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Educational self-care objectives within a functional spine restoration program

TAVARES FIGUEIREDO I; DUPEYRON A; TRAN B; DUFLOS C; JULIA M; HERISSON C; COUDEYRE E
ANN PHYS REHABIL MED , 2016, vol. 59, n° 5-6, p. 289-293
Doc n°: 180646
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.rehab.2016.03.006
Descripteurs : CA7 - TRAITEMENTS - RACHIS

Defining individual educational, or learning, targets is part of the
initial educational assessment in rehabilitation programs, but no data are
available on how to achieve these goals. OBJECTIVE:
We aimed to evaluate whether
educational objectives established with the patient as part of a functional spine
restoration program integrating self-care sessions were met after the program and
associated therapy outcomes. METHODS: This retrospective study involved 104
patients with chronic low-back pain who participated in a self-care
rehabilitation program between 2008 and 2012. The program included both physical
and educational approaches to dealing with the condition. The main evaluation
criterion was achieving the educational objectives established with the patient
at 6 months. Secondary criteria were a return to work, pain intensity and impact
on function, satisfaction with the program and implementation of physical
activity and self-rehabilitation at 6 months. RESULTS: At 6 months, 55% of the
established educational objectives were fully achieved and satisfaction was close
to 90%. Significantly, more patients were involved in a physical activity at 6
and 12 months and self-rehabilitation exercises at 6 months as compared with at
inclusion. Overall, 43.4% were working at inclusion, 64.2% at 6 months and 58.2%
at 12 months (P<0.05 compared with inclusion). Pain intensity and scores from the
Quebec, Dallas and FABQ questionnaires had significantly decreased at 6 months.
CONCLUSION: For more than half of the patients in this self-care rehabilitation
program, educational objectives established with the patient were achieved, with
a positive effect on returning to work and both professional and physical
activities at 6 and 12 months.
CI - Copyright (c) 2016 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS

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