Advertisement

Rehabilitation and Treatment Outcome

  • Hubert L. Rosomoff
  • Joel Seres
Chapter

Abstract

The term rehabilitation is often interpreted as additional or supplemental effort to help maximize restoration of the patient. In fact, rehabilitation medicine should be considered as a primary and early approach to the management of patients with pain, and should be considered as part of an overall treatment plan that is proactive and not an afterthought to management. The importance of rehabilitation medicine is such that the failure to involve this discipline, primarily or secondarily, can be more predictive of outcome than the response to other treatments, even surgery. Nowhere in the field of pain is this consideration more evident than in the management of low back pain. The topic is so broad that this chapter will attempt to focus on those elements that are necessary to realize the importance of the rehabilitative approach. This is, in essence, the nonsurgical management of low back pain.

Keywords

Vocational Rehabilitation Chronic Pain Patient Myofascial Pain Myofascial Pain Syndrome Psychogenic Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Rosomoff HL. The non-operative treatment of the failed back syndrome presenting with chronic pain. In: Long DM, ed. Current Therapy in Neurological Surgery. Toronto, Philadelphia; Decker, Inc; 1985:200–202.Google Scholar
  2. 2.
    Rosomoff HL, Green CJ, Silbret M, et al. Pain and low back rehabilitation program at the University of Miami School of Medicine. In: Ng LKY, ed. New Approaches to Treatment of Chronic Pain: A Review of Multidisciplinary Pain Clinics and Pain Centers. National Institute on Drug Abuse Research 36 Monograph Series; 1981:92–111.Google Scholar
  3. 3.
    Rosomoff HL, Johnston JDH, Gallo AE, et al. Cystometry in the evaluation of nerve root compression in the lumbar spine. Surg Gyn Obstet. 1963;117:263–270.Google Scholar
  4. 4.
    Rosomoff HL, Johnston JDH, Gallo AE, et al. Cystometry as an adjunct in the evaluation of lumbar disc syndromes. J Neurosurg. 1970;33:67–74.PubMedCrossRefGoogle Scholar
  5. 5.
    Spitzer WO. Scientific approach to the assessment and management of activity-related spinal disorders. Spine. 1987;12:7S.Google Scholar
  6. 6.
    Travell JG, Simons DC. Myofascial pain and dysfunction. The Trigger Point Manual. Baltimore, Md; Williams & Wilkins; 1983:713.Google Scholar
  7. 7.
    Travell JG, Simons DC. Myofascial pain and dysfunction. The Trigger Point Manual. The Lower Extremities. Baltimore, Md: Williams & Wilkins; 1992;2:607.Google Scholar
  8. 8.
    Cailliet R. Soft Tissue Pain and Disability. Philadelphia, Pa: F.A. Davis; 1980.Google Scholar
  9. 9.
    Rosomoff HL, Rosomoff RS. Comprehensive multidisciplinary pain center approach to the treatment of low back pain: Neurosurg Clin North Am. 1991;2:4.Google Scholar
  10. 10.
    Public Health Service. Public Health Service Hearing before the House Subcommittee on Appropriations, 86th Congress, Second Session. Washington, DC: US Government Printing Office: 1960:1205–1212.Google Scholar
  11. 11.
    Carr DB, Bullen BA, Skrinar GS, et al. Physical conditioning facilitates the exercise-induced secretion of beta-endorphin and beta-lipoprotein in women. N Engl J Med. 1981:305–560.Google Scholar
  12. 12.
    Lewis JW, Cannon JT, Liebeskind J. Opioid and non-opioid mechanisms of stress analgesia. Science. 1980;208:623–625.PubMedCrossRefGoogle Scholar
  13. 13.
    Rosomoff HL. The effects of hypothermia on the physiology of the nervous system. Surgery. 1956;40:328–336.PubMedGoogle Scholar
  14. 14.
    Rosomoff JL, Clasen RA, Hartstock R, et al. Brain reaction to experimental injury after hypothermia. Arch Neurol. 1965;13:337–345.PubMedCrossRefGoogle Scholar
  15. 15.
    Natchev E. A Manual on Auto-traction Treatment for Low Back Pain. Folksam Scientific Council Publ; 1984;B:171.Google Scholar
  16. 16.
    Fishbain D, Goldberg M, Meagher RB, et al. Male and female chronic pain patients categorized by DSM-Ill psychiatric diagnostic criteria. Pain. 1986;26:181–198.PubMedCrossRefGoogle Scholar
  17. 17.
    Asfour S, Khalil T, Waly S, et al. Biofeedback in back muscle strengthening. Spine. 1990;15: 510–513.PubMedCrossRefGoogle Scholar
  18. 18.
    Labbe E, Goldberg M, Fishbain D, et al. Millon behavioral health inventory norms for chronic pain patients. J Clin Psychol. 1989;45:383–390.PubMedCrossRefGoogle Scholar
  19. 19.
    Rosomoff HL, Fishbain DA, Goldberg M, et al. Physical findings in patients with chronic intractable benign pain of the neck and/or back. Pain. 1989;37:279–287.PubMedCrossRefGoogle Scholar
  20. 20.
    Fishbain D, Goldberg M, Steele-Rosomoff R, et al. Chronic pain patients and the non-organic physi-cal sign of nondermatomal sensory abnormalities (NDSA). Psychosomatics. 1991;32:294–303.PubMedCrossRefGoogle Scholar
  21. 21.
    Khalil TM, Asfour SS, Moty EA, et al. Ergonomic contributions to low back pain rehabilitation. Pain Manage. 1988;1:225–230.Google Scholar
  22. 22.
    Khalil TM, Goldberg ML, Asfour SS, et al. Acceptable maximum effort (AME). A psychophysical measure of strength in back pain patients. Spine. 1987;12:372–376.PubMedCrossRefGoogle Scholar
  23. 23.
    Steig RL, Williams RC, Timmermans-Williams G, et al. Cost benefits of interdisciplinary chronic pain treatment. Clin J Pain. 1985;1:189–193.CrossRefGoogle Scholar
  24. 24.
    Khalil TM, Asfour SS, Martinez L, et al. Stretching in the rehabilitation of low-back pain patients. Spine. 1992;17:311–317.PubMedCrossRefGoogle Scholar
  25. 25.
    Asfour SS, Khalil TM, Waly SM, et al. Muscle strength in chronic back pain patients. In: Taylor SK, Francis, eds. Advances in Industrial Ergonomics and Safety IV. 1992:1201–1208.Google Scholar
  26. 26.
    Cassisi JE, Sypert GW, Salamon A, et al. Independent evaluation of a multidisciplinary rehabilitation program for chronic low back pain. Neurosurgery. 1989;25:877–883.PubMedCrossRefGoogle Scholar
  27. 27.
    Zaki AM, Khalil TM, Abdel-Moty E, et al. Profile of chronic pain patients and their rehabilitation outcome. In: Taylor SK, Francis, eds. Advances in Industrial Ergonomics and Safety IV. 1992:1179–1186.Google Scholar
  28. 28.
    Cutler B, Fishbain D, Rosomoff HL, et al. Does nonsurgical pain center treatment of chronic pain return patients to work. A review and meta-analysis of the literature. Spine. 1994;19:643–652.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1997

Authors and Affiliations

  • Hubert L. Rosomoff
  • Joel Seres

There are no affiliations available

Personalised recommendations