Defining worthwhile and desired responses to treatment of chronic low back pain.

作者: Michael J. Yelland , Philip J. Schluter

DOI: 10.1111/J.1526-4637.2006.00087.X

关键词: Depression (differential diagnoses)AnxietyRandomized controlled trialChronic low back painPsychological interventionProlotherapyMedicinePhysical medicine and rehabilitationPhysical therapyPatient ageLow back pain

摘要: Objective To describe patients' perceptions of minimum worthwhile and desired reductions in pain disability upon commencing treatment for chronic low back pain. Design Setting Descriptive study nested within a community-based randomized controlled trial on prolotherapy injections exercises. Patients A total 110 participants with Interventions Prior to treatment, were asked what percentage would make they treatment. Outcome Measures. Minimum disability. Results. Median (inter-quartile range) 25% (20%, 50%) 35% This compared 80% (60%, 100%) (50%, The internal consistency between responses was high (Spearman's coefficient association 0.81 0.87, respectively). significant existed reductions, but no found these two factors patient age, gender, severity or duration, disability, anxiety, depression, response satisfaction. Conclusions. Inquiring directly about expectations is important establishing realistic goals setting benchmarks success. There wide disparity the that regard as hope achieve. However, there expect.

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