Transcription of 参考4 「治療と職業生活の両立等 の支援手法の開発」 のため …
1 22 .. 13 .. #1 2011 7 25 . 10 . 2 .. population survey . Blyth FM et al: Pain, 2001 .. Catala E et al: Eur J Pain, 2002 . Rustoen T et al: Eur J Pain, 2004 etc. (%). 0 10 20 30. PACE survey 2009, JP , 2011(in press).. 6 5 (2011. 2).. Life time 4 Dionne CE, et al. Spine 33: 95-103, 2008.. 85 15 .. 4 5 . 4 5 .. 4 . 1 .. 1 . Deyo RA et al . What can the history and physical examination tell us about low back pain? JAMA 268: 760-765, 1992.. Boden S et al. JBJS[Am] 72:403-8, 1990. 47% MRI . Savage RA et al. Eur Spine J 6:106-114, 1997. MRI .. Carragee EJ et al. Spine J 5:24-35, 2005.. Chou R et al. Lancet 373:463-472, 2009. - .. Leeuw M et al:J Behav Med 30 77-94, 2007 . : 33 60-66, 2010.. Summary of common recommendation for treatment of non specific low back pain Acute or Subacute Pain .. Chronic Pain . /.
2 Koes BW, et al. An updated overview of clinical guidelines for management of non-specific low back pain in primary care. Euro Spine J 19: 2075-94, 2010.. Maurits W, et al. Neck and Back Williams & Wilkins, 271-304, 2000. 22 9 .. Evidence-based . etc.. MRI . ( ) .. 20 .. ' .. * . ' . ( ) . ( 15 ) .. JLEQ . BDI- .. FABQ Melloh m et al, Int Orthop 33:301-313, 2009. PCS .. etc. Pincus T et al, A&R 59: 14-24, 2008.. Brain Imaging FDG-PET VSRAD . 8 . 8 6 2 . 26 56 39 . 108 . 820 .. 2 . 40 . JLEQ BDI- . 40.. 120. 100 50M. 30. 33F. 80. 26M. 20 56M. 60. 58 19 27F. 40 30M. 10 51M. 20 7 37M. 13. 0 0. 12 . 12 . FABQ PCS: . 25 20. 20. 15. 15 50M. 10. 10 33F. 5 5. 26M. 0 0 56M. 12 12 . 27F. PCS: PCS: 30M. 20 12. 51M. 16. 37M. 8. 12. 8. 4. 4. 0 0. 12 12 . - - Dx .. 2 .. 3 + . 18 1 + .. + . Painful Catch + . Waddell non-organic sign.
3 BS-POP 14 . JLEQ 37 2 11 3 19. FABQ-P 24 2 13 3 4. BDI- 20 2 20 3 4.. Pain drawing .. 4 . NRS Numerical Rating Scale .. 2010 pp267-78 .. 2 . JLEQ 69 17 16. FABQ-P 24 17 16. 50 non-organic sign FMS Dx BS-POP 23 . FDG-PET . 4 .. /DHEA . 200 + . DHEA . ( ) .. 30-40% . Gomez-IslaT et al. J Neuroci 16:4491-4500, 1996.. Campell S et al. Am J Psychiatry 161:598-607, 2004. Mckinnon MC, et al. J Psychiatry Nuerosci 34: 42-54, 2009. fibro fog .. Wood PB, et al. J Pain 10: 609-618, 2009. dopamin . Bozzi Y, et al. J Neurosci 20: 8643-49, 2000.. 3 . 6 . 2 . 1 . 2 .. Geoffrey R, 1985 .. ( ).. ( ) .. 3 3 . 2-3 . 2-3 .. 236(5) 388-96, 2011.. A C . n n n (%) (%) (%). 81 85 166.. n n n n n 7 1 6 3 15. A . 3 2 6 2 13. 5 0 3 6 14. C . 5 1 4 4 8. JLEQ 20 FABQ 15 . 20 20 15 14 . n n n n n n (%) (%) (%) (%) (%) (%). 14 67 81 12 69 81.
4 A A . 10 68 78 6 72 78.. 14 71 85 21 64 85.. C C . 15 67 82 15 67 82.. 30 .. JLEQ 45 1 14. FABQ-P 10 1 1.. Consult . Pain Control . Mental Care.
