Effect of three therapeutics strategies on the restriction of the participation of patients with a chronic back pain : multidisciplinary is it the key component ?

Compare the efficacy of 1 year of participation, of three programs of care for patients with chronic law back, referred to specialists rehabilitation centers or directly to the multidisciplinary consultation of university hospital of Angers.

The primary objectif is to assess the efficacy of 1 year of the three therapeutics strategies with the number of days off work in the year following treatment.

Inclusion Criteria:

• Obtaining the signature of consent to participate in the study.
• Male or female, aged 18-55 years.
• Diagnosis of common chronic low back pain.
• Chronic low back pain that led to at least a month off work in the previous year or at least 3 months of stops in the previous 2 years.
• Employee and holds a permanent contract or a fixed-term contract in the public or private sector.

Exclusion Criteria:

• Lack of consent to participate in the study.
• No possibily to follow one of three programs of study
• Pregnant women, new mothers or mothers who are breastfeeding.
• No affiliation to the french social system.