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AB0672 Articular hyper mobility in chronic lumbar pain : touching 10% of the patients
  1. M. Norberg1,2,
  2. C. Schindler3
  1. 1Rehabilitation, Medical Center, Lavey-les-Bains
  2. 2DAL, CHUV, Lausanne
  3. 3rehabilitation, Lavey Medical, Lavey-les-Bains, Switzerland

Abstract

Background Chronic lumbar pain is a relative frequent pain problem, with different etiologies: a great part is of no specific origin. Another part of the problem, is the presence of increased flexibility (named hypermobility), it can have a role in the chronic pain patient.

Objectives The aim of this study is to analyze the prevalence of hypermobility in a low back pain patient group starting a multidisciplinary rehabilitation program, and the first results of a multidimensional treatment program

Methods We have studied the inclusion results of 550 of our patients that have accomplished a multi-disciplinary program and that have been followed over 24 months. The program contained physical training, occupational work hardening the hole in a cogntivo-comportemental approach.

We have analyzed the clinical signs for hypermobility in these patients according to the Beighton criteria, and also the evolution over 2 years comparing with the other low back pain patients.

Results The prevalence of hypermobility(HMP) –according to the Beighton criteria- among our chronic lumbar pain population (CLP)was 9.8 %, with a ratio of 3 men for 8 women. They have an increase in physical parameters similar as the global lumbar patients, but they started at a higher base level (see for example the Shirado test)

Conclusions Hypermobility represents almost 10% of the patients in a rehabilitation program for chronic low back pain. They have physical base values that are quite better than the global population, but the clinical outcome doesn’t really differ according work ability.

Disclosure of Interest None Declared

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