Telecare Rehabilitation Program in Chronic Low Back Pain With Psychological Retention and Predominant Sociability (TELELOMB)

Pôle Saint Hélier

Status: Unknown

Conditions: Low Back Pain

Treatments: Other: Telecare rehabilitation; Other: Common phase; Other: Care in Face to Face

Study type: Interventional

Funder types: Other

Identifiers

NCT05390762

2022-A00129-34

Details and patient eligibility

About

The present study proposes to evaluate the impact of a multidisciplinary biopsychosocial Telecare rehabilitation program at the functional level in people with chronic low back pain with major psycho-behavior maintenance. The hypothesis is that a personalized program combining remote psycho-professional and physical care by digital tools improves functional evaluation in these patients.

Enrollment: 36 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Chronic low back pain (evolution of more than 3 months)
• Patient treated for this pathology in a multidisciplinary program
• Dallas score > 50% in anxiety/depression and sociability dimensions
• Patient who has given free and informed consent to participate in the research
• Patient affiliated to a social security scheme or beneficiary of such a scheme.
• Patient with an internet connection at home, allowing videoconferencing and a digital tool with web cam (tablet or computer).

Exclusion criteria

• Recent spine surgery (< 3 months at inclusion visit)
• Cardiovascular risk factor contraindicating sports practice.
• Severe psychiatric pathology
• Low back pain of tumoral or inflammatory origin.
• Associated motor or sensory, neurological impairment.
• Disabling root irradiation
• Pregnant or breastfeeding women
• Patients under legal protection (guardianship, curators or safeguard of justice).

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 2 patient groups

Conventional care in a day hospital

Active Comparator group

Description:

1. A common face to face day hospital, combining physical therapies with psychotherapeutic support such as Cognitive Behavioral Therapy to combat kinesiophobia. 2. A Second phase of 5 weeks of care face to face day hospital of the reconditioning type of 15 sessions.

Treatment:

Other: Care in Face to Face

Other: Common phase

Telecare rehabilitation

Experimental group

Description:

1. A common face to face day hospital, combining physical therapies with psychotherapeutic support such as Cognitive Behavioral Therapy to combat kinesiophobia. 2. A Second phase of 5 weeks of Telecare rehabilitation of the reconditioning type of 15 sessions.

Treatment:

Other: Telecare rehabilitation

Other: Common phase