1985 Volvo Award in Clinical Sciences: Objective Assessment of Spine Function Following Industrial Injury

Comorbidity of Chronic Pain and Mental Health Disorders: The Biopsychosocial Perspective.

“…One variant of such programs-functional restoration (FR)-has been comprehensively described in detail in a number of publications (e.g., Mayer & Gatchel, 1988;Mayer et al, 1987;Mayer & Polatin, 2000). Research has shown that the FR program is associated with substantive improvement in various important societal outcome measures (e.g., return to work and resolution of outstanding medical issues) in chronically disabled patients with spinal disorders in both 1-year follow-up studies (e.g., Hazard et al, 1989;Mayer et al, 1985), as well as a 2-year follow-up study (Mayer et al, 1987). In the 2-year follow-up study by Mayer et al, 87% of the FR group was actively working at 2 years post-treatment, as compared to only 41% of a non-treatment comparison group.…”

Multidisciplinary treatment programs for chronic back pain

“…Она отри-цательно воздействует не только на самих пациентов, но и на их ближайшее окружение. Эта проблема настолько сложна и многообразна, что во многих странах получили развитие мультидисциплинарные программы лечения па-циентов с ХБС [20,21].…”

Measuring movement at the low back

“…Measuring movement at the low back is of value both in quantifying impairment (AMA, 1999) and in guiding treatment of patients with low back problems (Mayer et al, 1985). Skeletal movement at the low back is difficult to isolate from movement at the hips and its measurement is further complicated by the fact that the low back has a mobile soft tissue envelope.…”

“…The American Medical Association currently recommends measurement of movement at the low back in terms of the change in the angle between the tangents to the sacrum and T12 as determined using inclinometers (AMA, 1999). Although Loebl (1968) first described the use of inclinometers to quantify lumbar range of movement, the clinical application of this technique has been popularized by Mayer et al (1985). These authors use two inclinometers that sit on a notched base to reference on a spinous process of the sacrum and T12, respectively, thereby defining the surface tangents to these two vertebrae.…”

“…The angular change between the T12 and sacral tangents in the positions of trunk extension and flexion represents the range of movement at the lumbar spine, whereas the change in the orientation of the tangent to the sacral spinous process is taken to represent hip flexion. Mayer et al (1985) used the difference between lumbar and hip ranges of motion during forward flexion measured using this technique as a successful marker of pathology in patients with low back problems.…”