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Multidisciplinary intensive functional restoration versus outpatient active physiotherapy in chronic low back pain: a randomized controlled trial.
Spine (Phila Pa 1976). 2011 Dec 15; 36(26):2235-42.S

Abstract

STUDY DESIGN

Randomized parallel group comparative trial with a 1-year follow-up period.

OBJECTIVE

To compare in a population of patients with chronic low back pain, the effectiveness of a functional restoration program (FRP), including intensive physical training and a multidisciplinary approach, with an outpatient active physiotherapy program at 1-year follow-up.

SUMMARY OF BACKGROUND DATA

Controlled studies conducted in the United States and in Northern Europe showed a benefit of FRPs, especially on return to work. Randomized studies have compared these programs with standard care. A previously reported study presented the effectiveness at 6 months of both functional restoration and active physiotherapy, with a significantly greater reduction of sick-leave days for functional restoration.

METHODS

A total of 132 patients with low back pain were randomized to either FRP (68 patients) or active individual therapy (64 patients). One patient did not complete the FRP; 19 patients were lost to follow-up (4 in the FRP group and 15 in the active individual treatment group). The number of sick-leave days in 2 years before the program was similar in both groups (180 ± 135.1 days in active individual treatment vs. 185 ± 149.8 days in FRP, P = 0.847).

RESULTS

In both groups, at 1-year follow-up, intensity of pain, flexibility, trunk muscle endurance, Dallas daily activities and work and leisure scores, and number of sick-leave days were significantly improved compared with baseline. The number of sick-leave days was significantly lower in the FRP group.

CONCLUSION

Both programs are efficient in reducing disability and sick-leave days. The FRP is significantly more effective in reducing sick-leave days. Further analysis is required to determine if this overweighs the difference in costs of both programs.

Authors+Show Affiliations

Laboratoire d'épidémiologie, ergonomie, et santé au travail, University of Angers, Angers, France.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

21415807

Citation

Roche-Leboucher, Ghislaine, et al. "Multidisciplinary Intensive Functional Restoration Versus Outpatient Active Physiotherapy in Chronic Low Back Pain: a Randomized Controlled Trial." Spine, vol. 36, no. 26, 2011, pp. 2235-42.
Roche-Leboucher G, Petit-Lemanac'h A, Bontoux L, et al. Multidisciplinary intensive functional restoration versus outpatient active physiotherapy in chronic low back pain: a randomized controlled trial. Spine (Phila Pa 1976). 2011;36(26):2235-42.
Roche-Leboucher, G., Petit-Lemanac'h, A., Bontoux, L., Dubus-Bausière, V., Parot-Shinkel, E., Fanello, S., Penneau-Fontbonne, D., Fouquet, N., Legrand, E., Roquelaure, Y., & Richard, I. (2011). Multidisciplinary intensive functional restoration versus outpatient active physiotherapy in chronic low back pain: a randomized controlled trial. Spine, 36(26), 2235-42. https://doi.org/10.1097/BRS.0b013e3182191e13
Roche-Leboucher G, et al. Multidisciplinary Intensive Functional Restoration Versus Outpatient Active Physiotherapy in Chronic Low Back Pain: a Randomized Controlled Trial. Spine (Phila Pa 1976). 2011 Dec 15;36(26):2235-42. PubMed PMID: 21415807.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Multidisciplinary intensive functional restoration versus outpatient active physiotherapy in chronic low back pain: a randomized controlled trial. AU - Roche-Leboucher,Ghislaine, AU - Petit-Lemanac'h,Audrey, AU - Bontoux,Luc, AU - Dubus-Bausière,Valérie, AU - Parot-Shinkel,Elsa, AU - Fanello,Serge, AU - Penneau-Fontbonne,Dominique, AU - Fouquet,Natacha, AU - Legrand,Erick, AU - Roquelaure,Yves, AU - Richard,Isabelle, PY - 2011/3/19/entrez PY - 2011/3/19/pubmed PY - 2012/5/12/medline SP - 2235 EP - 42 JF - Spine JO - Spine (Phila Pa 1976) VL - 36 IS - 26 N2 - STUDY DESIGN: Randomized parallel group comparative trial with a 1-year follow-up period. OBJECTIVE: To compare in a population of patients with chronic low back pain, the effectiveness of a functional restoration program (FRP), including intensive physical training and a multidisciplinary approach, with an outpatient active physiotherapy program at 1-year follow-up. SUMMARY OF BACKGROUND DATA: Controlled studies conducted in the United States and in Northern Europe showed a benefit of FRPs, especially on return to work. Randomized studies have compared these programs with standard care. A previously reported study presented the effectiveness at 6 months of both functional restoration and active physiotherapy, with a significantly greater reduction of sick-leave days for functional restoration. METHODS: A total of 132 patients with low back pain were randomized to either FRP (68 patients) or active individual therapy (64 patients). One patient did not complete the FRP; 19 patients were lost to follow-up (4 in the FRP group and 15 in the active individual treatment group). The number of sick-leave days in 2 years before the program was similar in both groups (180 ± 135.1 days in active individual treatment vs. 185 ± 149.8 days in FRP, P = 0.847). RESULTS: In both groups, at 1-year follow-up, intensity of pain, flexibility, trunk muscle endurance, Dallas daily activities and work and leisure scores, and number of sick-leave days were significantly improved compared with baseline. The number of sick-leave days was significantly lower in the FRP group. CONCLUSION: Both programs are efficient in reducing disability and sick-leave days. The FRP is significantly more effective in reducing sick-leave days. Further analysis is required to determine if this overweighs the difference in costs of both programs. SN - 1528-1159 UR - https://www.unboundmedicine.com/medline/citation/21415807/Multidisciplinary_intensive_functional_restoration_versus_outpatient_active_physiotherapy_in_chronic_low_back_pain:_a_randomized_controlled_trial_ L2 - https://doi.org/10.1097/BRS.0b013e3182191e13 DB - PRIME DP - Unbound Medicine ER -