Effect of three therapeutics strategies on the restriction of the participation of patients with a chronic back pain : multidisciplinary is it the key component ?
Compare the efficacy of 1 year of participation, of three programs of care for patients with chronic law back, referred to specialists rehabilitation centers or directly to the multidisciplinary consultation of university hospital of Angers. The primary objectif is to assess the efficacy of 1 year of the three therapeutics strategies with the number of days off work in the year following treatment.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
158
Specific functionnal reeducation for chronic low back pain
University Hospital of Angers, laboratory epidemiology, ergonomics and occupational health
Angers, Pays de Loire, France
Efficiency of the 3 programs
Compare the efficacy of 1 year of participation of the three programs of care for chronic low back pain patients referred to specialists rehabilitation centers or directly to the multidisciplinary consultation UH Angers. The primary endpoint to assess the efficacy of 1 year of support on the participation of the patient is the number of days off work in the year following treatment.
Time frame: One year
Evolution of quality of life scales
The secondary endpoints to assess the efficacy of 1-year quality of life of the patient is the SF-36 score. The quality of life questionnaire is collected early in the program at the end (after the 5-week program ended) at 6 months and one year.
Time frame: One year
Compare the effectiveness of 1 year on improving the social integration of three programs supported in the same patients.
The secondary endpoint to assess the efficacy of 1 year of support on improving social inclusion is the score of Dallas. The Dallas questionnaire is collected early in the program at the end (after the 5-week program ended) at 6 months and one year.
Time frame: One year
Compare the effectiveness of 1 year on physical deconditioning, three programs of care in these patients.
The secondary endpoints to assess efficacy at 1 year of support on the physical deconditioning of the patient are the finger-floor distance, Ito test, and the test port heavy load. These tests are performed early in the program at the end (after the program ended five weeks) at 6 months and one year.
Time frame: One year
Compare the cost of 1 year from the point of view of health insurance, of the three therapeutic strategies.
The secondary endpoints to assess the cost of 1 year from the point of view of health insurance, are the direct and indirect costs.
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Time frame: One year