This study is aimed at patients consulting a physiotherapist for acute low-back pain at risk of becoming chronic.
The goal of this study is to compare two types of rehabilitation programs for these patients, on their functional disability at 3 months:
* A multidisciplinary program lasting two weeks, including physiotherapists, rheumatologists, physical medicine and rehabilitation specialists, occupational physicians, psychologists, etc. * A monodisciplinary physiotherapy rehabilitation program consisting of active treatment with a physiotherapist, with 2 to 3 sessions per week for 4 to 5 weeks, based on muscle-strengthening exercises for the trunk and lower limbs and stretching exercises for the back and lower limbs.
Patients will be evaluated before treatment (baseline), and at 1, 3, 6 and 12 months to evaluate the following secondary outcomes: pain, absence of chronicity, evolution of functional disability, muscle endurance, flexibility, level of fear, apprehension and avoidance associated with low back pain over the time, return to work and to physical activities, painful relapses and analgesic treatment consumption.
Suffering from acute common low back pain for less than 3 months at the time of the initial consultation
With a prescription for physiotherapy
Available for both programs
Aged between 20 and 55
suffering from a first episode of acute common low back pain for less than one month at the time of the initial consultation
For lumbar arthrodesis in the 12 months prior to inclusion
For lumbar arthroplasty in the 6 months prior to inclusion
For lumbar recalibration or lumbar disc herniation within 3 months of inclusion.
Parallel
Multidisciplinary management associated with mobile application Doado
Other interventionmultidisciplinary program including physiotherapists, rheumatologists, physical medicine and rehabilitation specialists, occupational physicians, psychologists, etc., associated with Doado mobile application
Physiotherapy management alone associated with mobile application Doado
Other interventionmonodisciplinary physiotherapy rehabilitation program consisting of active treatment with a physiotherapist associated with Doado mobile application
Functional disability
Oswestry disability Index (ODI): 10 questions with 6 possible answers each, to assess the impact of the pain on several life habits and functionalities (walk, personal care, sitting position, etc.). The score is expressed as a percentage of handicap between 0 and 100%.
Lumbar pain
Mean patient lumbar pain on the last 7 days measured on a visual analog scale. It takes the form of a horizontal line with a qualifier at each end - "no pain (0)" on the left, "maximum imaginable pain (10)" on the right - onto which the patient draws a line (or positions a cursor on the online version), corresponding to the level of intensity of their pain. The result is the distance in mm between 0 and the line.
Lumbar pain chronicity
Presence of lumbar pain chronicity, defined by daily continuous pain during at least 12 weeks. This data will be collected from the start and end dates of each recurrence entered by the patient in the patient logbook.
Functional disability
Oswestry disability Index (ODI): 10 questions with 6 possible answers each, to assess the impact of the pain on several life habits and functionalities (walk, personal care, sitting position, etc.). The score is expressed as a percentage of handicap between 0 and 100%.
Muscular endurance (Shirado-Ito test)
The patient must remain as long as possible with the hips and knees bent at 90°, shoulder blades lifted, arms crossed over torso and hands resting on shoulders. The test result is the time, in seconds, that the patient remains in this position (for a maximum of 5 minutes), measured by the physiotherapist using a stopwatch.
This trial is not recruiting at the moment. You can still explore other options:
