Feasibility of a One-day-and-a-half for Patients With Low Back Pain

Study Overview
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Brief Summary
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The purpose of this study was to assess the feasibility of a one-day-and-a-half no intensive multidisciplinary education and exercise therapy program in the subgroup of patients with subacute or chronic LBP for whom first-line treatments had failed but for whom an intensive multidisciplinary rehabilitation program was not indicated.

Detailed Description
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Retrospectively, data of patients between 18 and 60 years who had benefited in the PMR unit of Cochin' hospital of a one-day-and-a-half no intensive multidisciplinary education and exercise therapy program are collected. This no intensive multidisciplinary education and exercise therapy program is proposed by the PMR unit of Cochin' hospital to all patients with a subacute or chronic low back pain for whom first-line treatments had failed but for whom an intensive multidisciplinary rehabilitation program is not indicated. It is done in group of 4 to 6 people, performed by medical doctors with experience in the management of patients with low back pain, physiotherapists, occupational therapists, and psychologist. Data regarding feasibility of this program were recorded with autoquestionnaires that patients had to fill in during the program and 3 months after.

Official Title
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Feasibility of a One-day-and-a-half Multidisciplinary Education and Exercise Therapy Program for Patients With Low Back Pain: a 3-month Retrospective Open Pilot Study

Conditions
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Subacute or Chronic Low Back Pain

Intervention / Treatment
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* Behavioral: Multidisciplinary education and exercise therapy program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: age ≥ 18 years subacute or chronic non-specific LBP ≥ 6 weeks no indication for an intensive multidisciplinary rehabilitation program according to the senior physician, a specialist in physical medicine and rehabilitation and/or rheumatology with a strong experience in the care of patients with non-specific LBP currently working written consent Exclusion Criteria: inability to speak or read French cognitive impairment current sick leave history of intensive multidisciplinary rehabilitation program for LBP

Ages Eligible for Study
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Minimum Age: 18 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 |
| --- | --- |
| Multidisciplinary program.<br>Patients with subacute or chronic LBP for whom first-line treatments had failed but for whom an intensive multidisciplinary rehabilitation program was not indicated. | Behavioral: Multidisciplinary education and exercise therapy program<br>* Multidisciplinary program: one and a half day of education and exercise therapy about low back pain : Lectures and explanations about low back pain Physical activity Relaxation<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Acceptability | Acceptability of the program by the patients (evaluated by a visual analog scale (VAS) between 0 and 100 with 100 representing the best acceptability and 0 the lowest acceptability) | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Efficiency | Efficiency of the program to diminish pain (evaluated by a visual analog scale (VAS) between 0 and 100 with 100 representing the most important pain and 0 no pain at all) | 3 months | 
| Efficiency | Efficiency of the program to diminish fear and beliefs (FABQ, between 0 and 66 with 66 representing the highest level of fear and beliefs about low back pain and 0 representing no fear and beliefs about low back pain) | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Multidisciplinary education and exercise therapy program., Physical activity, Rehabilitation