Low Back Pain
Conditions
Brief summary
Low back pain (LBP) is the leading cause of disability and one of the most common reasons for physician visits in primary care, with a 33 % rate of recurrence during the first year, converting LBP into a chronic condition. The french High healthy authority recommend early occupational oriented intervention associated with a multidisciplinary rehabilitation program. However even if these recommendations are taken into appropriate account, risk for recurrence of Low back pain and occupational repercussions often occured. This study aims to identify the risk factor(s) of sick leave after a rehabilitation stay in outpatients and thus adapt cares provided to the patients in respect of their needs and expectations.
Interventions
None listed
Sponsors
Fondation Ildys
Lille Catholic University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* men and women over 18 years old * able to understand and respect the protocol requirement * who signed the consent prior to any other procedure protocol * patients suffering from chronic lower back or lumbo-radicular pain since more than 3 months * employee bellow 3 years before retirement * patients included in a multidisciplinary rehabilitation program and occupational medicine
Exclusion criteria
* major patients under guardianship/curator/legal protection * pregnant patients * obese patients with BMI (body mass index) \> 35 (grade 2) * patients suffering from neurological pathology * patients suffering from chronic lower back or lumbo-radicular pain since less than 3 months * patients suffering from chronic lower back pain with inflammatory or tumoral or infectious ethiology
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recurrence of sick leaves induced by lower back pain | 3 months after the rehabilitation program | Number of sick leaves induced by lower back pain after the rehabilitation program |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Risk factor analysis of recurrence of sick leaves induced by lower back pain (9) | Baseline | Fear and beliefs, evaluated with FABQ (Fear-avoidance beliefs questionnaire) scale, will be analysed as risk factor of recurrence |
| Risk factor analysis of recurrence of sick leaves induced by lower back pain (10) | Baseline | locomotor capacity (flexibility and endurance) will be analysed as risk factor of recurrence. |
| Risk factor analysis of recurrence of sick leaves induced by lower back pain (11) | Baseline | neurological impact (tendon reflex) will be analysed as risk factor of recurrence. |
| Risk factor analysis of recurrence of sick leaves induced by lower back pain (3) | Baseline | quality of life,evaluated by Oswestry scale, will be analysed as risk factor of recurrence |
| Risk factor analysis of recurrence of sick leaves induced by lower back pain (4) | Baseline | Physiological state, evaluated by hospital anxiety and depression scale, will be analysed as risk factor of recurrence |
| Risk factor analysis of recurrence of sick leaves induced by lower back pain (5) | Baseline | physical activity, evaluated by Ricci \& gagnon questionnaire, will be analysed as risk factor of recurrence |
| Risk factor analysis of recurrence of sick leaves induced by lower back pain (6) | Baseline | Pain, evaluated with a visual analog scale, will be analysed as risk factor of recurrence |
| Risk factor analysis of recurrence of sick leaves induced by lower back pain (7) | Baseline | Impact of lower back pain on wellbeing, evaluated with Dallas questionnaire, will be analysed as risk factor of recurrence |
| Risk factor analysis of recurrence of sick leaves induced by lower back pain (1) | Baseline | demography (sexe and age) will be analysed as risk factor of recurrence |
| Risk factor analysis of recurrence of sick leaves induced by lower back pain (8) | Baseline | stress at work, evaluated with Karasek scale, will be analysed as risk factor of recurrence |
| Risk factor analysis of recurrence of sick leaves induced by lower back pain (2) | Baseline | anthropometric data (weight, BMI) will be analysed as risk factor of recurrence |
Countries
France
Contacts
PRINCIPAL_INVESTIGATORJean-Sébastien Bourseul, MD
Fondation Ildys
Outcome results
None listed