Predictive Factors for the Success of Rehabilitation Programs in Chronic Low Back Pain

Status: Recruiting
Location: See all (6) locations...
Intervention Type: Other
Study Type: Observational
SUMMARY

Chronic low back pain is the leading cause of years lived with disability in the world among 19-49 year olds. The usual progression leads to 15% of acute episodes of persistent pain and more than 50% of persistent activity limitations. Persistent pain lasting between 5 and 7 years causes relatively stable patterns, probably linked to well-known predictive factors of activity limitations such as psychosocial factors (catastrophizing, fears and maladaptive beliefs), physical (deconditioning), professional (fear of returning to work, stress, burden) or personal (financial, insecurity). The effectiveness of treatments is often difficult to predict. Current evidence does not support the use of pharmacological treatments given their low effectiveness and the risks associated with the prescription of non-steroidal anti-inflammatories or opioids, particularly in the chronic phase where the risk of dependence is highest. Thus, international recommendations strongly suggest the use of non-pharmacological therapies, including, physical exercises, rehabilitation, physical and sports activities and spinal manipulations. Most meta-analyses conclude that there is a cumulative effect of the different strategies, without the specific effect of each one being able to be isolated, justifying multidisciplinary protocols. A cornerstone of the management of chronic disabling low back pain therefore relies programs combining physical, cognitive-behavioral, psychological and professional care, most often in dedicated centers. The objective is to empower the patient and promote a change in behavior with regard to the consequences of their pain in the long-term. However, there are very few predictive criteria for the success or failure of these programs, probably because many multiple biological, psychological, and social factors interact over time. Certain models resulting from expert consensus seek to conceptualize these interactions and propose a categorization of these different factors. It is now crucial to validate these categorizations and their relative weight in the progression of patients to best guide their recovery. The aim of this work is to identify the biomarkers predictive of the success of multidisciplinary programs in the short-, medium- and long-term.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 65
View:

• Patient with chronic low back pain ≥ three months

• The patient must have given their free and informed consent and signed the consent form

• The patient must be a member or beneficiary of a health insurance plan

Locations
Other Locations
France
CHU de Clermont Ferrand
NOT_YET_RECRUITING
Clermont-ferrand
CHU de Clermont-Ferrand
NOT_YET_RECRUITING
Clermont-ferrand
CHU de Montpellier
NOT_YET_RECRUITING
Montpellier
CHU de Montpellier
NOT_YET_RECRUITING
Montpellier
Centre Hospitalier Universitaire de Nîmes
NOT_YET_RECRUITING
Nîmes
CHU de Nîmes
RECRUITING
Nîmes
Contact Information
Primary
Arnaud Dupeyron
arnaud.dupeyron@chu-nimes.fr
04.66.68.34.59
Time Frame
Start Date: 2025-02-24
Estimated Completion Date: 2027-03
Participants
Target number of participants: 200
Treatments
Patients recruited from Nîmes center
Related Therapeutic Areas
Sponsors
Leads: Centre Hospitalier Universitaire de Nīmes

This content was sourced from clinicaltrials.gov