ABSTRACT An estimated 40–85% of all adults will be affected by at least one acute episode of LBP in their lives, with manual labourers most at risk for repeated episodes of LBP. Pain and functional ability were assessed for manual labourers who had previously completed an LBP telehealth programme. Participants had chronic LBP defined as having repeat episodes of pain lasting at least 12 hours each over a 12-month period. Participants completed a six-month programme consisting of monthly phone calls with an exercise physiologist to provide education and support for continued self-care. Seventy-three participants met inclusion criteria by completing the LBP programme and were used for analysis. Mean pain scores showed an improvement of 2.0/10 after six months, and were considered clinically significant. Functional scores as measured by the Oswestry Disability Index improved by a mean 6.6 points, but did not exceed the threshold for clinical significance. A telephonic health-coaching programme is beneficial as a secondary, or concurrent treatment intervention to participant's medical team, but should not be used as the first singular method of treatment. In patients without medical support available, health coaching provides a cost-effective option for safe continuation of self-care.

中文翻译：

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长期腰痛的电话健康指导

摘要估计有40-85％的成年人会在一生中至少受到一次LBP急性发作的影响，体力劳动者最容易发生LBP反复发作的风险。对以前完成LBP远程医疗计划的体力劳动者的疼痛和功能能力进行了评估。参与者的慢性LBP被定义为在12个月的期间内持续至少12个小时的疼痛重复发作。参与者完成了一个为期六个月的计划，其中包括与运动生理学家每月打一次电话，以提供教育和支持，以继续进行自我保健。73名参与者通过完成LBP计划达到入选标准，并用于分析。六个月后，平均疼痛评分显示改善了2.0 / 10，并被认为具有临床意义。由Oswestry残疾指数测得的功能评分平均提高了6.6分，但未超过临床意义的阈值。电话健康教练计划作为参与者医疗团队的辅助或同时治疗干预措施是有益的，但不应用作第一种单独的治疗方法。在没有可用医疗支持的患者中，健康指导可提供一种经济有效的选择，以安全地继续进行自我护理。