Efficiency of three treatment strategies on occupational and quality of life impairments for chronic low back pain patients: is the multidisciplinary approach the key feature to success?

Ronzi, Y.; Roche-Leboucher, Ghislaine; Bègue, Cyril; Dubus, V.; Bontoux, L.; Rodet-Belarbi, Isabelle; Petit, Audrey

doi:10.1177/0269215517691086

Cited by 19 publications

(25 citation statements)

References 30 publications

(40 reference statements)

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“…Petit A & Ronzi Y and colleagues reported a protocol based in a set of physiotherapies, which consisted in: 1) Intensive and multidisciplinary program conducted in a rehabilitation center; 2) Less intensive outpatient program conducted by a trained private physiotherapist; and 3) Mixed strategy combining the same outpatient program associated with a weekly multidisciplinary intervention. They did not find significant difference for the evolution of participants' quality of life, social ability, and personal beliefs between the three groups [15,16]. Liu L and coworkers presented a classic no invasive method based on acupuncture.…”

Section: Discussionmentioning

confidence: 98%

Effectiveness of Three Treatment Strategies on Quality of Life for Patients with Chronic Low Back Pain: A Multidisciplinary Approach as Key to Success

Eloy¹,

Patricia²,

Gustavo³

et al. 2019

J Musculoskelet Disord Treat

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Background: Low back pain (LBP) is one of the highest prevalence problems of public health. LBP affects up to 85% people worldwide. Somebody will be affected at less in one point of his life. LBP represent an enormous economic burden on society; its total cost includes: Direct medical costs, work absenteeism, insurance, lost production and disability benefits. Current treatments range from bed rest, physiotherapy, oral analgesic, muscle relaxants, injection of corticosteroids, local anesthetic, surgery, cell based therapies aiming repair a herniated intervertebral disc and an emerging technique which use injectable hydrogels to restore disc height and function. Objective: It was to show treatment methodology, its accuracy and health satisfaction in patients who developed LBP. Methods: 1,000 patients were subject to a treatment which consists of a combination of three therapies: Physic therapy, ozone and intravenous injections. Results: This method achieves decreases 4 points in a visual analogic scale (VAS) over 12 weeks without medication. It has a rate success of 73%. This methodology may be an applicable and useful tool to avoid the surgery in those patients who present an episode of LBP. Conclusions: Randomized comparative trials are needed to further evaluate if our treatment is superior to lumbar disc surgery.

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Section: Discussionmentioning

confidence: 98%

Effectiveness of Three Treatment Strategies on Quality of Life for Patients with Chronic Low Back Pain: A Multidisciplinary Approach as Key to Success

Eloy¹,

Patricia²,

Gustavo³

et al. 2019

J Musculoskelet Disord Treat

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“…39 However, combinations of these integrated approaches are likely necessary to achieve similar outcomes. 40,41 Further research is needed to help determine which treatments, at what intensities, and for what durations, are necessary to achieve satisfactory outcomes in terms of chronic pain and co-occurring mood and substance use to expand access and reduce costs and life disruption associated with treatment.…”

Section: Discussionmentioning

confidence: 99%

<p>Chronic Pain, Mood Disorders and Substance Use: Outcomes of Interdisciplinary Care in a Residential Psychiatric Hospital</p>

Buono

Savage

Cerrito³

et al. 2020

JPR

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The objective is to report outcomes of an interdisciplinary group-based residential chronic pain recovery program (CPRC), located in a private non-profit psychiatric hospital. The chronic pain program was aimed at treatment and engagement in self-care of both pain and co-occurring disorders in a residential facility that also offered treatment for specific psychiatric disorders. Patients and Methods: A retrospective chart review was conducted that included a convenience sample of 131 patients admitted from March 2012 through August 2017 who completed treatment. An interdisciplinary team of professionals provided psychobehavioral therapy, movement therapies and medication management. Patients completed a battery of psycho-social and demographic questionnaires on admission and before discharge of the program. Results: Significant differences were noted in pain severity, pain interference, depression and anxiety (p<.01) between admission and discharge, and the Chronic Pain Coping Inventory demonstrated significant differences in guarding (p <.001), asking (p =.018), exercise (p <.001), relaxation (p <.001), and pacing (p=.024). Of patients using opioids on admission, at discharge, 37% had tapered and remained off all opioids, 43% were using buprenorphine for opioid use disorder, and 20% continued on analgesic opioids. Conclusion: Treatment was associated with reductions in pain severity and interference, in anxiety and in depression as well as improvements in pain coping. Additionally, there was a reduction in reliance on opioids for pain relief.

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“…Those who disagreed with the latter statement cited the importance of function or activities of daily living in patients with LBP. These results parallel a field-wide shift away from the traditional perspective of pain as a nuisance symptom and towards viewing LBP as a comprehensive syndrome that requires management in-kind [5,6,15,[20][21][22][23][24][25][26][27][28][29].…”

Section: Treatment Goalsmentioning

confidence: 99%

Common Clinical Practice for Low Back Pain Treatment: A Modified Delphi Study

Varrassi

Moretti

Pace³

et al. 2021

Pain Ther

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Introduction: Low back pain (LBP) is a common reason for adults to seek medical care and is associated with important functional limitation and patient burden. Yet, heterogeneity in the causes and presentation of LBP and a lack of standardization in its management impede effective prevention and treatment. Methods: We conducted a modified Delphi study to generate consensus statements for the diagnosis, management, and prognosis of LBP. A panel of five experts proposed 19 statements that were subsequently evaluated by physicians who treat LBP in their everyday clinical practice. Physicians were asked to validate statements in the form of a web survey assessing level of agreement on a five-point Likert-like scale. Results: Consensus (C 70% agreement) was obtained for all 19 statements. Strength of agreement and physician comments highlighted the importance of pain management, but also strategies to ameliorate functional limitation and prevent future LBP episodes. Respondents favored multidisciplinary approaches and multimodal management for LBP, although there was some ambiguity as to how multidisciplinary strategies could be feasibly incorporated into daily practice. Finally, the results indicated some conflict regarding the use of imaging for the diagnosis of LBP and how to classify LBP for targeted treatment. Conclusion: The results of this study provide a summary of favored clinical practice for the management of chronic LBP. While the consensus statements were generally agreeable to survey respondents, some areas of ambiguity, including how to increase the feasibility of multidisciplinary strategies, when and how to use diagnostic imaging in LBP, and LBP classification, necessitate clarification in future studies and guidelines.

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Efficiency of three treatment strategies on occupational and quality of life impairments for chronic low back pain patients: is the multidisciplinary approach the key feature to success?

Abstract: NCT02030171.

Cited by 19 publications

References 30 publications

Effectiveness of Three Treatment Strategies on Quality of Life for Patients with Chronic Low Back Pain: A Multidisciplinary Approach as Key to Success

Effectiveness of Three Treatment Strategies on Quality of Life for Patients with Chronic Low Back Pain: A Multidisciplinary Approach as Key to Success

<p>Chronic Pain, Mood Disorders and Substance Use: Outcomes of Interdisciplinary Care in a Residential Psychiatric Hospital</p>

Common Clinical Practice for Low Back Pain Treatment: A Modified Delphi Study

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