[Prognosis in back pain].
A series of Norwegian controlled studies of treatment for low back pain are reviewed with regard to the prognostic factors identified. The importance of controlled and randomized studies is emphasized. A satisfactory level of prediction can only be reached by combining medical, psychological, and social factors. Important prognostic factors are lateral mobility, generalized and intense pain, fear of pain, long duration of pain and sickness leaves, poor subjective evaluation of prognosis and ability to work, low trust in one's own ability to control health, low level of physical training and activity before the acute event, and high level of other subjective health complaints. These data are in good agreement with results from other countries. New data on treatment emphasize the importance of activation of the patient, reducing the fear and avoiding bedrest and inactivity.
Ursin
H
H
Institutt for biologisk og medisinsk psykologi, Universitetet i Bergen.
D001416:Back Pain / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D002908:Chronic Disease; D018849:Controlled Clinical Trials as Topic; D015444:Exercise; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis / Q000601:surgery; D008019:Life Style; D017116:Low Back Pain / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D009664:Norway; D009790:Occupations; D011379:Prognosis; D016032:Randomized Controlled Trials as Topic; D012585:Sciatica / Q000175:diagnosis / Q000601:surgery; D012959:Socioeconomic Factors
Prognose ved rygglidelser.