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.
Ann Phys Rehabil Med. 2013 Sep;56(6):455-64. doi: 10.1016/j.rehab.2013.06.004. Epub 2013 Jul 15.
To assess care related pain during a program of functional restoration for chronic low back pain.
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.
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.
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.
评估慢性下腰痛功能康复计划中与治疗相关的疼痛。
慢性下腰痛患者前瞻性地纳入功能康复计划。在整个功能康复计划中，在下腰痛患者每天上午和下午的治疗前后记录疼痛，进行等效性研究。如果疼痛下降差异的 95%置信区间完全落在 ± 10/100mm 的区间内，则可接受等效性。在整个计划期间记录药物治疗情况。还记录了患者在计划期间的进展和 3 个月的疗效，以评估内部有效性。
共纳入 37 例患者。他们在计划期间增加了负荷并消耗了能量。随访还表明，他们的功能能力和生活质量得到了改善。然而，在计划期间，疼痛并没有变化，但是药物摄入量增加了。
在我们的慢性下腰痛功能康复计划中，没有明显的与治疗相关的疼痛。这可能是由于药物治疗的适应，提示在功能康复期间对患者进行密切的医学管理的重要性。
