Évaluation à quatre ans d'un programme de reconditionnement à l'effort pour lombalgie chronique

Verfaille, S.; Delarue, Y.; Demangeon, S.; Beuret-Blanquart, F.

doi:10.1016/j.annrmp.2004.08.008

Cited by 15 publications

(2 citation statements)

References 26 publications

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“…physical inactivity, aerobic metabolism responses deterioration). 7,8 The contribution of aerobic metabolism to exercise can be assessed by measurement of pulmonary gas exchanges in order to calculate onset V ̇o2 kinetics and oxygen cost. Muscle oxygenation can also be investigated using near infrared spectroscopy technique (NIRS).…”

Section: Methodsmentioning

confidence: 99%

Benefits of a four-week functional restoration program in chronic low back pain patients and three-month follow-up: focus on paraspinal muscle aerobic metabolism responses to exercise

Anthierens¹,

Olivier²,

Thévenon³

et al. 2020

J Sports Med Phys Fitness

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c hronic low back pain (CLBP) is a major health concern in industrial country, which leads to physical and psychological limitations, resulting notably of high level of paraspinal muscle fatigability in patients. 1, 2 clBpinduced muscle fatigability could be associated with an alteration in aerobic metabolism during paraspinal muscle contractions, in an attempt to satisfy muscular energy re-quirements for spine mobilization and stabilization. 3 an imbalance between muscle O 2 needs and utilization could limit aerobic metabolism and induce high level of paraspinal muscle fatigability.functional restoration programs for clBp patients, described by Mayer and Gatchell, 4 have been recognized as being more effective than the traditional medical inter-BACKGROUND: Chronic low back pain (CLBP) is a major health concern characterized by paraspinal muscle fatigability. This can be im-proved following a functional restoration program. Muscle fatigability can be related to impairment in aerobic metabolism responses. In this study, we investigated paraspinal muscles aerobic metabolism in CLBP patients before and after a functional restoration program, in order to determine if the enhancement in patients' condition following the program is associated to changes in metabolism responses. METHODS: Twenty-two CLBP patients (11 women, 11 men; 41.6±1.8 years; 73.7±3.1 kg; 1.74±0.02 m) were evaluated before and after a 4-week functional restoration program, with exercise therapy as the main component. Three months later, 12 patients were seen for a follow-up visit. During each testing session, patients performed a five-minute isokinetic trunk extension exercise in measuring pulmonary gas exchanges and paraspinal muscle oxygenation. Mechanical efficiency and onset V ̇ O2 kinetics were also calculated, in addition to usual questionnaires and exercises designed to evaluate psychosocial and physical factors. RESULTS: At the end of the program, paraspinal muscle oxygenation, mechanical efficiency, and the V ̇ O2 onset kinetics were improved (P<0.05). All measures remained stable during the three-month follow-up except for paraspinal muscle oxygenation, which deteriorated (P<0.05). Returnto-work was associated with the level of workday physical activities and to a decrease in fear-avoidance beliefs. CONCLUSIONS: At the end of the program, aerobic metabolism responses were improved in paraspinal muscles in patients. These improve-ments were not associated with return-to-work, which was primarily influenced by socio-psychological factors.

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Section: Methodsmentioning

confidence: 99%

Benefits of a four-week functional restoration program in chronic low back pain patients and three-month follow-up: focus on paraspinal muscle aerobic metabolism responses to exercise

Anthierens¹,

Olivier²,

Thévenon³

et al. 2020

J Sports Med Phys Fitness

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show abstract

“…Chronic low back pain (CLBP) programs have been developed during the past two decades [7,8,9,10,11,12], based on the concept developed by Tom Mayer and Robert J. Gatchel: the deconditoning syndrome [13,14]. These programs have had significant results [15,16,17,18,19,20,21], so the exercise therapy program included daily global reconditioning activities, and the objective was to improve some aspects of health-related quality of life in addition to reducing pain and improving function.…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2016

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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.

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Long-term return to work after a functional restoration program for chronic low-back pain patients: a prospective study

et al. 2010

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Low-back pain is a major health and socio economic problem. Functional restoration programs (FRP) have been developed to promote the socio-professional reintegration of patients with important work absenteeism. The aim of this study was to determine the long-term effectiveness of FRP in a group of 105 chronic low-back pain patients and to determine the predictive factors of return to work. One hundred-and-five chronic LBP patients with over 1 month of work absenteeism were included in a FRP. Pain, professional status, quality of life, functional disability, psychological impact, and fear and avoidance beliefs were evaluated at baseline, after 1 year and at the end of follow-up. Main effectiveness criterion was return to work. Fifty-five percent of the patients returned to work after mean follow-up time of 3.5 years, compared with 9% of the patients at work at baseline. Quality of life, functional disability, psychological factors, and fear and avoidance beliefs were all significantly improved. Three predictive factors were found: younger age at the onset of low-back pain, practice of sports, and shorter duration of sick leave at baseline. FRP show positive results in terms of return to work for chronic LBP patients with prolonged work absenteeism. Efforts should be made to propose such programs at an earlier stage of the disease.

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Évaluation à quatre ans d'un programme de reconditionnement à l'effort pour lombalgie chronique

Cited by 15 publications

References 26 publications

Benefits of a four-week functional restoration program in chronic low back pain patients and three-month follow-up: focus on paraspinal muscle aerobic metabolism responses to exercise

Benefits of a four-week functional restoration program in chronic low back pain patients and three-month follow-up: focus on paraspinal muscle aerobic metabolism responses to exercise

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

Long-term return to work after a functional restoration program for chronic low-back pain patients: a prospective study

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