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Effect of Three Therapeutics Strategies on Patients With a Chronic Back Pain (PLURICLEF).

Phase 4
Conditions
Chronic Low Back Pain
Interventions
Other: functionnal reeducation
Registration Number
NCT02030171
Lead Sponsor
University Hospital, Angers
Brief Summary

Effect of three therapeutics strategies on the restriction of the participation of patients with a chronic back pain : multidisciplinary is it the key component ?

Detailed Description

Compare the efficacy of 1 year of participation, of three programs of care for patients with chronic law back, referred to specialists rehabilitation centers or directly to the multidisciplinary consultation of university hospital of Angers.

The primary objectif is to assess the efficacy of 1 year of the three therapeutics strategies with the number of days off work in the year following treatment.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
158
Inclusion Criteria
  • Obtaining the signature of consent to participate in the study.
  • Male or female, aged 18-55 years.
  • Diagnosis of common chronic low back pain.
  • Chronic low back pain that led to at least a month off work in the previous year or at least 3 months of stops in the previous 2 years.
  • Employee and holds a permanent contract or a fixed-term contract in the public or private sector.
Exclusion Criteria
  • Lack of consent to participate in the study.
  • No possibily to follow one of three programs of study
  • Pregnant women, new mothers or mothers who are breastfeeding.
  • No affiliation to the french social system.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
PLURIHOCfunctionnal reeducation-Functionnal reeducation : in hospital, intensive, multidisciplinary.
KIPLURIfunctionnal reeducation-Functionnal reeducation : ambulatory, no intensive multidisciplinary.
KIMONOfunctionnal reeducation-Functionnal reeducation : ambulatory, low-intensity
Primary Outcome Measures
NameTimeMethod
Efficiency of the 3 programsOne year

Compare the efficacy of 1 year of participation of the three programs of care for chronic low back pain patients referred to specialists rehabilitation centers or directly to the multidisciplinary consultation UH Angers.

The primary endpoint to assess the efficacy of 1 year of support on the participation of the patient is the number of days off work in the year following treatment.

Secondary Outcome Measures
NameTimeMethod
Evolution of quality of life scalesOne year

The secondary endpoints to assess the efficacy of 1-year quality of life of the patient is the SF-36 score.

The quality of life questionnaire is collected early in the program at the end (after the 5-week program ended) at 6 months and one year.

Compare the effectiveness of 1 year on improving the social integration of three programs supported in the same patients.One year

The secondary endpoint to assess the efficacy of 1 year of support on improving social inclusion is the score of Dallas.

The Dallas questionnaire is collected early in the program at the end (after the 5-week program ended) at 6 months and one year.

Compare the effectiveness of 1 year on physical deconditioning, three programs of care in these patients.One year

The secondary endpoints to assess efficacy at 1 year of support on the physical deconditioning of the patient are the finger-floor distance, Ito test, and the test port heavy load.

These tests are performed early in the program at the end (after the program ended five weeks) at 6 months and one year.

Compare the cost of 1 year from the point of view of health insurance, of the three therapeutic strategies.One year

The secondary endpoints to assess the cost of 1 year from the point of view of health insurance, are the direct and indirect costs.

Trial Locations

Locations (1)

University Hospital of Angers, laboratory epidemiology, ergonomics and occupational health

🇫🇷

Angers, Pays de Loire, France

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