A psychosociomedical prediction model of response to treatment by chronically disabled workers with low-back pain.

摘要: There has been much Interest in identifying variables that can predict which Individuals are susceptible to developing chronic low-back pain. currently a number of studies evaluating primary predictors (which uninjured workers likely develop pain) and secondary with acute episodes will pain). The present study reports the first results from large-scale investigation tertiary predictors. Specifically, it addresses issue what psychosociomedical predictive success/failure response comprehensive Functional Restoration treatment program by who chronically disabled Three stages were involved In development this prediction model. First, group research professionals had extensive experience area pain identified an array 42 variables, larger pool quantified physical, psychosocial, medical parameters rated be important' patient population. Second, sample patients undergone full medical, functional physical assessment prior participation program, four separate groups selected on basis specific outcome criteria: 1) A "success"group (n=125) completed back work 1 year later; 2) "failure" (n=121), but not 3) "drop-out"group (n=40), dropped out before completing it; 4) "failed enter" group, did enter after initial evaluation (n=40). series statistical analyses evaluated differentiated among these patients. These statistically isolated ten variables: one demographic, two Job-related, measures, surgery history variable. third stage model Involved entering into multivarlate logistic regression analysis. This analysis developed correctly Identified 70% cases. show great promise robust for predicting those or respond regimen.