Lamalou Les Bains

Researchers are studying chronic low back pain, a common and costly health problem, to find effective non-drug treatments. The study compares two educational programs: the traditional Back School (BS) based on spinal mechanics, and a newer Pain Neuroscience Education (PNE) program that considers psychological and social factors of pain. The goal is to see if PNE improves physical activity and related outcomes better than BS in patients undergoing multidisciplinary rehabilitation. Participants will wear an activity monitor, specifically a connected watch called ActiGraph-wGT3X-BT, to measure their number of steps and physical activity for one week before the intervention and again at three months and one year after. They will also complete questionnaires assessing pain, quality of life, fear of movement, pain catastrophizing, and central sensitization. The study aims to evaluate physical activity changes and other pain-related factors over time. During the study, patients will be monitored for physical activity using the device and will fill out self and interviewer-administered assessments to track pain and its psychological effects. The primary outcome is the number of steps taken three months after the rehabilitation program. Secondary outcomes include pain levels, quality of life, and psychological measures at three months and one year. The study will also explore factors predicting long-term physical activity maintenance.