title: Care related pain and functional restoration for chronic low back pain: a prospective study.
abstract: OBJECTIVE
  To assess care related pain during a program of functional restoration for chronic low back pain.
  
  
  METHODS
  Chronic low back pain patients were prospectively included in a program of functional restoration. Low back pain was recorded before and after each morning and afternoon sessions, all over the program of functional restoration, for equivalence study. Equivalence was admitted if 95% confidence interval of the difference in pain falled wholly in the interval ± 10/100mm. Medication was recorded during the program. Progression of the patients during the program and 3-month effectiveness were also recorded for internal validity.
  
  
  RESULTS
  Thirty-seven patients were included. They underwent a progression in load and spent energy during the program. Follow-up also indicated improvement of functional ability and quality of life. There was no variation in pain during the program however medication intake increased.
  
  
  CONCLUSIONS
  There was no significant care related pain during our program of functional restoration for chronic low back pain. This may be due to adaptation of the medication and suggests the importance of close medical management of patients during functional restoration.
authors.affiliation: Service de médecine physique et de réadaptation, CHU de Tours, 37100 Tours, France; Service de rhumatologie, hôpital Lariboisière-Fernand-Widal, GHU Saint-Louis, 2, rue Ambroise-Paré, 75010 Paris, France. Electronic address: johann.beaudreuil@lrb.aphp.fr.
authors.forename: J
authors.initials: J
authors.lastname: Beaudreuil
authors.forename: D
authors.initials: D
authors.lastname: Zerkak
authors.forename: J-C
authors.initials: JC
authors.lastname: Métivier
authors.forename: B
authors.initials: B
authors.lastname: Fouquet
mesh_terms: D000328:Adult; D000700:Analgesics / Q000627:therapeutic use; D000928:Antidepressive Agents / Q000627:therapeutic use; D059350:Chronic Pain / Q000188:drug therapy / Q000534:rehabilitation*; D005081:Exercise Therapy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000188:drug therapy / Q000534:rehabilitation*; D008297:Male; D059408:Pain Management; D010147:Pain Measurement; D011446:Prospective Studies; D020127:Recovery of Function
chemical_list: D000700:Analgesics; D000928:Antidepressive Agents
keywords: Douleur; Exercise tolerance; Lombalgie; Low back pain; Outcome and process assessment; Pain; Rehabilitation; Rééducation et réadaptation; Tolérance à l’effort; Évaluation des résultats et des processus