Effectiveness of a semi-intensive multidisciplinary outpatient rehabilitation program in chronic low back pain

Demoulin, Christophe; Grosdent, Stéphanie; Capron, Lucile; Tomasella, Marco; Somville, Pierre; Crielaard, Jean-Michel; Vanderthommen, Marc

doi:10.1016/j.jbspin.2009.11.003

Cited by 40 publications

(32 citation statements)

References 36 publications

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“…In addition, this improvement is close or even greater than that observed in other studies that integrate educational and rehabilitative treatment [19,20,23,27].…”

Section: Discussionsupporting

confidence: 79%

“…Our programme is different from those that already exist since we mainly focus management on education and behaviour modification. We combine short-term treatment in the form of one single week of hospitalisation, unlike other programmes [19,20] with more mediumterm treatment since patients are seen again after six months (in most other studies follow-up was more like three months later).…”

Section: Discussionmentioning

confidence: 99%

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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

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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)

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“…In addition, this improvement is close or even greater than that observed in other studies that integrate educational and rehabilitative treatment [19,20,23,27].…”

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

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

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“…They might also explain the significant learning effect observed in some patients, reflected by performance higher at the second trial than at the first one (Grabiner et al, 1990;Lariviere et al, 2003b;Gruther et al, 2009). Such learning effect might explain partly the increase in trunk extensor performance sometimes observed after only a few training sessions (Mannion et al, 2001;Demoulin et al, 2010). Therefore, such increase in performance should always be interpreted with caution.…”

Section: Interpretation Of Resultsmentioning

confidence: 99%

“…Besides, several studies suggest that patients with chronic low back pain (CLBP) may benefit from an active multidisciplinary approach involving an individually tailored reconditioning program (Bendix et al, 1998;Smeets et al, 2008;Demoulin et al, 2010); some authors even reported benefits of programs based mainly on trunk muscles training (Manniche et al, 1988;Mooney et al, 1995;Nelson et al, 1995;Carpenter & Nelson, 1999;Mannion et al, 1999b). As a result, tests of trunk muscle performance are essential to get insight in the muscle strength/endurance.…”

Section: Introductionmentioning

confidence: 99%

Muscular Performance Assessment of Trunk Extensors: A Critical Appraisal of the Literature

Demoulin¹,

Grosdent²,

Smeets³

et al. 2012

Low Back Pain

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“…A lighter program may be one alternative strategy to full-time hospital-based programs at the same stage of treatment, with valuable results in terms of disability and occupational outcome for patients suffering from chronic LBP (24)(25)(26)(27)(28)(29)(30). More is not always better (31).…”

mentioning

confidence: 99%

Chronic low back pain, chronic disability at work, chronic management issues

Petit¹,

Fouquet²

2015

Scand J Work Environ Health

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Effectiveness of a semi-intensive multidisciplinary outpatient rehabilitation program in chronic low back pain

Cited by 40 publications

References 36 publications

Assessing the Benefit of an Educational Program in a Rehabilitation Program over a Week in 99 Patients with 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

Muscular Performance Assessment of Trunk Extensors: A Critical Appraisal of the Literature

Chronic low back pain, chronic disability at work, chronic management issues

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