[Rehabilitation on effort of low back pain. Functional restoration programs].
Mediocre functional prognosis In industrialised countries, chronic low back pain is the most common cause of disability and work stoppage. Conventional treatments have not reduced the impact of chronic low back pain. Hence new solutions have been searched for. FUNCTIONAL RESTORATION PROGRAMS: These programs consist in heavy and expensive multidisciplinary treatment schedules, lasting from 3 to 6 weeks. The key concepts of these programs are acceptance of pain, treatment of the problem by the patients themselves and a progression contract. POSITIVE RESULTS: Controlled studies published on the percentage of patients returning to work are positive. Maintenance of a job-attached status to the pre-injury employer is often best accomplished by the provision of suitable modified duties. Finally, results of functional restoration programs in term of return-to-work rate probably strongly depend on the social security system of the country in which such programs have been developed.
Poiraudeau
Serge
S
Service de rééducation et de réadaptation fonctionnelle de l'appareil locomoteur et des pathologies du rachis, Groupe hospitalier Cochin, Paris. serge.poiraudeau@cch.ap-hop-paris.fr
Rannou
François
F
Lefevre Colau
Marie Martine
MM
Boutron
Isabelle
I
Revel
Michel
M
D002908:Chronic Disease; D005080:Exercise Test; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000503:physiopathology / Q000523:psychology / Q000534:rehabilitation*; D008297:Male; D010101:Oxygen Consumption; D010807:Physical Endurance; D011379:Prognosis; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic; D020127:Recovery of Function; D012050:Rehabilitation, Vocational; D012943:Social Security; D011795:Surveys and Questionnaires; D013997:Time Factors; D014938:Work Capacity Evaluation