Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 10 , Pages 1229-1235 , October 2007

Comparison of a Functional Restoration Program With Active Individual Physical Therapy for Patients With Chronic Low Back Pain: A Randomized Controlled Trial

  • Ghislaine Roche, MD

      Affiliations

    • Laboratoire d’Ergonomie, Epidémiologie et Santé au Travail, Université d’Angers, Angers, France
    • Departments of Physical Medicine and Rehabilitation, Université d’Angers, Angers, France
    • ,
  • Anne Ponthieux, PhD

      Affiliations

    • Centre de Recherche Clinique, Centre Hospitalier Universitaire d’Angers, Angers, France
    • ,
  • Elsa Parot-Shinkel, MD

      Affiliations

    • Public Health, Université d’Angers, Angers, France
    • ,
  • Nathalie Jousset, MD

      Affiliations

    • Public Health, Université d’Angers, Angers, France
    • ,
  • Luc Bontoux, MD

      Affiliations

    • Departments of Physical Medicine and Rehabilitation, Université d’Angers, Angers, France
    • ,
  • Valérie Dubus, MD

      Affiliations

    • Departments of Physical Medicine and Rehabilitation, Université d’Angers, Angers, France
    • ,
  • Dominique Penneau-Fontbonne, MD, PhD

      Affiliations

    • Laboratoire d’Ergonomie, Epidémiologie et Santé au Travail, Université d’Angers, Angers, France
    • Occupational Health Department, Université d’Angers, Angers, France
    • ,
  • Yves Roquelaure, MD, PhD

      Affiliations

    • Laboratoire d’Ergonomie, Epidémiologie et Santé au Travail, Université d’Angers, Angers, France
    • Occupational Health Department, Université d’Angers, Angers, France
    • ,
  • Erick Legrand, MD, PhD

      Affiliations

    • Rheumatology, Université d’Angers, Angers, France
    • INSERM EMI 0335, Université d’Angers, Angers, France
    • ,
  • Denis Colin, MD, PhD

      Affiliations

    • Centre de Rééducation de l’Arche, Saint-Saturnin, France.
    • ,
  • Isabelle Richard, MD, PhD

      Affiliations

    • Laboratoire d’Ergonomie, Epidémiologie et Santé au Travail, Université d’Angers, Angers, France
    • Departments of Physical Medicine and Rehabilitation, Université d’Angers, Angers, France
    • Corresponding Author InformationReprint requests to Isabelle Richard, MD, PhD, Département de Médecine Physique et Réadaptation Adulte, CHU-CRRRF, 3 rue des Capucins, BP 40329, 49103 Angers Cedex 02, France
    • ,
  • Serge Fanello, MD, PhD

      Affiliations

    • Laboratoire d’Ergonomie, Epidémiologie et Santé au Travail, Université d’Angers, Angers, France
    • Public Health, Université d’Angers, Angers, France

References 

  1. Haumesser D, Becker P, Grosso-Lebon B, Weill G. Medical, social and economic aspects of the management of chronic low-back pain. Rev Méd l’Assurance Maladie. 2004;35:27–36
  2. Di Fabio RP. Efficacy of comprehensive rehabilitation programs and back school for patients with low back pain: a meta-analysis. Phys Ther. 1995;75:865–878
  3. Hodselmans AP, Jaegers SM, Goeken LN. Short-term outcomes of a back school program for chronic low back pain. Arch Phys Med Rehabil. 2001;82:1099–1105
  4. Heymans MW, van Tulder MW, Esmail R, Bombardier C, Koes BW. Back schools for nonspecific low back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine. 2005;30:2153–2163
  5. Mayer TG, Smith SS, Keeley J, Mooney V. Quantification of lumbar function (Part 2: sagittal plane trunk strength in chronic low-back pain patients). Spine. 1985;10:765–772
  6. Mayer TG, Gatchel RJ, Kishino N, et al. Objective assessment of spine function following industrial injury (A prospective study with comparison group and one-year follow-up). Spine. 1985;10:482–493
  7. Mayer TG, Gatchel RJ, Mayer H, Kishino ND, Keeley J, Mooney V. A prospective two-year study of functional restoration in industrial low back injury (An objective assessment procedure [published erratum in: JAMA 1988;259:220]). JAMA. 1987;258:1763–1767
  8. Hazard RG, Fenwick JW, Kalisch SM, et al. Functional restoration with behavioral support (A one-year prospective study of patients with chronic low-back pain). Spine. 1989;14:157–161
  9. Alaranta H, Rytokoski U, Rissanen A, et al. Intensive physical and psychosocial training program for patients with chronic low back pain (A controlled clinical trial). Spine. 1994;19:1339–1349
  10. Hazard RG. Spine update (Functional restoration). Spine. 1995;20:2345–2348
  11. Mitchell RI, Carmen GM. The functional restoration approach to the treatment of chronic pain in patients with soft tissue and back injuries. Spine. 1994;19:633–642
  12. Bendix AE, Bendix T, Haestrup C, Busch E. A prospective, randomized 5-year follow-up study of functional restoration in chronic low back pain patients. Eur Spine J. 1998;7:111–119
  13. Bendix AF, Bendix T, Labriola M, Boekgaard P. Functional restoration for chronic low back pain (Two-year follow-up of two randomized clinical trials). Spine. 1998;23:717–725
  14. Loisel P, Durand P, Abenhaim L, et al. Management of occupational back pain: the Sherbrooke model (Results of a pilot and feasibility study). Occup Environ Med. 1994;51:597–602
  15. Loisel P, Durand MJ, Diallo B, Vachon B, Charpentier N, Labelle J. From evidence to community practice in work rehabilitation: the Quebec experience. Clin J Pain. 2003;19:105–113
  16. Staal JB, Hlobil H, Twisk JW, Smid T, Koke AJ, van Mechelen W. Graded activity for low back pain in occupational health care: a randomized, controlled trial. Ann Intern Med. 2004;140:77–84
  17. Hlobil H, Staal JB, Twisk J, et al. The effects of a graded activity intervention for low back pain in occupational health on sick leave, functional status and pain: 12-month results of a randomized controlled trial. J Occup Rehabil. 2005;15:569–580
  18. Franche RL, Cullen K, Clarke J, Irvin E, Sinclair S, Frank J The Institute forWork Health (IWH) Workplace-Based RTW Intervention Literature Review Research Team. Workplace-based return-to-work interventions: a systematic review of the quantitative literature. J Occup Rehabil. 2005;15:607–631
  19. Koopman FS, Edelaar M, Slikker R, Reynders K, van der Woude LH, Hoozemans MJ. Effectiveness of a multidisciplinary occupational training program for chronic low back pain: a prospective cohort study. Am J Phys Med Rehabil. 2004;83:94–103
  20. Casso G, Cachin C, van Melle G, Gerster JC. Return-to-work status 1 year after muscle reconditioning in chronic low back pain patients. Joint Bone Spine. 2004;71:136–139
  21. Hildebrandt J, Pfingsten M, Saur P, Jansen J. Prediction of success from a multidisciplinary treatment program for chronic low back pain. Spine. 1997;22:990–1001
  22. Mannion AF, Muntener M, Taimela S, Dvorak J. A randomized clinical trial of three active therapies for chronic low back pain. Spine. 1999;24:2435–2448
  23. Bendix T, Bendix A, Labriola M, Haestrup C, Ebbehoj N. Functional restoration versus outpatient physical training in chronic low back pain: a randomized comparative study. Spine. 2000;25:2494–2500
  24. Mannion AF, Muntener M, Taimela S, Dvorak J. Comparison of three active therapies for chronic low back pain: results of a randomized clinical trial with one-year follow-up. Rheumatology (Oxford). 2001;40:772–778
  25. Kaapa EH, Frantsi K, Sarna S, Malmivaara A. Multidisciplinary group rehabilitation versus individual physiotherapy for chronic nonspecific low back pain: a randomized trial. Spine. 2006;31:371–376
  26. Bentsen H, Lindgarde F, Manthorpe R. The effect of dynamic strength back exercise and/or a home training program in 57-year-old women with chronic low back pain (Results of a prospective randomized study with a 3-year follow-up period). Spine. 1997;22:1494–1500
  27. Frost H, Lamb SE, Klaber Moffett JA, Fairbank JC, Moser JS. A fitness programme for patients with chronic low back pain: 2-year follow-up of a randomised controlled trial. Pain. 1998;75:273–279
  28. Jousset N, Fanello S, Bontoux L, et al. Effects of functional restoration versus 3 hours per week physical therapy: a randomized controlled study. Spine. 2004;29:487–493discussion 494
  29. Gauvin MG, Riddle DL, Rothstein JM. Reliability of clinical measurements of forward bending using the modified fingertip-to-floor method. Phys Ther. 1990;70:443–447
  30. Biering-Sorensen F. Physical measurements as risk indicators for low-back trouble over a one-year period. Spine. 1984;9:106–119
  31. Ito T, Shirado O, Suzuki H, Takahashi M, Kaneda K, Strax TE. Lumbar trunk muscle endurance testing: an inexpensive alternative to a machine for evaluation. Arch Phys Med Rehabil. 1996;77:75–79
  32. Jensen MP, Karoly P, Braver S. The measurement of clinical pain intensity: a comparison of six methods. Pain. 1986;27:117–126
  33. Huskisson EC. Measurement of pain. J Rheumatol. 1982;9:768–769
  34. Lawlis GF, Cuencas R, Selby D, McCoy CE. The development of the Dallas Pain Questionnaire (An assessment of the impact of spinal pain on behavior). Spine. 1989;14:511–516
  35. Marty M, Blotman F, Avouac B, Rozenberg S, Valat JP. Validation of the French version of the Dallas Pain Questionnaire in chronic low back pain patients. Rev Rhum Engl Ed. 1998;65:126–134
  36. Abenhaim L, Rossignol M, Valat JP, et al. The role of activity in the therapeutic management of back pain (Report of the International Paris Task Force on Back Pain). Spine. 2000;25(4 Suppl):1S–33S
  37. van Tulder M, Malmivaara A, Esmail R, Koes B. Exercise therapy for low back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group. Spine. 2000;25:2784–2796
  38. Rainville J, Hartigan C, Martinez E, Limke J, Jouve C, Finno M. Exercise as a treatment for chronic low back pain. Spine J. 2004;4:106–115
  39. Hayden JA, van Tulder MW, Malmivaara AV, Koes BW. Meta-analysis: exercise therapy for nonspecific low back pain. Ann Intern Med. 2005;142:765–775
  40. Staal JB, Rainville J, Fritz J, van Mechelen W, Pransky G. Physical exercise interventions to improve disability and return to work in low back pain: current insights and opportunities for improvement. J Occup Rehabil. 2005;15:491–505
  41. Leggett S, Mooney V, Matheson LN, et al. Restorative exercise for clinical low back pain (A prospective two-center study with 1-year follow-up). Spine. 1999;24:889–898
  42. Liddle SD, Baxter GD, Gracey JH. Exercise and chronic low back pain: what works [published erratum in: Pain 2004;109:200-1]. Pain. 2004;107:176–190
  43. Rainville J, Jouve CA, Hartigan C, Martinez E, Hipona M. Comparison of short- and long-term outcomes for aggressive spine rehabilitation delivered two versus three times per week. Spine J. 2002;2:402–407
  44. Calmels P, Jacob JF, Fayolle-Minon I, et al. [Use of isokinetic techniques vs standard physiotherapy in patients with chronic low back pain (Preliminary results] [French]). Ann Readapt Med Phys. 2004;47:20–27
  45. Gatchel RJ, Mayer TG, Capra P, Diamond P, Barnett J. Quantification of lumbar function (Part 6: the use of psychological measures in guiding physical functional restoration). Spine. 1986;11:36–42
  46. Pincus T, Burton AK, Vogel S, Field AP. A systematic review of psychological factors as predictors of chronicity/disability in prospective cohorts of low back pain. Spine. 2002;27:E109–E120
  47. Sullivan MJ, Feuerstein M, Gatchel R, Linton SJ, Pransky G. Integrating psychosocial and behavioral interventions to achieve optimal rehabilitation outcomes. J Occup Rehabil. 2005;15:475–489
  48. Vowles KE, Gross RT, Sorrell JT. Predicting work status following interdisciplinary treatment for chronic pain. Eur J Pain. 2004;8:351–358
  49. Babyak M, Blumenthal JA, Herman S, et al. Exercise treatment for major depression: maintenance of therapeutic benefit at 10 months. Psychosom Med. 2000;62:633–638
  50. Chaory K, Rannou F, Fermanian J, et al. [Impact of functional restoration programs on fears, avoidance and beliefs in chronic low back pain patients] [French]. Ann Readapt Med Phys. 2004;47:93–97
  51. Waddell G, Newton M, Henderson I, Somerville D, Main CJ. A Fear-Avoidance Beliefs Questionnaire (FABQ) and the role of fear-avoidance beliefs in chronic low back pain and disability. Pain. 1993;52:157–168
  52. Friedrich M, Gittler G, Halberstadt Y, Cermak T, Heiller I. Combined exercise and motivation program: effect on the compliance and level of disability of patients with chronic low back pain: a randomized controlled trial. Arch Phys Med Rehabil. 1998;79:475–487

 Supported by the Union Régionale des Caisses d’Assurance Maladie des Pays de Loire.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

PII: S0003-9993(07)01286-5

doi: 10.1016/j.apmr.2007.07.014

Archives of Physical Medicine and Rehabilitation
Volume 88, Issue 10 , Pages 1229-1235 , October 2007

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