A Controlled and Retrospective Study of 144 Chronic Low Back Pain Patients to Evaluate the Effectiveness of an Intensive Functional Restoration Program in France.

Isabelle Caby,Frédérick Janik,Nicolas Olivier,Patrick Pelayo,Jacques Vanvelcenaher

doi:10.3390/healthcare4020023

Abstract

Study Design: A controlled and retrospective study of 144 chronic low back pain patients to evaluate the effectiveness of an intensive functional restoration program in France. Objective: Evaluating the efficiency of an intensive, dynamic and multidisciplinary functional restoration program in patients with chronic low back pain (LBP), during 6 and 12 months follow up. Summary of background data: Chronic low back pain disease has a multifactor nature, involving physical, psychological professional and social factors. A functional restoration program (FRP) has been included in a multidisciplinary training program which provides an efficient therapeutic solution. However, the effectiveness of an FRP has not been yet established. Methods: 144 subjects (71 males, 73 females) with chronic low back pain were included in a functional restoration program. The FRP includes physiotherapy and occupational therapy interventions together with psychological counselling. Patients participated as in- or outpatients 6 h per day, 5 days a week over 5 weeks. Pain intensity, trunk flexibility, trunk strength, lifting ability, quality of life and return to work were recorded before, immediately after, and at 6 months and 12 months after the treatment period. Results: All outcome measures were significantly higher just after the FRP (144 patients) and at 6 and 12 months (from available data in 31 subjects) compared to pre-treatment values. This FRP for chronic low back pain maintained its benefits whatever the patient’s activities. Conclusions: The effects reflected on all outcome measures, both on short and long term follow-up. The multidisciplinary FRP for chronic low back pain patients durably stopped the de-conditioning syndrome and involved new life-style habits for the patient, daily pain management and a return to work.

Highlights

In many countries, industrialisation has been instrumental in the development of musculoskeletal disorders, of which low back pain (LBP) is the most common and expensive [1,2]
The study was designed as a controlled, retrospective and non-randomized study in chronic low back pain patients to evaluate the effectiveness of an intensive functional restoration program
A total of 144 Chronic low back pain (CLBP) subjects (71 females, 73 males) of the eligible patients referred by their general practitioner or medical specialist were included in the functional restoration program (FRP) of a re-education and rehabilitation centre

Summary

Introduction

Industrialisation has been instrumental in the development of musculoskeletal disorders, of which low back pain (LBP) is the most common and expensive [1,2]. About 60% to 80% of the population in the western world will experience low back pain at some stage in life. The main low back pain subjects (90%) will recover in 6 weeks. Healthcare 2016, 4, 23 without any intervention, while some of the sufferers will report pain at 3 months (5% to 10%) [3]. There appears to be a trend toward chronic low back pain [4,5]. The multi-factorial nature of chronic low back pain, including physical, functional, psychological, professional and social factors, is acknowledged [6]

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Discussion

Conclusion