FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3164812022> ?p ?o ?g. }

• W3164812022 endingPage "921" @default.
• W3164812022 startingPage "921.1" @default.
• W3164812022 abstract "Background: In chronic low back pain, the most expensive patients are them with long-standing sick-leave of more than 6 months. Several studies have showed the importance of rehabilitation models working with kinesiophobia (fear of movement). One possibility of treating chronic low back pain is a multidisciplinary rehabilitation program. Objectives: The aim of this study was to analyze the impact of a change in a rehabilitation program for chronic lumbar pain by introducing a progressive exposure procedure to decrease apprehension associated with low back pain. We studied its impact on work capacity after 3 years, compared to our classic program. Methods: We have compared the results of 1004 of our patients that have accomplished a multi-disciplinary program and that have been followed over 12 months. They were divided in two groups: one before the implantation of PHODA (PHOto of Daily Activity: photos showing activites) associated with occupational training and work exposure. Then a second one including 200 patients that followed the new program. The program contained physical training, occupational tasks developed on the basis of the apprehension following a cogntivo-comportemental approach. We have analyzed the evolution of apprehension according to different questionnaires (FABQ, Tampa scale (TSK) and PACT (evaluating the subjective work capacity)), the Phoda results and the official work capacity at beginning of the program and after 36 months. Results: We saw a clear increase in the global work capacity at 12 months after completing the program: passing from 40 to 79% (p < 0.01) in the old program comparing to the new one with an increase of 86% (p< 0.01). These results were confirmed at 36 months, with stabilized results. In parallel there was an increase in the subjective sensation of physical capacity (Pact), but less in the new program. This increase was correlated with a decrease in fear-avoidance according to the Fabq, and in the TSK Conclusion: In chronic low back, a multidisciplinary rehabilitation program, gives a global work capacity of 79%. This capacity could be increased on focalising on patient’s apprehensions with gradual exposure according the fear-avoidance model developed by Waddell and explored by Vlayen. The correlation were confirmed on the psychological part, with less apprehension and less anxiety. Finally, the SF 36 showed an increase in body confidence as an important factor in these functional restoration programs. References: [1]Waddell G et al. Low back pain, fear-avoidance beliefs and disability: With the development of a Fear-Avoidance Beliefs (FAB) questionnaire. Pain 1993;52:157-68 [2]Vlaeyen JWS et al. Graded exposure in vivo in the treatment of pain-related fear: a replicated single-case experimental design in four patients with chronic low back pain. Behaviour Res Therapy 2001;39(2):151–66 [3]Waddell G et al. Low back pain, fear-avoidance beliefs and disability: With the development of a Fear-Avoidance Beliefs (FAB) questionnaire. Pain 1993;52:157-68 [4]Vlaeyen JWS et al. Graded exposure in vivo in the treatment of pain-related fear: a replicated single-case experimental design in four patients with chronic low back pain. Behaviour Res Therapy 2001;39(2):151–66 Disclosure of Interests: None declared" @default.
• W3164812022 created "2021-06-07" @default.
• W3164812022 creator A5006814045 @default.
• W3164812022 date "2021-05-19" @default.
• W3164812022 modified "2023-09-25" @default.
• W3164812022 title "POS1273 A CHANGE IN A REHABILITATION MODEL INCREASES WORK CAPACITY AT 36 MONTHS IN LOW BACK PAIN" @default.
• W3164812022 doi "https://doi.org/10.1136/annrheumdis-2021-eular.1816" @default.
• W3164812022 hasPublicationYear "2021" @default.
• W3164812022 type Work @default.
• W3164812022 sameAs 3164812022 @default.
• W3164812022 citedByCount "0" @default.
• W3164812022 crossrefType "journal-article" @default.
• W3164812022 hasAuthorship W3164812022A5006814045 @default.
• W3164812022 hasBestOaLocation W31648120221 @default.
• W3164812022 hasConcept C127413603 @default.
• W3164812022 hasConcept C142724271 @default.
• W3164812022 hasConcept C15744967 @default.
• W3164812022 hasConcept C180747234 @default.
• W3164812022 hasConcept C1862650 @default.
• W3164812022 hasConcept C18762648 @default.
• W3164812022 hasConcept C204787440 @default.
• W3164812022 hasConcept C2776737852 @default.
• W3164812022 hasConcept C2778818304 @default.
• W3164812022 hasConcept C2780409804 @default.
• W3164812022 hasConcept C2780907711 @default.
• W3164812022 hasConcept C2781118164 @default.
• W3164812022 hasConcept C71924100 @default.
• W3164812022 hasConcept C78519656 @default.
• W3164812022 hasConcept C99508421 @default.
• W3164812022 hasConceptScore W3164812022C127413603 @default.
• W3164812022 hasConceptScore W3164812022C142724271 @default.
• W3164812022 hasConceptScore W3164812022C15744967 @default.
• W3164812022 hasConceptScore W3164812022C180747234 @default.
• W3164812022 hasConceptScore W3164812022C1862650 @default.
• W3164812022 hasConceptScore W3164812022C18762648 @default.
• W3164812022 hasConceptScore W3164812022C204787440 @default.
• W3164812022 hasConceptScore W3164812022C2776737852 @default.
• W3164812022 hasConceptScore W3164812022C2778818304 @default.
• W3164812022 hasConceptScore W3164812022C2780409804 @default.
• W3164812022 hasConceptScore W3164812022C2780907711 @default.
• W3164812022 hasConceptScore W3164812022C2781118164 @default.
• W3164812022 hasConceptScore W3164812022C71924100 @default.
• W3164812022 hasConceptScore W3164812022C78519656 @default.
• W3164812022 hasConceptScore W3164812022C99508421 @default.
• W3164812022 hasIssue "Suppl 1" @default.
• W3164812022 hasLocation W31648120221 @default.
• W3164812022 hasOpenAccess W3164812022 @default.
• W3164812022 hasPrimaryLocation W31648120221 @default.
• W3164812022 hasRelatedWork W1545635898 @default.
• W3164812022 hasRelatedWork W1827077824 @default.
• W3164812022 hasRelatedWork W2056262978 @default.
• W3164812022 hasRelatedWork W2091010521 @default.
• W3164812022 hasRelatedWork W2091380093 @default.
• W3164812022 hasRelatedWork W2093130555 @default.
• W3164812022 hasRelatedWork W2164008570 @default.
• W3164812022 hasRelatedWork W2173188567 @default.
• W3164812022 hasRelatedWork W2408200575 @default.
• W3164812022 hasRelatedWork W2811207875 @default.
• W3164812022 hasVolume "80" @default.
• W3164812022 isParatext "false" @default.
• W3164812022 isRetracted "false" @default.
• W3164812022 magId "3164812022" @default.
• W3164812022 workType "article" @default.