Evaluation of the Effectiveness of a SPA Therapy to "Neyrac-les-Bains" to the Old Subject (60-80 Years Old) With a Chronic Low Back Pain.

University Hospital, Clermont-Ferrand100 enrolled

Overview

Low back pain is considered to be chronic if it has been present for longer than three months. This pathology is extremely frequent with an annual incidence between 5 in 10 % of the general population. Thus she is frequently met in general medicine, in particular to the ageing subject. It is the 2nd motive for consultation. The Chronic Low Back Pain is a mild pathology the forecast of which is in the favorable great majority of the cases but she pulled a socioeconomic cost mattering with a poly-consumption of care, in private individuals. The primary objective of this study is to determine the impact of a 3 months SPA Therapy on the Chronic Low Back Pain in older adults (from 60 to 80 years old) realizing a SPA Therapy of 3 weeks to "Neyrac-les-Bains".

Realization of the protocol : 1. Selection of the patients (realized during the consultation of programming in the beginning of the SPA Therapy). They are 2 thermal doctors of "Neyrac-les-Bains" (1 general practitioner with formation of thermal medicine and a rheumatologist) which include the eligible patients in this study during the visit of the beginning of SPA Therapy. 2. They will put back to the patients the Inform Consent Form, the Form of non-opposition and the 1st questionnaire (J0). The nurse of the SPA Therapy will be at their disposal to help them to fill the questionnaire if need. An urn will be arranged in the entrance hall of Neyrac- les-Bains to get back the filled questionnaires (J0 and J21). Patients will follow the conventional SPA Therapy of 3 weeks without a specific changes or modification of the care provided. Feedback : Assessments conducted by the using of self - questionnaires: * Delivered in the issue of the visit of inclusion and at the end of the Spa Therapy ; * Sent by mail at 3 and 6 months The expectations and fears will be evaluated by means of individual interview or focus groups. To avoid the biases bound to the questionnaire, the patients questioned in qualitative are different from patients receiving the questionnaire (not over the same period of SPA Therapy).

Study Type

OBSERVATIONAL

Enrollment

100

Conditions

Chronic Low Back Pain

Eligibility

Sex: ALLMin age: 60 YearsMax age: 80 Years

Medical Language ↔ Plain English

Inclusion Criteria: * \- Both sexes * 60-80 years old * Realizing a SPA Therapy of 3 weeks. * Presenting a mechanical pain of the rachis lumbar vertebra \> 3 months * Possible irradiation up to the knee (cruralgia / sciatalgie truncated) * Cooperation and understanding allowing to conform in a strict way to the conditions planned by the study * Acceptance to participate in the study (non-opposition) Exclusion Criteria: * \- \< 60-year-old patients or \> 80 years * Inflammatory, tumoral, traumatic or infectious rheumatism * Surgery of the back * SPA Therapy dating less than 6 months * Evolutionary slipped disc * Disorders(confusions) of the concentration or the compression of the written or oral French language making impossible the realization of the study * The pain estimated by the digital scale = 0 in the inclusion

Outcomes

Primary Outcomes

Pain's estimation by the digital scale

Time frame: at 3 months

Secondary Outcomes

functional incapacity by means of the questionnaire "Oswestry Disability index"

Time frame: at 0 days, 21 days, 3 months and 6 months

personal efficacy by means of the French questionnaire ASES "Arthritis Self Efficacy Scale"

Time frame: at 0 day , 21 days, 3 months, 6 months

fears and the faiths with the FABQ (physical dimension only)

Time frame: at 0 day , 21 days, 3 months, 6 months

consumption of analgesic estimated by a standardized collection

Time frame: at 21 days, 3 months, 6 months

expectations and fears by means of individual interview or focus groups by means of the quantitative questionnaire for qualitative analysis.

Time frame: at 0 day