Education in the management of low back pain. Literature review and recall of key recommendations for practice

Dupeyron, Arnaud; Ribinik, P.; Gélis, Anthony; Genty, M.; Claus, D.; Hérisson, C.; Coudeyre, Emmanuel

doi:10.1016/j.rehab.2011.06.001

Cited by 80 publications

(50 citation statements)

References 77 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Koes et al (2010) stress that international guidelines recommend that education of patients suffering from LBP should be aimed at lessening distress and anxiety attached to LBP, and should encourage active recovery. The present study findings are also in agreement with a review in France regarding the positive effects of educational interventions on knowledge and practice of patients suffering from LBP (Dupeyron et al, 2011). Moreover, after the implementation of the present study protocol, significant improvements were revealed in patients' severity of pain and disability scores, which were also maintained throughout the follow-up.…”

Section: Discussionsupporting

confidence: 91%

Nursing intervention protocol for adult patients experiencing chronic low back pain

Taha¹,

Mohamed²,

Elaziz³

2015

Cent Eur J Nurs Midw

View full text Add to dashboard Cite

Aim: The aim of this study was to evaluate the effectiveness of a nursing intervention protocol targeting the knowledge and practice of adult patients experiencing low back pain. Design: A quasi-experimental research design. Methods: Pre-post assessment of outcome was used in this study. The study was conducted in the outpatient clinic of the physical therapy department at Zagazig University Hospital and Beni-Suef University Hospital, Egypt. Sample: 40 participants diagnosed with chronic low back pain (lasting for longer than six months). Seven of the 40 dropped out during the follow-up phase for personal or logistical reasons. Tools included sections for demographic characteristics, knowledge and practice assessment; in addition to the Oswestry Disability Index, and Visual Analogue Scale (VAS). Results: The application of an instruction protocol intervention for low back pain was effective in improving patient knowledge and practice, with associated amelioration of the severity of pain and disability among them. The effect was still apparent at the three-month follow-up. Conclusion: It is recommended that the study be replicated using a more robust randomized clinical trial design. Nonetheless, the instruction protocol with the designed booklet may be adopted as an element of the care services offered to patients suffering LBP, given the clear positive effects on patient knowledge, which would undoubtedly help them decide on the most preferential management approach.

show abstract

Section: Discussionsupporting

confidence: 91%

Nursing intervention protocol for adult patients experiencing chronic low back pain

Taha¹,

Mohamed²,

Elaziz³

2015

Cent Eur J Nurs Midw

View full text Add to dashboard Cite

show abstract

“…Anti-depressants and muscle relaxants can be used as co-analgesics. The non-medicinal treatments recommended are: patient home exercises learned from a professional, back schools, therapeutic education, cognitive behavioural therapies and multidisciplinary rehabilitation according to the biopsychosocial model which integrates several treatment dimensions: clinical, psychological and social [7,8].…”

Section: Introductionmentioning

confidence: 99%

“…The purpose of the information provided to patients was to limit the chronic nature of the pain and diminish morbidity by providing information on the disease, its prognosis and its evolution, as well as on treatments and their rational use [9]; the purpose of therapeutic education was for patients to acquire knowledge and be able to manage their chronic low back pain on a daily basis [8]. The physiotherapists aimed to teach patients rehabilitation exercises they could do at home.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Benefit of an Educational Program in a Rehabilitation Program over a Week in 99 Patients with Chronic Low Back Pain

Trouvin¹,

Francois²

2016

J Nov Physiother

View full text Add to dashboard Cite

Objectives: Some patients with chronic low back pain are not eligible to intensive rehabilitation program because of the intensity of their pain. We assessed the value of an educational program in a rehabilitation program over a week in chronic low back pain. Methods:Patients aged 18 to 75 years with chronic low back pain were included. The rehabilitation program took place during a five-day hospitalisation in the rheumatology department of the Rouen University Hospital involving patients receiving multidisciplinary management with collective and individual workshops with special focus on education along with structured rehabilitation exercises. On the fifth day, patients and caregivers established goals to achieve within the six-month period. Patients had a follow-up visit six months later. The objective was to evaluate whether or not the goals were achieved at 6 months later.Results: Ninety-nine patients were included, and 78 were re-evaluated after six months. The patients achieved 74% of the goals that they had established, with significant behavioural changes. Clinically and functionally: significant decrease in pain VAS during the program, significant decrease in the fingertip-to-floor distance during the program and at the 6 months follow-up, significant improvement in the functional questionnaire. Conclusion:With to the educational part of their program, the patients achieved a mean of 74% of the goals. Moreover, the training course improved pain and function. For patients with a high level of pain and/or disability our short program with multidisciplinary management and an educational approach seems to be interesting as a first step before a more intensive rehabilitation.Keywords: Chronic low back pain; Therapeutic education; Multidisciplinary management; Rehabilitation Key Points1. Some of the chronic low back pain patients rapidly develop a high level of chronic pain and disability and therefore are not eligible for back school and intensive back pain rehabilitation; for these severe patients, based on the European recommendations and the biopsychosocial model, we created a "low back pain" training session with a special reinforcement on therapeutic education. 2.The training session is a one week multidisciplinary management, with multiple individual and group workshops on the various aspects of the chronic low back pain and its consequences in the different aspects of life.3. We asked patients to set goals to achieve by the sixth month following the training course in order to give them a starting point for following their efforts once they completed the week of training, the patients achieved a mean of 75% of the goals they had set individually.4. After the week training session, the pain scale significantly decrease as well as the finger-to-floor distance, the modified Schober's test and the functional questionnaire (Roland Morris Disability Questionnaire and Dallas Pain Questionnaire)

show abstract

“…Une minorité de patients (environ 10 %) engendre à elle seule 85 % de ces coûts [8]. Les facteurs de risque de passage à la chronicité de la lombalgie sont aujourd'hui bien connus.…”

Section: Introductionunclassified

“…Les facteurs de risque de passage à la chronicité de la lombalgie sont aujourd'hui bien connus. Les « drapeaux jaunes » correspondent aux facteurs de risque psychosociaux [8]. Il s'agit de facteurs professionnels (durée de soulèvement de charges, posture professionnelle, insatisfaction au travail), cognitifs (catastrophisme, croyance que la douleur est dommageable), comportementaux (repos prolongé, diminution des activités quotidiennes, évitement des activités normales) et psychologiques (sentiment d'inutilité, dépression, irritabilité, manque de soutien) [28].…”

Section: Introductionunclassified

Éducation thérapeutique et lombalgie chronique

Laroche

2011

Douleur analg

View full text Add to dashboard Cite

Education in the management of low back pain. Literature review and recall of key recommendations for practice

Abstract: Therapeutic patient education appears to reduce the negative consequences of fear-avoidance behaviour and thus promotes treatment compliance in LBP patients, from the acute phase onwards.

Cited by 80 publications

References 77 publications

Nursing intervention protocol for adult patients experiencing chronic low back pain

Nursing intervention protocol for adult patients experiencing chronic low back pain

Assessing the Benefit of an Educational Program in a Rehabilitation Program over a Week in 99 Patients with Chronic Low Back Pain

Éducation thérapeutique et lombalgie chronique

Contact Info

Product

Resources

About