[Specific rehabilitation interventions for physical impairment to avoid chronification of non-specific back pain in adults]
Ndjepel J, Cummings J, St-Jacques S
Record ID 32018001243
French
Original Title:
Interventions spécifiques de réadaptation en déficience physique pour éviter la chronicisation des maux de dos non spécifiques chez les adultes
Authors' objectives:
To identify:
1) the rehabilitation methods that are thought to be the most effective, and
2) the specific service offering (primary care) to be implemented to avoid the chronification of non-specific back pain in adults.
Authors' results and conclusions:
Different methods of non-medicinal interventions are recommended to avoid chronification of back
pain. These interventions include physical therapy and rehabilitation treatment, self-management, and
education for patients, returning to daily activities, cognitive-behavioural psychological interventions,
sports activities, and a multidisciplinary rehabilitation program.
Authors' recommendations:
› Reassuring information must be given to the patient. In 90% of cases, non-specific back pain goes away in less than four to six weeks.
› Progressive and early return to physical activity is the main way to enable favorable progress and to avoid a relapse.
› Early detection of patients who are at risk for chronicity is recommended.
› In the absence of improvement following treatment by a multidisciplinary team, it is suggested to include a specialized physician, and if necessary, an occupational physician (according to Quebec terminology, a specialist in preventive medicine).
› Biopsychosocial management of patients must be patient-centered and be based on a shared medical decision.
Authors' methods:
literature review using a systematic approach
Details
Project Status:
Completed
Year Published:
2021
URL for published report:
https://www.ciusss-capitalenationale.gouv.qc.ca/sites/d8/files/docs/MissionUniversitaire/Publications/SOMMAIRE-EXECUTIF-MAUX-DOS-ANGLAIS_VF.pdf
Requestor:
Management of the Cognitive Impairment Autism Spectrum Disorder and Physical Impairment Program from the CIUSSS de la Capitale-Nationale
URL for additional information:
https://www.ciusss-capitalenationale.gouv.qc.ca/sites/d8/files/docs/MissionUniversitaire/ETMISSS/ETMI-ABREGEE-MAUX-DOS_FINAL.pdf
English language abstract:
An English language summary is available
Publication Type:
Other
Country:
Canada
Province:
Quebec
MeSH Terms
- Back Pain
- Low Back Pain
- Chronic Pain
- Rehabilitation
- Exercise Therapy
- Preventive Health Services
- Adult
Contact
Organisation Name:
Centre intégré universitaire de santé et de services sociaux de la Capitale-Nationale
Contact Address:
525, boulevard Wilfrid-Hamel, bureau A-122
Contact Name:
Sylvie St-Jacques
Contact Email:
uetmisss.deau.ciussscn@ssss.gouv.qc.ca
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.