ORBi: Demoulin Christophe - Effectiveness of a semi-intensive multidisciplinary outpatient rehabilitation program in chronic low back pain

Reference : Effectiveness of a semi-intensive multidisciplinary outpatient rehabilitation program in...


	Document type :	Scientific journals : Article
	Discipline(s) :	Human health sciences : Orthopedics, rehabilitation & sports medicine
	To cite this reference:	http://hdl.handle.net/2268/23895

Title :	Effectiveness of a semi-intensive multidisciplinary outpatient rehabilitation program in chronic low back pain
Language :	English
Author, co-author :	Demoulin, Christophe [Université de Liège - ULg > Département des sciences de la motricité > Kinésithérapie spécifique et réadaptation motrice >]
	Grosdent, Stéphanie [Université de Liège - ULg > > Médecine de l'appareil locomoteur >]
	Capron, Lucile [> >]
	Tomasella, Marco [Université de Liège - ULg > > Médecine de l'appareil locomoteur >]
	Somville, Pierre-René [Université de Liège - ULg > > Médecine de l'appareil locomoteur >]
	Crielaard, Jean-Michel [Université de Liège - ULg > Département des sciences de la motricité > Evaluation et entraînement des aptitudes physiques - Médecine physique et réadaptation fonctionnelle >]
	Vanderthommen, Marc [Université de Liège - ULg > Département des sciences de la motricité > Kinésithérapie spécifique et réadaptation motrice >]
Publication date :	2010
Journal title :	Joint Bone Spine
Publisher :	Elsevier Science
Volume :	77
Pages :	58-63
Audience :	International
ISSN :	1297-319X
e-ISSN :	1778-7254
City :	Paris
Country :	France
Keywords :	[en] Chronic low back pain ; Pain ; Disability ; Kinesiophobia ; Rehabilitation
Abstract :	[en] Objectives: To evaluate the efficacy of a semi-intensive multidisciplinary outpatient program complying with the requirements of the Belgian National Institute for Health and Disability Insurance and intended for patients with chronic low back pain. Methods: Weincluded 262 patients with nonspecific chronic low back pain, amongwhom136 (73women and 63 men) with a mean pain duration of 11.3 years completed the outpatient program (36 sessions each lasting 2 h). The program consisted of education about back-sparing techniques, interventions by an occupational therapist and psychologist, and physical reconditioning. Three sessions (sessions 1, 18, and 36) were used to evaluate pain intensity, functional impairment, kinesiophobia, cognitive knowledge, knowledge of appropriate spinal movement technique, and physical performance (trunk muscle strength and endurance, mobility of the pelvis and lumbar spine, and aerobic capacity). Results: All study variables were significantly improved at study completion compared to baseline: pain intensity was decreased by 44%, functional impairment by 40%, and kinesiophobia by 11% whereas knowledge was improved by 59%, back-sparing technique by 95%, trunk muscle strength by 40% on average, trunk extensor muscle endurance by 90%, mobility by 8%, and aerobic capacity by 18%. Conclusions: A semi-intensive multidisciplinary outpatient program was beneficial in patients with chronic low back pain. Careful patient selection and increased patient involvement in the program may help to improve adherence.
Target :	Researchers ; Professionals ; Students
Permalink :	http://hdl.handle.net/2268/23895
DOI :	10.1016/j.jbspin.2009.11.003

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