Evaluation of the benefits of low back pain patients’ education workshops during spa therapy |
| |
Authors: | Vincent Gremeaux Charles Benaïm Serge Poiraudeau Christian Hérisson Arnaud Dupeyron Emmanuel Coudeyre |
| |
Institution: | 1. Pôle rééducation réadaptation, CHU de Dijon, 23, rue Gaffarel, 21000 Dijon, France;2. Service de rééducation et réadaptation, hôpital Cochin, 75679 Paris cedex 14, France;3. Service central de rééducation fonctionnelle, CHU Lapeyronie, 34295 Montpellier cedex 5, France;4. Fédération de médecine physique et réadaptation, hôpital Carémeau, université de Montpellier–Nîmes, place du Professeur-Debré, 30029 Nîmes cedex 09, France;5. Université de Clermont-Ferrand, université d’Auvergne, 63000 Clermont-Ferrand, France;6. Service de médecine physique et de réadaptation, CHU de Clermont-Ferrand, 63003 Clermont-Ferrand, France |
| |
Abstract: | ObjectivesTo evaluate the medium-term impact of education workshops on low back pain (LBP) in the setting of a thermal spa on: fear-avoidance beliefs, disability, pain, and satisfaction.MethodsRandomized prospective alternate-month design-type study including 360 individuals having thermal spa therapy for LBP: 188 in the intervention group (three standardized education workshops lasting 1 h 30 each and usual thermal therapy for 3 weeks), 172 in the control group (usual thermal therapy and non-standardized verbal information). The principal analysis criterion was the difference in the fear-avoidance beliefs (physical FABQ) score between baseline and 6 months after the therapy; secondary criteria were: evolution of disability (Quebec Scale) and pain intensity (Visual Analogue Scale), and satisfaction with the information received.ResultsThere was a significant reduction in the physical FABQ score at 6 months (P < 0.05), and this reduction was more marked in the intervention group (?5.8 ± 0.7 vs. ?2 ± 0.72 points out of 24; P < 0.0001). Disability and pain significantly decreased in both groups (P < 0.05), with no difference between groups. These workshops also had a significant effect on satisfaction with the information received.ConclusionStandardized education workshops have a beneficial impact on LBP and contribute to an improvement in the medical services provided during spa therapy by reducing the effect of fear-avoidance beliefs as well as relieving pain. Extending the use of such workshops could contribute to enhance the positive impact of spa therapy in the management of chronic disabling diseases. |
| |
Keywords: | |
本文献已被 ScienceDirect 等数据库收录! |
|