Functional multidisciplinary rehabilitation versus outpatient physiotherapy for non specific low back pain: randomized controlled trial.

Détails

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Etat: Public
Version: Final published version
ID Serval
serval:BIB_4D986A0796E4
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Functional multidisciplinary rehabilitation versus outpatient physiotherapy for non specific low back pain: randomized controlled trial.
Périodique
Swiss Medical Weekly
Auteur(s)
Henchoz Y., de Goumoëns P., So A.K., Paillex R.
ISSN
1424-3997
Statut éditorial
Publié
Date de publication
2010
Volume
140
Pages
w13133
Langue
anglais
Notes
Publication types: Comparative Study ; Journal Article ; Randomized Controlled Trial
Résumé
INTRODUCTION: In recent decades the treatment of non-specific low back pain has turned to active modalities, some of which were based on cognitive-behavioural principles. Non-randomised studies clearly favour functional multidisciplinary rehabilitation over outpatient physiotherapy. However, systematic reviews and meta-analysis provide contradictory evidence regarding the effects on return to work and functional status. The aim of the present randomised study was to compare long-term functional and work status after 3-week functional multidisciplinary rehabilitation or 18 supervised outpatient physiotherapy sessions.
METHODS: 109 patients with non-specific low back pain were randomised to either a 3-week functional multidisciplinary rehabilitation programme, including physical and ergonomic training, psychological pain management, back school and information, or 18 sessions of active outpatient physiotherapy over 9 weeks. Primary outcomes were functional disability (Oswestry) and work status. Secondary outcomes were lifting capacity (Spinal Function Sort and PILE test), lumbar range-of-motion (modified-modified Schöber and fingertip-to-floor tests), trunk muscle endurance (Shirado and Biering-Sörensen tests) and aerobic capacity (modified Bruce test).
RESULTS: Oswestry disability index was improved to a significantly greater extent after functional multidisciplinary rehabilitation compared to outpatient physiotherapy at follow-up of 9 weeks (P = 0.012), 9 months (P = 0.023) and 12 months (P = 0.011). Work status was significantly improved after functional multidisciplinary rehabilitation only (P = 0.012), resulting in a significant difference compared to outpatient physiotherapy at 12 months' follow-up (P = 0.012). Secondary outcome results were more contrasted.
CONCLUSIONS: Functional multidisciplinary rehabilitation was better than outpatient physiotherapy in improving functional and work status. From an economic point of view, these results should be backed up by a cost-effectiveness study.
Mots-clé
Adult, Ambulatory Care, Female, Humans, Low Back Pain/rehabilitation, Low Back Pain/therapy, Male, Physical Therapy Modalities, Prospective Studies
Pubmed
Web of science
Open Access
Oui
Création de la notice
18/02/2011 16:26
Dernière modification de la notice
20/08/2019 14:02
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