Recommandations et arbre décisionnel sur la prise en charge de la lombalgie avec ou sans radiculalgie

Bailly, Franck; Priscille, Trouvin Anne; Sandrine, Bercier; Dadoun, Sabrina; Deneuville, Jean-Philippe; Rogatien, Faguer; Fassier, Jean‐Baptiste; Koleck, Michèle; Lassalle, Louis; Le, Vraux Thomas; Brigitte, Liesse; Petitprez, Karine; Aline, Ramond-Roquin; Jean-françois, R; Alexandra, Roren; Rozenberg, Sylvie; Sebire, Catherine; Vuides, Gilles; Raffi, François; Petit, Audrey

doi:10.1016/j.rhum.2021.10.565

Cited by 3 publications

(1 citation statement)

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“…When these usual types of management fail, the patient may be referred to a multidisciplinary programme. These programmes target the physical, psychological and social aspects of CLBP, involve a team of clinicians, and are recommended in several major international clinical guidelines such as the National Institute for Health and Care Excellence, the American College of Physicians, the German Disease Management Guidelines, and the French National Authority for Health ( 2 , 3 ).…”

Section: Introductionmentioning

confidence: 99%

Compliance with a personalised home exercise programme in chronic low back pain patients after a multidisciplinary programme: A pilot randomised controlled trial

Caron

Rouzée²,

Coquart

et al. 2022

Front. Rehabilit. Sci.

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BackgroundChronic low back pain (CLBP) is a very common problem throughout the world. One treatment possibility is the multidisciplinary programme (MP) in a rehabilitation centre, which provides intensive rehabilitation through physical exercise to quickly improve the patient conditions. Patients nevertheless do not always continue the exercises when they return home. This study thus evaluated compliance with a personalised home-based programme for CLBP patients post-MP.MethodsA randomised controlled single-blind trial was conducted. Thirty patients were randomised into two groups and participated in an MP for 4 weeks. They were then given an exercise booklet for home rehabilitation. In addition, each patient in the experimental group constructed a personalised exercise programme with a physiotherapist. The control group was only encouraged to continue the exercises at home. To assess therapeutic compliance, both groups were asked to document each completed exercise in a logbook. In addition, pain intensity, flexibility, muscle endurance, activity limitations, participation restrictions, and beliefs about physical activity were assessed at the beginning and end of the MP and again after 12 weeks at home.ResultsCompliance was good for all activities in both groups, but there were no significant differences between groups. All participants improved on the criteria by the end of MP, and both groups maintained the improvements in most of the criteria at 3-month follow-up.ConclusionThis study showed the effectiveness of an MP for CLBP in the short and medium term. However, future research should focus on longer-term compliance.

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Section: Introductionmentioning

confidence: 99%