[Which rehabilitation for which low back pain?].
Many rehabilitation technics for low back pain are available. Their aims are short time pain decrease, muscular strengthening in flexion or extension, increased hip and lumbar spine mobility, improved lumbar and pelvic proprioceptive sensibility, improved general fitness. During the past ten years, studies meeting widely accepted validity and applicability for therapeutic trials have addressed the clinical efficacy of rehabilitation in low back pain patients. Most studies assessing the back school approach have found no benefit. Spinal extension and flexion programs have yielded short-time improvements, without difference between the two methods. There is now strong evidence that functional restoration programs provide long-term benefits including better social and occupational outcomes.
Poiraudeau
S
S
Service de rééducation et de réadaptation fonctionnelle de l'appareil locomoteur et des pathologies du rachis, Hôpital Cochin, Université René-Descartes. serge.poiraudeau@cch.ap-hop-paris.fr
Lefèvre-Colau
M M
MM
Mayoux-Benhamou
M A
MA
Revel
M
M
D006801:Humans; D017116:Low Back Pain / Q000534:rehabilitation*; D008159:Lumbar Vertebrae / Q000503:physiopathology; D009119:Muscle Contraction / Q000502:physiology; D018482:Muscle, Skeletal / Q000503:physiopathology; D010809:Physical Fitness; D026741:Physical Therapy Modalities / Q000145:classification*; D011434:Proprioception / Q000502:physiology; D016059:Range of Motion, Articular / Q000502:physiology; D012677:Sensation / Q000502:physiology; D016896:Treatment Outcome