, USA;2. Department of Biostatistics, College of Public Health, University of Iowa, Iowa City, IA, USA;3. Department of Molecular & Medical Genetics, Oregon Health & Science University, Portland, USA;4. Department of Neurology, Oregon Health & Science University, Portland, USA;5. Biomedical Signal Processing Laboratory, Portland State University, Portland, OR, USA;6. The Institute for Neurodegenerative Disorders, New Haven, CT, USA;7. Eli Lilly and Company, New York, NY, USA;1. Department of Neurosurgery, Abant Izzet Baysal University Medical School, Bolu, Turkey;2. Department of Radiology, Abant Izzet Baysal University Medical School, Bolu, Turkey;3. Department of Anesthesiology, Abant Izzet Baysal University Medical School, Bolu, Turkey;4. Department of Psychiatry, Abant Izzet Baysal University Medical School, Bolu, Turkey;1. Department of Psychology and Behavioural Sciences, Aarhus University, Denmark;2. The Danish Committee for Health Education, Denmark;3. Research Clinic for Functional Disorders, Aarhus University Hospital, Denmark |
| |
| Abstract: | The present study utilized recently developed diagnostic tests that permit recognition of functional deficits in spine mobility, trunk strength, endurance, coordination, and dynamic lifting capacity. Changes in these tests were compared to changes in psychological functioning (e.g., self-report of pain) as well as to outcome criteria such as return-to-work and resolution of litigation. The study utilized these tests repeatedly during a new treatment approach to feed back objective information of the patient's functional capacity, not amenable to simple visual inspection, to both the patient and the surgeon. The program itself integrated a low back physical rehabilitation program with a multimodal pain management program and was guided by repeated functional capacity measurements. A total of 66 patients were evaluated. Results demonstrated significant improvement in physical function in these patients, which was also accompanied by changes in self-report of pain complaints. Moreover, an 82% return-to-work rate was achieved in this sample which was initially 92% unemployed. These results indicate that the physician dealing with chronic low back dysfunction can employ objective measures of functional capacity as an alternative to the sole reliance on pain patient self-report or structured tests, such as radiographic imaging, which merely document a universal, progressive degenerative process. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
