METHODS: The programme was made of the measure of the age, the sex, the body mass index, the pain (VAS, St Antoine Hospital
s Pain Questionnaire - SAPQ), the anxiety, the depression, the RIII nociceptive reflex, the fingertip-floor distance, the strength of the flexors and of the extensors of the lumbar spine (CybexR 6000 isocinetic dynamometer), the lumbar function (EIFEL, Dougados), the Dallas self-questionnaire. The Back School Education programme was made of five sessions (information, ergonomies, extension exercises).
RESULTS: Comparing the two populations we didnt observe significant differences concerning the age, the body mass index, the anxiety and depression levels, the pain (VAS, SAPA, RIII nociceptive reflex), the lumbar stiffness, the lumbar disability, the quality of life; the patients who had achieved back school had a peak torque of the flexors and a ratio flexors/extensors significantly lower. Comparing men and women we observed significant differences in the SAPQ and the musclesstrength. The SAPQ was correlated with the depression and anxiety levels, the lumbar disability, the peak torque of the flexors. The VAS was correlated with the age, the lumbar stiffness, the depression level, the peak torque of the flexors. The RIII nociceptive reflex was correlated with the ratio flexors/extensors.
CONCLUSION: This study present some biases but this objective assessment of chronic low back pain appeared as feasible. The pain must be investigated in term of intensity, expression, alleviation. The impairment of the flexors muscles in women and after back school has to be confirmed. The different tests are relevant to determinate the efficiency of the back school programmes.
Purchase PDF (64 K) | Le comportement gestuel du patient lombalgique frequent... Annales de Readaptation et de Medecine Physique |
  Le comportement gestuel du patient lombalgique fréquentant une école du dos: analyse préliminaire d'un test d'évaluationAnnales de Réadaptation et de Médecine Physique, Volume 42, Issue 8, November 1999, Pages 485-492 M. Vanderthommen, M. Defaweux, M. Tomasella, J.M. Crielaard Abstract RésuméObjectifCette étude évalue l'efficacité d'une école du dos destinée aux patients lombalgiques au niveau de leur gestuelle vertébrale dans les activités quotidiennes. |
| Evaluation analytique des moyens therapeutiques dans la... Revue du Rhumatisme |
| Évaluation analytique des moyens thérapeutiques dans la lombalgie : prise en charge physique et fonctionnelle Revue du Rhumatisme, Volume 68, Issue 2, February 2001, Pages 154-159 Serge Poiraudeau, Alain Nys, Michel Revel Purchase PDF (89 K) |
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