Intensive spa and exercise therapy program for returning to work for low back pain patients: a randomized controlled trial

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2017
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Abstract
Abstract We aimed to determine whether a 5-day intensive inpatient spa and exercise therapy and educational program is more effective than usual care in improving the rate of returning to work at 1 year for patients with subacute and chronic low back pain (LBP) on sick leave for 4 to 24 weeks. We conducted a 12-month randomized controlled trial. LBP patients were assigned to 5-day spa (2 hr/day), exercise (30 min/day) and education (45 min/day) or to usual care. The primary outcome was the percentage of patients returning to work at 1 year after randomization. Secondary outcomes were pain, disability and health-related quality of life at 1 year and number of sick leave days from 6 to 12 months. The projected recruitment was not achieved. Only 88/700 (12.6%) patients planned were enrolled: 45 in the spa therapy group and 43 in the usual care group. At 1 year, returning to work was 56.3% versus 41.9% (OR 1.69 [95% CI 0.60–4.73], p = 0.32) respectively. There was no significant difference for any of the secondary outcomes. However, our study lacked power.
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nguyen2017intensivescientific Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Nguyen, Christelle;Boutron, Isabelle;Rein, Christopher;Baron, Gabriel;Sanchez, Katherine;Palazzo, Clémence;Dupeyron, Arnaud;Tessier, Jean-Max;Coudeyre, Emmanuel;Eschalier, Bénédicte;Forestier, Romain;Roques-Latrille, Christian-François;Attal, Ygal;Lefèvre-Colau, Marie-Martine;Rannou, François;Poiraudeau, Serge;
Journal Scientific reports
Year 2017
DOI
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URL
http://link.springer.com/article/10.1038/s41598-017-18311-z
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