Evaluation of the Effectiveness of a SPA Therapy to Neyrac-les-Bains to the Old Subject (60-80 Years Old) With a Chronic Low Back Pain.

Study Overview
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Brief Summary
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Low back pain is considered to be chronic if it has been present for longer than three months. This pathology is extremely frequent with an annual incidence between 5 in 10 % of the general population. Thus she is frequently met in general medicine, in particular to the ageing subject. It is the 2nd motive for consultation. The Chronic Low Back Pain is a mild pathology the forecast of which is in the favorable great majority of the cases but she pulled a socioeconomic cost mattering with a poly-consumption of care, in private individuals. The primary objective of this study is to determine the impact of a 3 months SPA Therapy on the Chronic Low Back Pain in older adults (from 60 to 80 years old) realizing a SPA Therapy of 3 weeks to Neyrac-les-Bains.

Detailed Description
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Realization of the protocol : Selection of the patients (realized during the consultation of programming in the beginning of the SPA Therapy). They are 2 thermal doctors of Neyrac-les-Bains (1 general practitioner with formation of thermal medicine and a rheumatologist) which include the eligible patients in this study during the visit of the beginning of SPA Therapy. They will put back to the patients the Inform Consent Form, the Form of non-opposition and the 1st questionnaire (J0). The nurse of the SPA Therapy will be at their disposal to help them to fill the questionnaire if need. An urn will be arranged in the entrance hall of Neyrac- les-Bains to get back the filled questionnaires (J0 and J21). Patients will follow the conventional SPA Therapy of 3 weeks without a specific changes or modification of the care provided. Feedback : Assessments conducted by the using of self - questionnaires: Delivered in the issue of the visit of inclusion and at the end of the Spa Therapy ; Sent by mail at 3 and 6 months The expectations and fears will be evaluated by means of individual interview or focus groups. To avoid the biases bound to the questionnaire, the patients questioned in qualitative are different from patients receiving the questionnaire (not over the same period of SPA Therapy).

Official Title
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Evaluation of the Effectiveness of a SPA Therapy to Neyrac-les-Bains to the Old Subject (60-80 Years Old) With a Chronic Low Back Pain.

Conditions
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Chronic Low Back Pain

Intervention / Treatment
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* Other: SPA Therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - Both sexes 60-80 years old Realizing a SPA Therapy of 3 weeks. Presenting a mechanical pain of the rachis lumbar vertebra > 3 months Possible irradiation up to the knee (cruralgia / sciatalgie truncated) Cooperation and understanding allowing to conform in a strict way to the conditions planned by the study Acceptance to participate in the study (non-opposition) Exclusion Criteria: - < 60-year-old patients or > 80 years Inflammatory, tumoral, traumatic or infectious rheumatism Surgery of the back SPA Therapy dating less than 6 months Evolutionary slipped disc Disorders(confusions) of the concentration or the compression of the written or oral French language making impossible the realization of the study The pain estimated by the digital scale = 0 in the inclusion

Ages Eligible for Study
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Minimum Age: 60 Years
Maximum Age: 80 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| old subject<br> | Other: SPA Therapy<br> <br> |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain's estimation by the digital scale |  | at 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| functional incapacity by means of the questionnaire Oswestry Disability index |  | at 0 days, 21 days, 3 months and 6 months | 
| personal efficacy by means of the French questionnaire ASES Arthritis Self Efficacy Scale |  | at 0 day , 21 days, 3 months, 6 months | 
| fears and the faiths with the FABQ (physical dimension only) |  | at 0 day , 21 days, 3 months, 6 months | 
| consumption of analgesic estimated by a standardized collection |  | at 21 days, 3 months, 6 months | 
| expectations and fears by means of individual interview or focus groups by means of the quantitative questionnaire for qualitative analysis. |  | at 0 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chronic Low Back Pain, Old subject, SPA Therapy, Pain, Function, Expectations, Fears