[article]
| Titre : |
Criteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study |
| Type de document : |
texte imprimé |
| Auteurs : |
Marina Assadourian ; Florian Bailly ; Pierre Letellier ; Antoine Potel ; Bernard Duplan ; Johann Beaudreuil ; Arnaud Dupeyron ; Violaine Foltz ; Nada Ibrahim-Nasser ; Isabelle Griffoul ; Sophia Ascione ; Laetitia Morardet ; Myrianne Le Ralle ; B. Fautrel ; Laure Gossec |
| Année de publication : |
2020 |
| Article en page(s) : |
p. 189-194 |
| Note générale : |
doi.org/10.1016/j.rehab.2019.06.019 |
| Langues : |
Anglais (eng) |
| Mots-clés : |
Chronic low back pain Chronic pain Functional restoration program Physical activity Public health |
| Résumé : |
Background
Individuals with chronic low back pain (cLBP) may benefit from multimodal functional restoration programs (FRPs).
Objective
The aim of this study was to analyze characteristics of individuals with cLBP who were referred or not to an FRP. Because cLBP is a bio-psycho-social disorder, medical and social parameters were analysed.
Methods
This was an observational cross-sectional study performed in 2017 in 6 tertiary centres in France. Consecutive individuals with cLBP visiting a rheumatologist or physical medicine and rehabilitation physician were included. Individuals referred or not to an FRP were compared by demographic characteristics, duration of sick leave over the past year, self-reported physical activity > 1 h/week, pain (numeric rating scale 0–10), anxiety/depression (Hospital Anxiety and Depression Scale), disability (Oswestry Disability Index) and kinesiophobia (Tampa Kinesiophobia Scale). Univariate and multivariate logistic regression analyses were performed, estimating odds ratios (ORs) and 95% confidence intervals (CIs).
Results
We included 147 individuals with cLBP. The mean (SD) age was 49 (12) years and 88 (60%) were women; 58 (38%) were referred to an FRP. On multivariate analysis, referral to an FRP was associated with reduced pain level (OR: 0.95, 95% CI: 0.91–0.99, for each 1-point increase in pain score), self-reported lack of physical activity (OR: 0.84, 95% CI: 0.72–0.98) and longer sick leave (OR: 1.03, 95% CI: 1.01–1.05, for 30 more days of sick leave).
Conclusion
In this multicentric observational study, referral to an FRP was linked to pain, self-reported physical activity and sick leave but not medical characteristics assessed. These findings confirm the bio-psycho-social approach of FRPs for cLBP. |
| Permalink : |
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in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 189-194
[article] Criteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study [texte imprimé] / Marina Assadourian ; Florian Bailly ; Pierre Letellier ; Antoine Potel ; Bernard Duplan ; Johann Beaudreuil ; Arnaud Dupeyron ; Violaine Foltz ; Nada Ibrahim-Nasser ; Isabelle Griffoul ; Sophia Ascione ; Laetitia Morardet ; Myrianne Le Ralle ; B. Fautrel ; Laure Gossec . - 2020 . - p. 189-194. doi.org/10.1016/j.rehab.2019.06.019 Langues : Anglais ( eng) in Annals of physical and rehabilitation medicine > Vol. 63, n°3 (Mai-Juin 2020) . - p. 189-194
| Mots-clés : |
Chronic low back pain Chronic pain Functional restoration program Physical activity Public health |
| Résumé : |
Background
Individuals with chronic low back pain (cLBP) may benefit from multimodal functional restoration programs (FRPs).
Objective
The aim of this study was to analyze characteristics of individuals with cLBP who were referred or not to an FRP. Because cLBP is a bio-psycho-social disorder, medical and social parameters were analysed.
Methods
This was an observational cross-sectional study performed in 2017 in 6 tertiary centres in France. Consecutive individuals with cLBP visiting a rheumatologist or physical medicine and rehabilitation physician were included. Individuals referred or not to an FRP were compared by demographic characteristics, duration of sick leave over the past year, self-reported physical activity > 1 h/week, pain (numeric rating scale 0–10), anxiety/depression (Hospital Anxiety and Depression Scale), disability (Oswestry Disability Index) and kinesiophobia (Tampa Kinesiophobia Scale). Univariate and multivariate logistic regression analyses were performed, estimating odds ratios (ORs) and 95% confidence intervals (CIs).
Results
We included 147 individuals with cLBP. The mean (SD) age was 49 (12) years and 88 (60%) were women; 58 (38%) were referred to an FRP. On multivariate analysis, referral to an FRP was associated with reduced pain level (OR: 0.95, 95% CI: 0.91–0.99, for each 1-point increase in pain score), self-reported lack of physical activity (OR: 0.84, 95% CI: 0.72–0.98) and longer sick leave (OR: 1.03, 95% CI: 1.01–1.05, for 30 more days of sick leave).
Conclusion
In this multicentric observational study, referral to an FRP was linked to pain, self-reported physical activity and sick leave but not medical characteristics assessed. These findings confirm the bio-psycho-social approach of FRPs for cLBP. |
| Permalink : |
./index.php?lvl=notice_display&id=90794 |
|
Criteria for inclusion in programs of functional restoration for chronic low back pain: Pragmatic Study in Annals of physical and rehabilitation medicine, Vol. 63, n°3 (Mai-Juin 2020)
