{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T13:20:40Z","timestamp":1791379240213,"version":"4.3.2"},"reference-count":31,"publisher":"The Korean Academy of Family Medicine - M2PI","issue":"6","license":[{"start":{"date-parts":[[2022,11,20]],"date-time":"2022-11-20T00:00:00Z","timestamp":1668902400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["kjfm.or.kr"],"crossmark-restriction":true},"short-container-title":["Korean J Fam Med"],"published-print":{"date-parts":[[2022,11,20]]},"abstract":"<jats:p>Background: This study aimed to assess the benefits of associating rehabilitation with therapeutic patient education (TPE) to decrease fear-avoidance belief and pain and improve function in adults with chronic low back pain (CLBP).Methods: This randomized controlled study included 100 patients with CLBP according to the CONSORT (Consolidated Standards of Reporting Trials) guidelines. The patients were divided into two teams: group A that participated in the TPE in association with rehabilitation and group B that received rehabilitation only. Pain and functional amelioration were assessed initially (T0) and at the end of the program (T1) using a visual analog scale at rest, work, and activity, and the Echelle d\u2019Incapacit\u00e9 Fonctionnelle pour l\u2019\u00c9valuation des Lombalgies scale. Psychological and apprehension and avoidance assessments were also conducted, including the evaluation of depression, anxiety, fear-avoidance belief, and kinesiophobia using the Hospital Anxiety and Depression Scale, Fear-Avoidance Beliefs Questionnaire, and Tampa scale of kinesiophobia scale.Results: The evaluation of progression initially (T0) and then at the end of the program (T1) revealed a significant reduction in pain at rest (P=0.00) and while working (P=0.00) and doing physical activity (P=0.03); a decrease in anxiety (P=0.03), fear-avoidance belief (P=0.03), and kinesiophobia (P=0.02); and an improvement in function (P=0.00) for patients in group A without amelioration of depression (P=0.15). Concerning group B, we identified a significant regression in pain at rest (P=0.001) and while working (P=0.03) and doing physical activity (P=0.00); depression (P=0.01); fear-avoidance beliefs (P=0.00); and kinesiophobia (P=0.002). Comparison between the groups revealed that associating TPE with rehabilitation resulted in a more significant improvement in function (P=0.00), anxiety (P=0.00), fear-avoidance belief (P=0.00), and kinesiophobia (P=0.00).Conclusion: Associating TPE with rehabilitation improved function and reduced fear, false beliefs, and kinesiophobia of movement in patients with CLBP.<\/jats:p>","DOI":"10.4082\/kjfm.21.0223","type":"journal-article","created":{"date-parts":[[2022,11,21]],"date-time":"2022-11-21T19:16:18Z","timestamp":1669058178000},"page":"367-373","update-policy":"https:\/\/doi.org\/10.4082\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Efficiency of Associating Therapeutic Patient Education with Rehabilitation in the Management of Chronic Low Back Pain: A Randomized Controlled Trial"],"prefix":"10.4082","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6985-6427","authenticated-orcid":true,"given":"Maaoui","family":"Rim","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4623-6284","authenticated-orcid":true,"given":"Rouached","family":"Leila","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3385-2165","authenticated-orcid":true,"given":"Ben Tekaya","family":"Aicha","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7521-8018","authenticated-orcid":true,"given":"Saidane","family":"Olfa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5463-0014","authenticated-orcid":true,"given":"Hfaiedh","family":"Meriem","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8834-2248","authenticated-orcid":true,"given":"Lajnef","family":"Ines","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7001-1264","authenticated-orcid":true,"given":"Mouhli","family":"Najla","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4007-8203","authenticated-orcid":true,"given":"Rahali","family":"Hajer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8332-7281","authenticated-orcid":true,"given":"Ksibi","family":"Imen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2550","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/s0304-3959(02)00372-x"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbspin.2009.07.003"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/s0304-3959(98)00229-2"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1056\/nejm199707313370507"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000164121.77862.4b"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200112010-00005"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7301.1516"},{"key":"ref8","first-page":"2484","volume-title":"Information and advice to patients with back pain can have a positive effect: a randomized controlled trial of a novel educational booklet in primary care","author":"Burton","year":"1999"},{"key":"ref9","first-page":"e10867","volume-title":"Cognitive-behavioral therapy for patients with chronic pain: implications of gender differences in empathy","author":"Lim","year":"2018"},{"key":"ref10","first-page":"2153","volume-title":"Back schools for nonspecific low back pain: a systematic review within the framework of the Cochrane Collaboration Back Review Group","author":"Heymans","year":"2005"},{"key":"ref11","first-page":"192","volume-title":"Recommandations de la Section rachis de la Societe francaise de rhumatologie sur l\u2019approche multidisciplinaire de la douleur lombaire [Recommendations of the Spine Section of the French Society of Rheumatology on the multidisciplinary approach to low back pain]","author":"Duquesnoy","year":"2001"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.3238\/arztebl.2017.0883"},{"key":"ref13","volume-title":"National disease management guideline non-specific low back pain: long version [Internet]","author":"Bundesarztekammer; 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