Avtor/Urednik		Čelan, Dušan; Lonzarić, Dragan; Turk, Zmago
Naslov		Učinkovitost multidisciplinarnih programov v rehabilitacijski obravnavi bolnikov s kronično bolečino v križu
Tip		članek
Vir		Rehabilitacija
Vol. in št.		Letnik 4, št. 3-4
Leto izdaje		2005
Obseg		str. 59-66
Jezik		slo
Abstrakt		Chronic low back pain (CLBP) is one of the most frequent and expensive diseases. Approximately 10 - 15 % of patients are severely disabled. There are many evidences that multidisciplinary rehabilitation programmes (MRP) are effective. Comparision of their effectiveness is difficult because of exceptional differences in team composition and trials duration, but authors report of 50 - 75 % successfulness. Although complete recovery is frequently impossible to attain there is still possible to activate patient, to return him or her in his or her work place and improve his or her quality of life. Authors of the article suggest graduated rehabilitation for patients with low back pain from acute patients at primary health level to severely disabled chronic patients at the tertiary health level. After almost 50 years of practising MRP in the world it is finally time to put in life such programmes also in Slovenia.
Izvleček		Kronična bolečina v križu (KBVK) je ena od najpogostejših in najdražjih bolezni. Približno 10 - 15% bolnikov ima težji potek obolenja s hujšo prizadetostjo. V strokovni literaturi je veliko dokazov o učinkovitosti multidisciplinarnih rehabilitacijskih programov (MRP). Primerjava učinkovitosti je otežkočena zaradi izjemnih razlik v sestavi timov in trajanja obravnave, vendar avtorji zaključujejo o 50 - 75 % uspešnosti programov. Kljub nezmožnosti popolnega ozdravljenja je možno doseči aktivacijo, vrnitev v delovni proces in izboljšanje kakovosti življenja. Avtorji članka predlagajo nivojsko delitev rehabilitacijske obravnave bolnika z bolečino v križu od akutnega bolnika na primarnem zdravstvenem nivoju do hudo prizadetega kroničnega bolnika na terciarnem nivoju. Po skoraj polstoletnem izvajanju MRP v svetu bi bil že skrajni čas, da ta pristop aktivno zaživi tudi v Sloveniji.
Deskriptorji		LOW BACK PAIN COGNITIVE THERAPY BEHAVIOR THERAPY PHYSICAL THERAPY CHRONIC DISEASE