Can it be predicted which patients with chronic low back pain should be offered tertiary rehabilitation in a functional restoration program ? A search for demographic, socioeconomic, and physical predictors. Point of view.
A prospective clinical trial was conducted that involved six groups of patients with chronic low back pain selected from a large cohort (N=816).
To correlate pretreatment baseline variables with outcome parameters after treatment in a functional restoration program or in control programs, to identify possible factors predictive of the need for functional restoration. of Background Data.
Since the functional restoration program was first described, research has focused on identifying patients who will or will not benefit from such a program.
The value of previous studies is limited, however, because predictive factors from a control group were not « subtracted. » Methods.
Eight hundred sixteen patients with chronic low back disability were included.
All had a structured medical examination, including various physical tests before participation in either a functional restoration program (n=621) or shorter « control » outpatient programs (n=144).
A smaller group of the cohort (n=51) had no treatment and served as a pure control group.
Six groups were selected from the cohort : Three underwent an identical functional restoration program and three underwent different outpatient control programs.
Several baseline demographic, physical, and socioeconomic variables were correlated to 1-year outcome parameters.
Age, days of sick leave. (...)
Mots-clés Pascal : Lombalgie, Chronique, Incapacité, Rééducation, Traitement, Indication, Epidémiologie, Réhabilitation, Facteur prédictif, Homme, Facteur sociodémographique, Etude longitudinale, Pronostic, Douleur, Système ostéoarticulaire pathologie, Rachis pathologie, Rachialgie, Facteur économique, Facteur physique
Mots-clés Pascal anglais : Low back pain, Chronic, Disability, Reeducation, Treatment, Indication, Epidemiology, Rehabilitation, Predictive factor, Human, Sociodemographic factor, Follow up study, Prognosis, Pain, Diseases of the osteoarticular system, Spine disease, Rachialgia
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0419600
Code Inist : 002B26H. Création : 25/01/1999.