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

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.

Treatment Efficacy, Clinical Utility, and Cost-Effectiveness of Multidisciplinary Biopsychosocial Rehabilitation Treatments for Persistent Low Back Pain: A Systematic Review

“…Four different instruments were used to assess HRQoL (DPQ 55 ; Life Satisfaction Questionnaire 11; LiSat-11 60 ; SF-36 34 ; generic 15-dimensional self-administered 15D instrument 61 ), which probably contributed to the conflicting results. Three studies found no long-term increase in the HRQoL after MBR: Caby et al 43 found a short-term reduction in one HRQoL variable 43 and neither Rantonen et al 50 nor Merrick et al 48 detected any change in HRQoL (Table 4). The other 4 studies reported moderate to large increases in HRQoL that persisted for at least 12 months (ES 0.5 to 0.8; P < .05 to P < .001).…”

“…Seventy of the remaining 83 articles did not meet the inclusion criteria, leaving a sample of 13 primary studies for review (Figure 1). 40–54 Twelve studies examined the efficacy of MBR, 3 investigated cost-effectiveness, and 1 examined clinical utility. Three of the 13 studies examined 2 or more of these variables.…”

Satisfaction of patients with lumbar spine pain receiving physiotherapy treatment within health insurance reimbursement in Poland and in France

“…The authors measured the intensity of pain, mobility, the quality of life and the return to work. The obtained results were very good and the programme produced beneficial short-term and long-term effects [24]. Therefore, it is justified to apply such extensive physiotherapy in order to help patients to quickly resume their social activity.…”

“…Caby et al conducted research during which the effectiveness of intensive, dynamic, multidisciplinary and functional program in patients with back pain was evaluated [24]. The program included physiotherapy and occupational therapy treatments as well as psychological consultancy.…”

What to Expect: Medical Quality Outcomes and Achievements of a Multidisciplinary Inpatient Musculoskeletal System Rehabilitation

“…Studies in other countries state that about 57% of patients in Europe and even 70% of patients in the US are able to restart regular full-time work and show significant improvements of psychosocial, physiological parameters after inpatient rehabilitation [40][41][42][43]. An interdisciplinary treatment of medical, physical activity based and psychological therapy ensures a high return to professional life [44,45].…”