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Etude des cinétiques de déconditionnement et de reconditionnement du rachis chez des sujets lombalgiques chroniques. Médecine humaine et pathologie. Université du Droit et de la Santé

Abstract : Musculoskeletal disorders are among the leading causes of sick leave or work injuries. Low back pain (LBP) is one of the most frequent disability and remains a public health issue. The consequent socioeconomic impact results from low backpain lasting more than three months (chronic low back pain) which nevertheless affects a minority of people (less than 10 % of the low back pain population). Seeing the importance of chronic low back pain costs and the poor efficiency of usual treatments, the research for specific care is justified. Thus, the main objective of this work is to analyze the kinetics of reconditioning and reconditioning of the spine in chronic low back pain patients and, at the same time, to appreciate the effects of an intensive and dynamic functional restoration program on various profiles of chronic low-back pain patients (male or female, with or without surgery, sedentary or active, with a high or a low to moderate initial pain). Thus, this work deals with the effects of time, of training or retraining and of specific factors on a chronic low-back pain population. The reconditioning of chronic low-back pain patients is noticed at the end of a fiveweek functional restoration program (175 hours). The assessment of this type of program indeed confirms the physical, functional, psychological and professional efficiency of a dynamic and intensive multidisciplinary program such as RFR program, proposed to chronic low back pain patients whose deconditioning level is advanced but stabilized. This therapeutic outcome, though very expensive, is still valid 12 months after the post-treatment and can represent an interesting alternative to the surgery. The pre-treatment of severe pain in chronic low back pain patients, does not constitute either an obstruction, or a predictive variable of the program performances. Having an active, physical and sporting life is recommended for chronic low back pain patients before treatment or to benefit from specific care.
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https://hal-univ-artois.archives-ouvertes.fr/tel-03417045
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Submitted on : Friday, November 5, 2021 - 2:41:37 PM
Last modification on : Thursday, November 25, 2021 - 8:22:30 AM

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  • HAL Id : tel-03417045, version 1

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Caby Isabelle. Etude des cinétiques de déconditionnement et de reconditionnement du rachis chez des sujets lombalgiques chroniques. Médecine humaine et pathologie. Université du Droit et de la Santé. Sciences de l'Homme et Société. EDBSL (lille2), 2010. Français. ⟨tel-03417045⟩

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