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Background: Chronic low back pain (LBP) is one of the most common musculoskeletal disorders. It represents a healthcare issue as it is often associated with loss of work productivity and thus huge economic burden. Several physiotherapeutic strategies may be used during the treatment. Objectives: To compare global postural reeducation (GPR) to a conventional rehabilitation protocol for improving pain, flexibility, function, and psychological impact in patients with chronic LBP. Methods: A randomized, controlled, clinical trial with a single blinded examiner was conducted. Patients with chronic LBP were randomly allocated to 2 groups: group control received the conventional rehabilitation protocol alone and group GPR received the conventional protocol associated to GPR. Both groups were followed a 3 sessions per week over a period of 4 weeks. Evaluations were performed at the start of the study and 4 weeks after. We used the Oswestry scale to assess disability, visual analog scale (VAS) to evaluate pain and the Hospital Anxiety Depression the (HAD) scale in its Arabic validated version to evaluate depression. Results: We included 26 patients with common LBP (13 in the control group and 13 in the GPR group). Mean age was 45 years in the control group and 46 years in the GPR group. Mean duration of back pain was 18 months. Mean body weight was 73kg 60-88 in the control group and 72kg 60-87 in the GPR group. 84.61% were obese or overweight (BMI>25). All the patients had a sedentary lifestyle. The GPR associated group demonstrated significant statistical improvements in the VAS (p=0.01), lumbar mobility (p=0.02) and Oswestry scale (p=0.04) at the four weeks' evaluation. Likewise HAD score decreased significantly in the GPR group (11 to 3.6; p=0.01). Conclusion: GPR associated to the conventional rehabilitation seems to be an effective tool in the management of common LBP and its related psychological impact. REFERENCES: NIL. Acknowledgements: NIL. Disclosure of Interests: None declared.
Syrine et al. (Sat,) studied this question.