Efficiency of Associating Therapeutic Patient Education with Rehabilitation in the Management of Chronic Low Back Pain: A Randomized Controlled Trial.

Autor:	Rim M; Department of Physical and Rehabilitation Medicine, Military Tunis Hospital, Tunis, Tunisia.; Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia., Leila R; Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia.; Department of Rheumatology, Charles Nicolle Hospital, Tunis, Tunisia., Aicha BT; Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia.; Department of Rheumatology, Charles Nicolle Hospital, Tunis, Tunisia., Olfa S; Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia.; Department of Rheumatology, Charles Nicolle Hospital, Tunis, Tunisia., Meriem H; Department of Physical and Rehabilitation Medicine, Military Tunis Hospital, Tunis, Tunisia.; Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia., Ines L; Department of Physical and Rehabilitation Medicine, Military Tunis Hospital, Tunis, Tunisia.; Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia., Najla M; Department of Physical and Rehabilitation Medicine, Military Tunis Hospital, Tunis, Tunisia.; Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia., Hajer R; Department of Physical and Rehabilitation Medicine, Military Tunis Hospital, Tunis, Tunisia.; Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia., Imen K; Department of Physical and Rehabilitation Medicine, Military Tunis Hospital, Tunis, Tunisia.; Faculté de Médecine de Tunis, Tunis El Manar University, Tunis, Tunisia.
Jazyk:	angličtina
Zdroj:	Korean journal of family medicine [Korean J Fam Med] 2022 Nov; Vol. 43 (6), pp. 367-373. Date of Electronic Publication: 2022 Nov 20.
DOI:	10.4082/kjfm.21.0223
Abstrakt:	Background: This study aimed to assess the benefits of associating rehabilitation with therapeutic patient education (TPE) to decrease fear-avoidance belief and pain and improve function in adults with chronic low back pain (CLBP). Methods: This randomized controlled study included 100 patients with CLBP according to the CONSORT (Consolidated Standards of Reporting Trials) guidelines. The patients were divided into two teams: group A that participated in the TPE in association with rehabilitation and group B that received rehabilitation only. Pain and functional amelioration were assessed initially (T0) and at the end of the program (T1) using a visual analog scale at rest, work, and activity, and the Echelle d'Incapacité Fonctionnelle pour l'Évaluation des Lombalgies scale. Psychological and apprehension and avoidance assessments were also conducted, including the evaluation of depression, anxiety, fear-avoidance belief, and kinesiophobia using the Hospital Anxiety and Depression Scale, Fear-Avoidance Beliefs Questionnaire, and Tampa scale of kinesiophobia scale. Results: The evaluation of progression initially (T0) and then at the end of the program (T1) revealed a significant reduction in pain at rest (P=0.00) and while working (P=0.00) and doing physical activity (P=0.03); a decrease in anxiety (P=0.03), fear-avoidance belief (P=0.03), and kinesiophobia (P=0.02); and an improvement in function (P=0.00) for patients in group A without amelioration of depression (P=0.15). Concerning group B, we identified a significant regression in pain at rest (P=0.001) and while working (P=0.03) and doing physical activity (P=0.00); depression (P=0.01); fear-avoidance beliefs (P=0.00); and kinesiophobia (P=0.002). Comparison between the groups revealed that associating TPE with rehabilitation resulted in a more significant improvement in function (P=0.00), anxiety (P=0.00), fear-avoidance belief (P=0.00), and kinesiophobia (P=0.00). Conclusion: Associating TPE with rehabilitation improved function and reduced fear, false beliefs, and kinesiophobia of movement in patients with CLBP.
Databáze:	MEDLINE
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