low back pain; physical test; functional assessment; lombalgie; test physique; évaluation fonctionnelle
Résumé :
[en] This article aims to recommend easy, reproducible and valid physical tests and questionnaires to allow a functional and physical assessment of sub-acute and chronic low back pain patients. We recommend the pain visual analogue scale, the French translation of the Roland-Morris Disability Questionnaire (EIFEL) and the Dallas questionnaire to appreciate pain intensity and its influence on patients' quality of life. Sorensen's test is recommended in order to assess trunk extensor muscles endurance. We suggest to measure pelvic and lumbar flexion mobility by means of the inclinometer technique. The test described by McQuade is recommended to assess abdominal muscles static endurance. [fr] L’évaluation du statut algo-fonctionnel du patient lombalgique constitue une étape préliminaire indispensable à la rééducation et à la réadaptation. Elle permet, non seulement, de quantifier les répercussions socio-professionnelles et physiques de la lombalgie, mais également d’apprécier l’efficacité d’un traitement. Cet article a pour objectif de recommander des tests simples, rapides, reproductibles et validés permettant au kinésithérapeute d’établir un bilan algo-fonctionnel du
patient lombalgique au stade subaigu (4-12 semaines) et chronique (> à 3 mois). Nous recommandons l’Echelle Visuelle Analogique (EVA), l’Echelle d’Incapacité Fonctionnelle pour
l’Evaluation des Lombalgiques (EIFEL) et le questionnaire de Dallas pour apprécier l’intensité de la douleur et le retentissement de celle-ci sur la qualité de vie. Des dynamomètres isométriques
et isocinétiques autorisent des mesures précises et pertinentes de la fonction musculaire rachidienne. Néanmoins, nous avons volontairement exclu de cet article les évaluations nécessitant du matériel coûteux et du personnel qualifié. Le test de Sorensen est recommandé pour évaluer l’endurance des muscles extenseurs du tronc. L’inclinométrie est conseillée pour
mesurer la mobilité pelvienne et lombaire lors des mouvements de flexion du tronc. Le test décrit par McQuade et al. est recommandé pour évaluer l’endurance musculaire des abdominaux.
Ces outils de base doivent être complétés par un examen palpatoire et morphostatique.
Disciplines :
Orthopédie, rééducation & médecine sportive
Auteur, co-auteur :
Demoulin, Christophe ; Université de Liège - ULiège > Département des sciences de la motricité > Kinésithérapie spécifique et réadaptation motrice
Fauconnier, C.; CHU Brugmann Bruxelles, Belgique > Service de Rhumatologie et de Kinésithérapie
Vanderthommen, Marc ; Université de Liège - ULiège > Département des sciences de la motricité > Kinésithérapie spécifique et réadaptation motrice
Henrotin, Yves ; Université de Liège - ULiège > Unité de recherche sur l'os et le cartillage (U.R.O.C.)
Langue du document :
Français
Titre :
Recommandations pour l'elaboration d'un bilan fonctionnel de base du patient lombalgique
Titre traduit :
[en] Recommendations for a Basic Functional Assessment of Low Back Pain
Date de publication/diffusion :
2005
Titre du périodique :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Maison d'édition :
Université de Liège. Revue Médicale de Liège, Liège, Belgique
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