ULOGA REHABILITACIJE U LIJEČENJU KRIŽOBOLJE

Tonko Vlak

The frequency of symptoms that manifest in low back pain (LBP), whatever if its immediate cause, makes pain back an important medical, and also an socio-economical theme. Rehabilitation is an important factor in the medical and curing process of such patients. Evaluation of the effect of medical rehabilitation is being monitored with a number of specific questionnaires, in which one of the most used is the Oswestry LBP Questionnaire, Roland Morris Questionnaire and non-specific WHOQOL. All the already mentioned mechanisms for LBP have its disadvantages but they also fit in well in the bio-psycho-social model of treatment, for which the LBP is a good example. LBP is not only a problem for itself, but also the cause of stress, disability and reduced functional ability of each patient.

Učestalost tegoba koje se manifestiraju tijekom križobolje, bez obzira na njihov neposredni uzrok, čini križobolju važnom medicinskom, ali i socijalno ekonomskom temom. Pri tome je rehabilitacija važan čimbenik u procesu liječenja i izlječenja takvih bolesnika, a evaluacija učinka medicinske rehabilitacije se prati brojnim specifičnim upitnicima, među kojima se često koriste Oswestry low back pain questionnaire, Roland-Morris Questionnaire, WHOQOL. Svi naprijed spomenuti mehanizmi praćenja kod križobolje imaju i svojih nedostataka, ali se dobro uklapaju i u bio-psiho socijalni model liječenja, za što je križobolja ogledni primjer, kod kojeg bol nije samo problem za sebe već je uzrok stresa, onesposobljenosti i smanjenja funkcionalne sposobnosti svakog bolesnika.