Identification of Risk Factors for Recurrence of Low Back Pain and Occupational Repercussions

Identification of Risk Factors for Recurrence of Low Back Pain and Occupational Repercussions Among Beneficiaries of a Multidisciplinary Follow-up Shared Between Physical and Rehabilitation Medicine and Occupational Medicine: a Monocentric Prospective Study

Low back pain (LBP) is the leading cause of disability and one of the most common reasons for physician visits in primary care, with a 33 % rate of recurrence during the first year, converting LBP into a chronic condition.

The french High healthy authority recommend early occupational oriented intervention associated with a multidisciplinary rehabilitation program.

However even if these recommendations are taken into appropriate account, risk for recurrence of Low back pain and occupational repercussions often occured.

This study aims to identify the risk factor(s) of sick leave after a rehabilitation stay in outpatients and thus adapt cares provided to the patients in respect of their needs and expectations.

Inclusion Criteria:

• men and women over 18 years old
• able to understand and respect the protocol requirement
• who signed the consent prior to any other procedure protocol
• patients suffering from chronic lower back or lumbo-radicular pain since more than 3 months
• employee bellow 3 years before retirement
• patients included in a multidisciplinary rehabilitation program and occupational medicine

Exclusion Criteria:

• major patients under guardianship/curator/legal protection
• pregnant patients
• obese patients with BMI (body mass index) > 35 (grade 2)
• patients suffering from neurological pathology
• patients suffering from chronic lower back or lumbo-radicular pain since less than 3 months
• patients suffering from chronic lower back pain with inflammatory or tumoral or infectious ethiology