Usefulness of disability to sub-classify chronic low back pain and the crucial role of rehabilitation.
Year: 2006
Type: letter
Abstract: T recently published “Diagnostic therapeutic flow-charts (DTF) for low back pain (LBP) patients: the Italian clinical guidelines” 1 have been developed in a completely multidisciplinary way, but there are some characteristics that are of high importance for Physical and Rehabilitation Medicine (PR the distinction between pain-killer treatment and rehabilitation; the importance given not only to the treatment per se, but also to the counselling and to the other activities of daily life (ADL) interventions; the approach to secondary LBP management. Since the publication in 1980 of the World Health Organization “Classification of impairments, disabilities and handicaps”,2 and even more today with the “International classification of functioning”,3 the international medical community cannot avoid to face the impact of disability on health conditions. This is why disability is not of interest exclusively for P&RM (the medical branch primary dealing with it), but for all medical specialties.3 The actual use of disability questionnaires outside the field of P&RM testifies the interest of many clinicians to these aspects of treatment, as well as the penetration of P&RM concepts in the clinical world. LBP is exactly in this situation. In fact, perhaps because of its widespread in the society, as it happened with clinical guidelines which had some pioneers efforts on this topic,4 also disability questionnaires for LBP diagnosis and treatment were ear-
Source: PubMed
Author: S Negrini
Institution: Don Carlo Gnocchi Foundation
Language: English
Field: Health Professions
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W102457566