Sorbonne Paris Cité, Université Paris Descartes, Faculté de Médecine, 75006, Paris, France.
AP-HP, Hôpitaux Universitaires Paris Centre, Groupe Hospitalier Cochin, Service de Rééducation et de Réadaptation de l'Appareil Locomoteur et des Pathologies du Rachis, 75014, Paris, France.
Sci Rep. 2017 Dec 20;7(1):17956. doi: 10.1038/s41598-017-18311-z.
We aimed to determine whether a 5-day intensive inpatient spa and exercise therapy and educational program is more effective than usual care in improving the rate of returning to work at 1 year for patients with subacute and chronic low back pain (LBP) on sick leave for 4 to 24 weeks. We conducted a 12-month randomized controlled trial. LBP patients were assigned to 5-day spa (2 hr/day), exercise (30 min/day) and education (45 min/day) or to usual care. The primary outcome was the percentage of patients returning to work at 1 year after randomization. Secondary outcomes were pain, disability and health-related quality of life at 1 year and number of sick leave days from 6 to 12 months. The projected recruitment was not achieved. Only 88/700 (12.6%) patients planned were enrolled: 45 in the spa therapy group and 43 in the usual care group. At 1 year, returning to work was 56.3% versus 41.9% (OR 1.69 [95% CI 0.60-4.73], p = 0.32) respectively. There was no significant difference for any of the secondary outcomes. However, our study lacked power.
我们旨在确定 5 天强化住院水疗和运动疗法及教育计划是否比常规护理更能提高亚急性和慢性腰痛（LBP）病假 4 至 24 周患者在 1 年内重返工作岗位的比率。我们进行了一项为期 12 个月的随机对照试验。将 LBP 患者分配至 5 天水疗（每天 2 小时）、运动（每天 30 分钟）和教育（每天 45 分钟）或常规护理。主要结局为随机分组后 1 年内重返工作岗位的患者比例。次要结局为 1 年时的疼痛、残疾和健康相关生活质量以及 6 至 12 个月的病假天数。预计的招募人数未达到。仅纳入了计划中的 88/700（12.6%）名患者：水疗治疗组 45 名，常规护理组 43 名。1 年后，重返工作岗位的比例分别为 56.3%和 41.9%（OR 1.69[95%CI 0.60-4.73]，p=0.32）。次要结局均无显著差异。然而，我们的研究缺乏效力。
