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Article Dans Une Revue Scientific Reports Année : 2017

Intensive spa and exercise therapy program for returning to work for low back pain patients: a randomized controlled trial

Emmanuel Coudeyre
Ygal Attal
  • Fonction : Auteur

Résumé

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.
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hal-01891215 , version 1 (26-05-2020)

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Christelle Nguyen, Isabelle Boutron, Christopher Rein, Gabriel Baron, Katherine Sanchez, et al.. Intensive spa and exercise therapy program for returning to work for low back pain patients: a randomized controlled trial. Scientific Reports, 2017, 7 (1), pp.17956. ⟨10.1038/s41598-017-18311-z⟩. ⟨hal-01891215⟩
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