title: A Controlled and Retrospective Study of 144 Chronic Low Back Pain Patients to Evaluate the Effectiveness of an Intensive Functional Restoration Program in France.
abstract: METHODS
  A controlled and retrospective study of 144 chronic low back pain patients to evaluate the effectiveness of an intensive functional restoration program in France.
  
  
  OBJECTIVE
  Evaluating the efficiency of an intensive, dynamic and multidisciplinary functional restoration program in patients with chronic low back pain (LBP), during 6 and 12 months follow up.
  
  
  BACKGROUND
  Chronic low back pain disease has a multifactor nature, involving physical, psychological professional and social factors. A functional restoration program (FRP) has been included in a multidisciplinary training program which provides an efficient therapeutic solution. However, the effectiveness of an FRP has not been yet established.
  
  
  METHODS
  144 subjects (71 males, 73 females) with chronic low back pain were included in a functional restoration program. The FRP includes physiotherapy and occupational therapy interventions together with psychological counselling. Patients participated as in- or outpatients 6 h per day, 5 days a week over 5 weeks. Pain intensity, trunk flexibility, trunk strength, lifting ability, quality of life and return to work were recorded before, immediately after, and at 6 months and 12 months after the treatment period.
  
  
  RESULTS
  All outcome measures were significantly higher just after the FRP (144 patients) and at 6 and 12 months (from available data in 31 subjects) compared to pre-treatment values. This FRP for chronic low back pain maintained its benefits whatever the patient's activities.
  
  
  CONCLUSIONS
  The effects reflected on all outcome measures, both on short and long term follow-up. The multidisciplinary FRP for chronic low back pain patients durably stopped the de-conditioning syndrome and involved new life-style habits for the patient, daily pain management and a return to work.
authors.affiliation: Univ. Lille, Univ. Artois, Univ. Littoral Cote d'Opale, EA 7369, Unit&#233; de Recherche Pluridisciplinaire Sport Sant&#233; Soci&#233;t&#233; (URePSSS), F-59000 Lille, France. i.caby@wanadoo.fr.|Department of Sports Sciences, University Artois, 62800 Li&#233;vin, France. i.caby@wanadoo.fr.
authors.forename: Isabelle
authors.initials: I
authors.lastname: Caby
authors.affiliation: Univ. Lille, Univ. Artois, Univ. Littoral Cote d'Opale, EA 7369, Unit&#233; de Recherche Pluridisciplinaire Sport Sant&#233; Soci&#233;t&#233; (URePSSS), F-59000 Lille, France. oliviern@neuf.fr.|Department of Sports Sciences, University Lille, 59790 Ronchin, France. oliviern@neuf.fr.
authors.forename: Nicolas
authors.initials: N
authors.lastname: Olivier
authors.affiliation: Univ. Lille, Univ. Artois, Univ. Littoral Cote d'Opale, EA 7369, Unit&#233; de Recherche Pluridisciplinaire Sport Sant&#233; Soci&#233;t&#233; (URePSSS), F-59000 Lille, France. frederick.janik@free.fr.|Department of Sports Sciences, University Artois, 62800 Li&#233;vin, France. frederick.janik@free.fr.
authors.forename: Frédérick
authors.initials: F
authors.lastname: Janik
authors.affiliation: Department of Physical Medicine and Readaptation, Functional Re-Education and Rehabilitation Center, "L'Espoir", 59260 Hellemmes, France. jacques.vanvelcenaher@centre-espoir.com.
authors.forename: Jacques
authors.initials: J
authors.lastname: Vanvelcenaher
authors.affiliation: Univ. Lille, Univ. Artois, Univ. Littoral Cote d'Opale, EA 7369, Unit&#233; de Recherche Pluridisciplinaire Sport Sant&#233; Soci&#233;t&#233; (URePSSS), F-59000 Lille, France. patrick.pelayo@univ-lille2.fr.|Department of Sports Sciences, University Lille, 59790 Ronchin, France. patrick.pelayo@univ-lille2.fr.
authors.forename: Patrick
authors.initials: P
authors.lastname: Pelayo
keywords: chronic low back pain; de-conditioning syndrome; functional restoration program; short term and long term follow-up