Spine school for patients with low back pain: interdisciplinary approach

OBJECTIVE: To analyze and evaluate an interdisciplinary educational treatment - Spine School.METHODS: This study is a non-controlled clinical trial. Twenty one individuals (19 women) aged 27-74 years diagnosed with chronic low back pain were enrolled and followed-up by a rheumatologist and an orthopedist. The evaluations used were SF36, Roland Morris, canadian occupational performance measure (COPM) and visual analogue scale (VAS) of pain that were performed before and after seven weeks of treatment.RESULTS: We found statistically significant improvements in vitality (mean 48.10 vs. 81.25) p=0.009 and limitations caused by physical aspects (mean 48.81 vs. 81.25) p=0.038 and perception of pain (mean 6.88 vs. 5.38) p=0.005. Although the results were suggestive of improvement, there were no statistical significant differences in the domains social aspects (average 70.82 vs. 92.86) p=0.078, emotional aspects (average 52.38 vs. 88.95) p=0.078, and the performance satisfaction (mean 4.94 vs. 8.24) p=0.074.CONCLUSION: The Interdisciplinary Spine School was useful for improvement in some domains of quality of life of people with low back pain.研究目的：分析并评估跨学科诊疗项目——脊柱学校（Spine School）的临床效果。 研究方法：本研究为非对照临床试验，共纳入21例确诊为慢性腰痛的患者（其中女性19例），年龄27~74岁，由风湿病学家与骨科医师完成全程随访。本次研究采用的评估工具包括36项健康调查简表（SF36）、罗兰-莫里斯功能障碍问卷（Roland Morris）、加拿大职业功能评定量表（Canadian Occupational Performance Measure, COPM）以及疼痛视觉模拟评分法（Visual Analogue Scale, VAS），分别于治疗前及7周疗程结束后完成两次评估。 研究结果：结果显示，患者的活力维度（治疗前均值48.10，治疗后81.25，p=0.009）、躯体活动受限维度（治疗前均值48.81，治疗后81.25，p=0.038）及疼痛感知评分（治疗前均值6.88，治疗后5.38，p=0.005）均获得具有统计学意义的改善。尽管结果提示存在改善趋势，但社交功能维度（治疗前均值70.82，治疗后92.86，p=0.078）、情绪功能维度（治疗前均值52.38，治疗后88.95，p=0.078）及作业表现满意度（治疗前均值4.94，治疗后8.24，p=0.074）未出现统计学显著性差异。 研究结论：跨学科脊柱学校（Spine School）项目可有效改善慢性腰痛患者的部分生活质量维度。