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. 2022 Oct 14;11(10):1508.
doi: 10.3390/biology11101508.

Effectiveness of a Group-Based Rehabilitation Program Combining Education with Multimodal Exercises in the Treatment of Patients with Nonspecific Chronic Low Back Pain: A Retrospective Uncontrolled Study

Cristiano Martins  1 , Souheil Sayegh  2 , Antonio Faundez  3   4 , François Fourchet  1 , Hugo Bothorel  5
Affiliations

Effectiveness of a Group-Based Rehabilitation Program Combining Education with Multimodal Exercises in the Treatment of Patients with Nonspecific Chronic Low Back Pain: A Retrospective Uncontrolled Study

Cristiano Martins et al. Biology (Basel). .

Abstract

Currently, there is no consensus on the best rehabilitation program to perform for nonspecific chronic low back pain (NSCLBP). However, multimodal exercises, education, and group-based sessions seem to be beneficial. We, therefore, launched such a treatment program and aimed to evaluate its effectiveness in improving patient health status. We retrospectively analyzed the records of 23 NSCLB patients who followed the MyBack program at La Tour hospital from 2020 to 2022 (25 sessions, 8 weeks). Patients were evaluated before and after intervention using pain on a visual analog scale (pVAS), Roland−Morris Disability Questionnaire (RMDQ), Pain Catastrophizing Scale (PCS), Tampa Scale of Kinesiophobia (TSK), and the EuroQol-5D-3L (EQ-5D-3L). Responder rates were calculated using minimal clinically important differences. Patients reported a significant reduction (p < 0.05) in the pVAS (5.3 ± 1.2 vs. 3.1 ± 1.6), RMDQ (8.8 ± 3.3 vs. 4.0 ± 3.7), PCS (24.5 ± 9.4 vs. 11.7 ± 7.9) and TSK (41.5 ± 9.2 vs. 32.7 ± 7.0). The EQ-5D-3L also statistically improved (score: 0.59 ± 0.14 vs. 0.73 ± 0.07; and VAS: 54.8 ± 16.8 vs. 67.0 ± 15.2). The responder rates were 78% for the pVAS and PCS, 74% for the RMDQ and TSK, and only 26% for the EQ-5D-3L. The MyBack program combining education with multimodal group exercises led to satisfactory clinical, functional, and psychosocial outcomes.

Keywords: MyBack; NSCLBP; disability; education; group-based rehabilitation; high-value care; multimodal exercises; nonspecific chronic low back pain; physiotherapy.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Pain on the visual analog scale (VAS) reported by the patients before and after the treatment of their nonspecific chronic low back pain (NSCLBP). The plots illustrate median values (bold lines), interquartile ranges (boxes), and 95% CIs (whiskers). Each dotted line corresponds to an individual patient change in pain on VAS between the pre- and post-treatments status.
Figure 2
Figure 2
Radar chart illustrating the pre- and post-treatment patient status (right side) and the difference in % (left side). Each score was adjusted so that their minimal and maximal values were 0% and 100%, with a greater value indicating a better health status. VAS, visual analog scale; PGIC, Patients’ Global Impression of Change; TSK, Tampa Scale of Kinesiophobia; PCS, pain catastrophizing scale; RM, Roland–Morris; EQ-5D, EuroQol 5 Dimensions.
Figure 3
Figure 3
Bar chart illustrating the proportion of responders for different outcomes.
See this image and copyright information in PMC

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