Economic Evaluation of an Exercise Program After Multidisciplinary Rehabilitation in Patients With Chronic Low Back Pain

NCT00960583 | Completed

• 1 other identifier: UNIL_PAPA
• Study Type: interventional
• Target: 105
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to compare, after functional multidisciplinary rehabilitation for chronic low back pain, an exercise program to the routine follow-up which is simply to advice patients to exercise regularly at home. The exercise program should help patients stay active, which should translate into a better long term quality of life and decreased days off work.

Conditions

Chronic Low Back Pain

Keywords

Chronic low back pain; Multidisciplinary rehabilitation; Exercise; Cost-effectiveness

Outcome Measures

Primary Outcomes (2)

• Quality of life

  End of functional multidisciplinary rehabilitation, 1 year follow-up

• Direct and indirect costs

  Before functional multidisciplinary rehabilitation, 1 year follow-up

Study Arms (2)

Exercise program

EXPERIMENTAL

Exercise program comprising muscle strengthening, cardiovascular training and stretching exercises. Program duration : 12 weeks Sessions frequency : twice per week Session duration : 1h30

Other: Exercise program

Routine follow-up

ACTIVE COMPARATOR

Routine follow-up after functional multidisciplinary rehabilitation by attending physician (Advice to stay active)

Other: Routine follow-up

Interventions

Exercise program OTHER

24 group exercise sessions during 12 weeks

Exercise program

Routine follow-up OTHER

Advice to stay active

Routine follow-up

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• subacute or chronic low back pain
• phases 2 to 6 of the Krause classification
• without irritative neurological deficit
• age between 18 and 60
• having completed functional multidisciplinary rehabilitation

You may not qualify if:

• phases 7 and 8 of the Krause classification
• entitled to a total disability pension
• acute neurological deficit in progress
• sciatica
• pregnancy
• acute inflammatory rheumatic disease
• non-osteoarticular thoracic pain
• spinal fracture within the last 3 months
• osteoporosis
• tumor
• severe heart failure or respiratory failure
• active drug addiction
• current involvement in litigation related to low back pain
• active psychiatric pathology

Sponsors & Collaborators

• University of Lausanne: lead

Study Sites (1)

Université de Lausanne, Service de Rhumatologie, Département de l'Appareil Locomoteur

Lausanne, Switzerland

Location

Related Publications (2)

• Henchoz Y, de Goumoens P, Norberg M, Paillex R, So AK. Role of physical exercise in low back pain rehabilitation: a randomized controlled trial of a three-month exercise program in patients who have completed multidisciplinary rehabilitation. Spine (Phila Pa 1976). 2010 May 20;35(12):1192-9. doi: 10.1097/BRS.0b013e3181bf1de9.

  PMID: 20098350 RESULT

• Henchoz Y, Pinget C, Wasserfallen JB, Paillex R, de Goumoens P, Norberg M, Kai-Lik So A. Cost-utility analysis of a three-month exercise programme vs usual care following multidisciplinary rehabilitation for chronic low back pain. J Rehabil Med. 2010 Oct;42(9):846-52. doi: 10.2340/16501977-0610.

  PMID: 20878045 RESULT

MeSH Terms

Conditions

Motor Activity

Interventions

Resistance Training

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Physical Conditioning, Human; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Alexander KL So, PhD, FRCP

  Université de Lausanne, Service de Rhumatologie, Département de l'Appareil Locomoteur, Lausanne, Suisse

  STUDY DIRECTOR

• Pierre de Goumoëns, MD

  Université de Lausanne, Service de Rhumatologie, Département de l'Appareil Locomoteur, Lausanne, Suisse

  STUDY CHAIR

• Michael Norberg, MD

  Université de Lausanne, Service de Rhumatologie, Département de l'Appareil Locomoteur, Lausanne, Suisse

  STUDY CHAIR

• Roland Paillex, PT, MS

  Centre Hospitalier Universitaire Vaudois (CHUV), Direction des soins, Lausanne, Suisse

  STUDY CHAIR

• Christophe Pinget, PhD

  Institute of Health Economics and Management, University of Lausanne and Health Technology Assessment Unit, Medical Direction, University Hospital of Lausanne (CHUV)

  STUDY CHAIR

• Jean-Blaise Wasserfallen, MD, MPP

  Institute of Health Economics and Management, University of Lausanne and Health Technology Assessment Unit, Medical Direction, University Hospital of Lausanne (CHUV)

  STUDY CHAIR

• Yves Henchoz, MS

  Université de Lausanne, Institut des sciences du sport et de l'éducation physique, Lausanne, Suisse

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: August 17, 2009
• First Posted: August 18, 2009
• Study Start: January 1, 2005
• Primary Completion: October 1, 2008
• Study Completion: October 1, 2008
• Last Updated: May 11, 2016

Record last verified: 2016-05

Locations

CH (1)