Effectiveness of a Short Functional Restoration Program for Patients with Chronic Low Back Pain: a cohort study of 193 Patients
| Autor: | Anne Lambert, Laure Gossec, Florian Bailly, Thomas Davergne, Bruno Fautrel, Violaine Foltz |
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| Přispěvatelé: | Institut Pierre Louis d'Epidémiologie et de Santé Publique (iPLESP), Institut National de la Santé et de la Recherche Médicale (INSERM)-Sorbonne Université (SU) |
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Adult
medicine.medical_specialty Logistic regression Cohort Studies Disability Evaluation 03 medical and health sciences 0302 clinical medicine Rheumatology Quality of life medicine Humans Low back pain 030212 general & internal medicine functional restoration program Pain Measurement 030203 arthritis & rheumatology business.industry Odds ratio Confidence interval humanities 3. Good health Oswestry Disability Index Treatment Outcome disability [SDV.MHEP.RSOA]Life Sciences [q-bio]/Human health and pathology/Rhumatology and musculoskeletal system Presenteeism Quality of Life Physical therapy Chronic Pain medicine.symptom business [SDV.MHEP]Life Sciences [q-bio]/Human health and pathology Cohort study |
| Zdroj: | Joint Bone Spine Joint Bone Spine, Elsevier Masson, In press, 87 (6), pp.640-646. ⟨10.1016/j.jbspin.2020.05.011⟩ |
| ISSN: | 1297-319X |
| Popis: | International audience; Background: Functional restoration programs (FRPs) are integrative programs to improve function in chronic low back pain (cLBP). They are costly and time-consuming. The aim was to assess the effectiveness of a condensed FRP (CFRP) for patients with cLBP in professional activity. Methods: Longitudinal 3 months study of patients with cLBP in one tertiary care hospital, participating in a CFRP over 4 separate days. The primary outcome was the Oswestry Disability Index (ODI). Secondary outcomes included pain, quality of life (EQ5D), patient acceptable symptom state, presenteeism, absenteeism and psychological distress. Outcomes were compared using paired sample Student's t-test or Chi2 between baseline and last follow-up. Logistic regression was used to identify factors associated with better response (improvement of ODI higher than 12.8). Results: In all, 193 patients were analysed, mean age 44.6 (standard deviation (SD) 10.4) years, mean cLBP duration 9.0 (SD 8.8) years. A small improvement was observed for ODI (mean difference-5.9, 95% confidence interval:-7.6,-4.1), as well as most other outcomes. Multivariate analysis showed an association between ODI improvement and higher duration of low back pain (odds ratio for 5 years: 1.41 (1.06,1.88)) and lower baseline back strength (Sorensen, odds ratio for 1 minute: 0.54 (0.29,0.99)). Conclusion: this CFRP showed small effect to improve function, pain and other quality of life, in cLBP. Four-day programs may be an interesting option in cLBP patients still in professional activity for whom a long 1-month FRP is difficultly manageable. Further studies with randomized controlled designs are needed to confirm the benefits. |
| Databáze: | OpenAIRE |
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