{"id":9765,"date":"2024-05-19T14:35:30","date_gmt":"2024-05-19T14:35:30","guid":{"rendered":"https:\/\/langs.physio-pedia.com\/treatment-based-classification-system-for-low-back-pain-fr\/"},"modified":"2024-05-19T14:35:30","modified_gmt":"2024-05-19T14:35:30","slug":"treatment-based-classification-system-for-low-back-pain-fr","status":"publish","type":"page","link":"https:\/\/langs.physio-pedia.com\/fr\/treatment-based-classification-system-for-low-back-pain-fr\/","title":{"rendered":"Syst\u00e8me de classification bas\u00e9e sur le traitement pour les lombalgies"},"content":{"rendered":"<div class=\"mw-parser-output\">\n<div class=\"editorbox\">\n<p><b>R\u00e9dacteur original <\/b>&#8211; <a title=\"User:Josh McCormack\" href=\"\/User:Josh_McCormack\">Josh McCormack<\/a><\/p>\n<p><b>Principaux collaborateurs <\/b> &#8211; <a class=\"mw-userlink\" title=\"User:Admin\" href=\"\/User:Admin\"><bdi>Admin<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Kim Jackson\" href=\"\/User:Kim_Jackson\"><bdi>Kim Jackson <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Jess Bell\" href=\"\/User:Jess_Bell\"><bdi>Jess Bell <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Robin Tacchetti\" href=\"\/User:Robin_Tacchetti\"><bdi>Robin Tacchetti <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Eric Robertson\" href=\"\/User:Eric_Robertson\"><bdi>Eric Robertson<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Josh McCormack\" href=\"\/User:Josh_McCormack\"><bdi>Josh McCormack <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Shaimaa Eldib\" href=\"\/User:Shaimaa_Eldib\"><bdi>Shaimaa Eldib<\/bdi><\/a>, <a class=\"mw-userlink\" title=\"Utilisateur:Rachael Lowe\" href=\"\/User:Rachael_Lowe\"><bdi>Rachel Lowe <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Mariam Hashem\" href=\"\/User:Mariam_Hashem\"><bdi>Mariam Hashem <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"User:Simisola Ajeyalemi\" href=\"\/User:Simisola_Ajeyalemi\"><bdi>Simisola Ajeyalemi<\/bdi><\/a> , <a class=\"mw-userlink\" title=\"User:Tarina van der Stockt\" href=\"\/User:Tarina_van_der_Stockt\"><bdi>Tarina van der Stockt <\/bdi><\/a>, <a class=\"mw-userlink\" title=\"Utilisateur:WikiSysop\" href=\"\/User:WikiSysop\"><bdi>WikiSysop <\/bdi><\/a>, <a class=\"mw-userlink mw-anonuserlink\" title=\"Special:Contributions\/127.0.0.1\" href=\"\/Special:Contributions\/127.0.0.1\"><bdi>127.0.0.1<\/bdi><\/a> et <a class=\"mw-userlink\" title=\"User:Evan Thomas\" href=\"\/User:Evan_Thomas\"><bdi>Evan Thomas<\/bdi><\/a><\/p>\n<\/div>\n<div id=\"toc\" class=\"toc\" role=\"navigation\" aria-labelledby=\"mw-toc-heading\"><input id=\"toctogglecheckbox\" class=\"toctogglecheckbox\" style=\"display: none;\" role=\"button\" type=\"checkbox\"><\/p>\n<div class=\"toctitle\" dir=\"ltr\" lang=\"en\">\n<h2 id=\"mw-toc-heading\">Contenu<\/h2>\n<\/div>\n<ul>\n<li class=\"toclevel-1 tocsection-1\"><a href=\"#Introduction\"><span class=\"tocnumber\">1<\/span> <span class=\"toctext\">Introduction<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-2\"><a href=\"#Description\"><span class=\"tocnumber\">2<\/span> <span class=\"toctext\">Description<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-3\"><a href=\"#First_Level_of_Triage_-_Determining_the_Management_Approach\"><span class=\"tocnumber\">3<\/span> <span class=\"toctext\">Premier niveau de triage : D\u00e9terminer l&rsquo;approche de prise en charge<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-4\"><a href=\"#Second_Level_of_Triage_-_Determining_Appropriate_Rehabilitation_Management\"><span class=\"tocnumber\">4<\/span> <span class=\"toctext\">Deuxi\u00e8me niveau de triage : D\u00e9terminer la prise en charge appropri\u00e9e en r\u00e9adaptation<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-5\"><a href=\"#Symptom_Modulation_Approach\"><span class=\"tocnumber\">4.1<\/span> <span class=\"toctext\">Approche par modulation des sympt\u00f4mes<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-6\"><a href=\"#Movement_Control_Approach\"><span class=\"tocnumber\">4.2<\/span> <span class=\"toctext\">Approche par contr\u00f4le des mouvements<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-7\"><a href=\"#Functional_Optimization_Approach\"><span class=\"tocnumber\">4.3<\/span> <span class=\"toctext\">Approche par optimisation fonctionnelle<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-8\"><a href=\"#Key_Considerations\"><span class=\"tocnumber\">5<\/span> <span class=\"toctext\">Consid\u00e9rations essentielles<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-9\"><a href=\"#Other_Classification_Systems\"><span class=\"tocnumber\">6<\/span> <span class=\"toctext\">Autres syst\u00e8mes de classification<\/span><\/a>\n<ul>\n<li class=\"toclevel-2 tocsection-10\"><a href=\"#Mechanical_Diagnosis_and_Therapy\"><span class=\"tocnumber\">6.1<\/span> <span class=\"toctext\"> Diagnostic et th\u00e9rapie m\u00e9caniques (ou m\u00e9thode McKenzie)<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-11\"><a href=\"#Cognitive_Functional_Therapy\"><span class=\"tocnumber\">6.2<\/span> <span class=\"toctext\">Th\u00e9rapie fonctionnelle cognitive<\/span><\/a><\/li>\n<li class=\"toclevel-2 tocsection-12\"><a href=\"#Movement_System_Impairment\"><span class=\"tocnumber\">6.3<\/span> <span class=\"toctext\">\u00ab Movement System Impairment \u00bb (d\u00e9ficience du syst\u00e8me de mouvement)<\/span><\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"toclevel-1 tocsection-13\"><a href=\"#Resources\"><span class=\"tocnumber\">7<\/span> <span class=\"toctext\">Ressources<\/span><\/a><\/li>\n<li class=\"toclevel-1 tocsection-14\"><a href=\"#References\"><span class=\"tocnumber\">8<\/span> <span class=\"toctext\">R\u00e9f\u00e9rences<\/span><\/a><\/li>\n<\/ul>\n<\/div>\n<h2><span id=\"Introduction\" class=\"mw-headline\">Introduction<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Introduction\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=1\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Introduction\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=1\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>La lombalgie est la principale cause d&rsquo;invalidit\u00e9 dans la plupart des pays, <sup id=\"cite_ref-1\" class=\"reference\"><a href=\"#cite_note-1\">(1)<\/a><\/sup> avec une pr\u00e9valence ponctuelle de 11,9 %. <sup id=\"cite_ref-:0_2-0\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup> Plusieurs syst\u00e8mes de classification \/ stratification ont \u00e9t\u00e9 publi\u00e9s pour aider les cliniciens \u00e0 choisir une intervention appropri\u00e9e : <sup id=\"cite_ref-:0_2-1\" class=\"reference\"><a href=\"#cite_note-:0-2\">(2)<\/a><\/sup><\/p>\n<ol>\n<li>Classification bas\u00e9e sur le traitement (\u00abTBC \u00bb pour \u00ab Treatment-based Classification \u00bb en anglais)<\/li>\n<li><a title=\"McKenzie Method\" href=\"\/McKenzie_Method\"> Diagnostic et th\u00e9rapie m\u00e9caniques<\/a> (aussi connue sous le nom de m\u00e9thode McKenzie)<\/li>\n<li><a title=\"Cognitive Functional Therapy\" href=\"\/Cognitive_Functional_Therapy\">Th\u00e9rapie fonctionnelle cognitive<\/a><\/li>\n<li>\u00ab Movement System Impairment \u00bb (d\u00e9ficience du syst\u00e8me de mouvement)<\/li>\n<\/ol>\n<p>Cette page est consacr\u00e9e \u00e0 la classification bas\u00e9e sur le traitement. Elle fournit \u00e9galement une br\u00e8ve description du diagnostic et th\u00e9rapie m\u00e9caniques, de la th\u00e9rapie fonctionnelle cognitive et du \u00ab Movement System Impairment \u00bb (d\u00e9ficience du syst\u00e8me de mouvement).<\/p>\n<h2><span id=\"Description\" class=\"mw-headline\">Description<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Description\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=2\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Description\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=2\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>Le syst\u00e8me \u00ab\u00a0TBC\u00a0\u00bb pour la lombalgie est un mod\u00e8le con\u00e7u pour aider les cliniciens \u00e0 prendre des d\u00e9cisions th\u00e9rapeutiques sur la base de la pr\u00e9sentation clinique du patient. <sup id=\"cite_ref-Delitto_3-0\" class=\"reference\"><a href=\"#cite_note-Delitto-3\">(3)<\/a><\/sup> L&rsquo;objectif principal du \u00ab\u00a0TBC\u00a0\u00bb est d&rsquo;identifier les caract\u00e9ristiques de d\u00e9part qui permettent de pr\u00e9dire la r\u00e9ponse \u00e0 trois strat\u00e9gies de traitement diff\u00e9rentes. Cette approche a \u00e9t\u00e9 valid\u00e9e. <sup id=\"cite_ref-:3_4-0\" class=\"reference\"><a href=\"#cite_note-:3-4\">(4) <\/a><\/sup><sup id=\"cite_ref-:4_5-0\" class=\"reference\"><a href=\"#cite_note-:4-5\">(5) <\/a><\/sup><sup id=\"cite_ref-:5_6-0\" class=\"reference\"><a href=\"#cite_note-:5-6\">(6) <\/a><\/sup><sup id=\"cite_ref-:6_7-0\" class=\"reference\"><a href=\"#cite_note-:6-7\">(7)<\/a><\/sup><\/p>\n<p>La \u00ab\u00a0TBC\u00a0\u00bb a \u00e9t\u00e9 d\u00e9velopp\u00e9e initialement en 1995. <sup id=\"cite_ref-8\" class=\"reference\"><a href=\"#cite_note-8\">(8)<\/a><\/sup> Elle a \u00e9t\u00e9 mise \u00e0 jour en 2007 <sup id=\"cite_ref-9\" class=\"reference\"><a href=\"#cite_note-9\">(9)<\/a><\/sup> puis en 2015. <sup id=\"cite_ref-:7_10-0\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup> La version la plus r\u00e9cente du mod\u00e8le \u00ab\u00a0TBC\u00a0\u00bb comporte deux niveaux de triage : <sup id=\"cite_ref-:7_10-1\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/p>\n<ol>\n<li>Premier contact avec le prestataire de soins de sant\u00e9<\/li>\n<li>Prestataire de r\u00e9adaptation<\/li>\n<\/ol>\n<h2><span id=\"First_Level_of_Triage_-_Determining_the_Management_Approach\" class=\"mw-headline\">Premier niveau de triage : D\u00e9terminer l&rsquo;approche de prise en charge <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: First Level of Triage - Determining the Management Approach\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=3\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: First Level of Triage - Determining the Management Approach\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=3\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>\u00c0 ce niveau de triage, \u00ab\u00a0le triage peut \u00eatre assum\u00e9 par tout praticien comp\u00e9tent en mati\u00e8re de soins (de la lombalgie), quelle que soit sa formation professionnelle (p. ex. m\u00e9decin de premi\u00e8re ligne, infirmi\u00e8re praticienne, physioth\u00e9rapeute, chiropraticien).\u00a0\u00bb <sup id=\"cite_ref-:7_10-2\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup> \u00c0 ce niveau, les praticiens sont responsables de d\u00e9terminer l&rsquo;approche de prise en charge appropri\u00e9e. <sup id=\"cite_ref-:7_10-3\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/p>\n<p>Selon le syst\u00e8me \u00ab\u00a0TBC\u00a0\u00bb, lors de ce premier contact, les personnes souffrant de lombalgie doivent \u00eatre orient\u00e9es vers l&rsquo;une des trois approches de prise en charge : <sup id=\"cite_ref-:7_10-4\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/p>\n<ul>\n<li>prise en charge m\u00e9dicale;<\/li>\n<li>prise en charge en r\u00e9adaptation;<\/li>\n<li>auto-prise en charge.<\/li>\n<\/ul>\n<p>Les patients qui n\u00e9cessitent une <b>prise en charge m\u00e9dicale<\/b> pr\u00e9sentent des <a title=\"Red Flags in Spinal Conditions\" href=\"\/Red_Flags_in_Spinal_Conditions\">signaux d&rsquo;alarme (\u00ab\u00a0red flags\u00a0\u00bb)<\/a> qui sugg\u00e8rent une pathologie grave (par exemple, une fracture ou un cancer) ou d&rsquo;autres comorbidit\u00e9s importantes qui ne r\u00e9pondront pas \u00e0 la r\u00e9adaptation, telles que la <a title=\"Rheumatoid Arthritis\" href=\"\/Rheumatoid_Arthritis\">polyarthrite rhumato\u00efde<\/a> ou la <a title=\"Central Sensitisation\" href=\"\/Central_Sensitisation\">sensibilisation centrale<\/a>. <sup id=\"cite_ref-:7_10-5\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/p>\n<p>Si les signaux d&rsquo;alarme ou les pathologies\/comorbidit\u00e9s graves sont \u00e9cart\u00e9s, les patients peuvent \u00eatre plac\u00e9s dans le groupe <b>\u00ab\u00a0r\u00e9adaptation\u00a0\u00bb<\/b> ou dans le groupe <b>\u00ab\u00a0auto-prise en charge\u00a0\u00bb<\/b><b>.<\/b><\/p>\n<p>L&rsquo;<b>auto-prise en charge<\/b> s&rsquo;adresse aux personnes qui ne risquent pas de d\u00e9velopper une \u00ab\u00a0lombalgie invalidante au cours de l&rsquo;\u00e9pisode actuel\u00a0\u00bb.<sup id=\"cite_ref-:7_10-6\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup> Nous pouvons utiliser des outils permettant d&rsquo;\u00e9tablir des profils de risque pour identifier les patients \u00e0 inclure dans le groupe d&rsquo;auto-prise en charge, notamment l&rsquo;outil <a title=\"STarT Back Screening Tool\" href=\"\/STarT_Back_Screening_Tool\">STarT Back<\/a> <sup id=\"cite_ref-11\" class=\"reference\"><a href=\"#cite_note-11\">(11)<\/a><\/sup> et le <a class=\"external text\" href=\"https:\/\/www.aci.health.nsw.gov.au\/__data\/assets\/pdf_file\/0004\/212908\/Orebro_musculoskeletal_pain_questionnaire_Final.pdf\" rel=\"nofollow\">Orebro Musculoskeletal Pain Questionnaire<\/a> (questionnaire d&rsquo;Orebro sur la douleur musculosquelettique).<sup id=\"cite_ref-12\" class=\"reference\"><a href=\"#cite_note-12\">(12)<\/a><\/sup><sup id=\"cite_ref-:7_10-7\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup> Les patients class\u00e9s dans ce groupe ont tendance \u00e0 pr\u00e9senter les caract\u00e9ristiques suivantes :<sup id=\"cite_ref-:7_10-8\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/p>\n<ul>\n<li>faibles niveaux de d\u00e9tresse psychosociale;<\/li>\n<li>pas de comorbidit\u00e9s ou comorbidit\u00e9s contr\u00f4l\u00e9es;<\/li>\n<li>\u00e9tat neurologique normal.<\/li>\n<\/ul>\n<p>Les options de traitement pour l&rsquo;auto-prise en charge comprennent : <sup id=\"cite_ref-:7_10-9\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/p>\n<ul>\n<li>l&rsquo;\u00e9ducation des patients, notamment en les rassurant sur le \u00ab\u00a0pronostic favorable\u00a0\u00bb de la lombalgie;<\/li>\n<li>des conseils sur les m\u00e9dicaments, le travail et l&rsquo;activit\u00e9.<\/li>\n<\/ul>\n<p>La majorit\u00e9 des patients entrent dans la cat\u00e9gorie <b>\u00ab\u00a0gestion en r\u00e9adaptation\u00a0\u00bb.<\/b> Les pathologies graves sont rares chez les patients souffrant de lombalgie &#8211; environ 1 % seulement de toutes les pr\u00e9sentations musculosquelettiques rencontr\u00e9s dans les <b>soins primaires<\/b> sera due \u00e0 une pathologie grave<sup id=\"cite_ref-13\" class=\"reference\"><a href=\"#cite_note-13\">(13)<\/a><\/sup><sup id=\"cite_ref-14\" class=\"reference\"><a href=\"#cite_note-14\">(14)<\/a><\/sup> &#8211; et seul un petit nombre de patients de la cat\u00e9gorie \u00ab\u00a0auto-prise en charge\u00a0\u00bb sera vus dans les cliniques de soins primaires.<sup id=\"cite_ref-:7_10-10\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/p>\n<h2><span id=\"Second_Level_of_Triage_-_Determining_Appropriate_Rehabilitation_Management\" class=\"mw-headline\">Deuxi\u00e8me niveau de triage : D\u00e9terminer la prise en charge appropri\u00e9e en r\u00e9adaptation <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Second Level of Triage - Determining Appropriate Rehabilitation Management\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=4\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Second Level of Triage - Determining Appropriate Rehabilitation Management\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=4\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<p>S&rsquo;il est d\u00e9termin\u00e9 que la prise en charge en r\u00e9adaptation est appropri\u00e9e pour un patient, le prestataire de soins de r\u00e9adaptation doit d\u00e9terminer la strat\u00e9gie de prise en charge appropri\u00e9e. <sup id=\"cite_ref-:7_10-11\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup> Dans le cadre du \u00ab\u00a0TBC\u00a0\u00bb, les trois approches de r\u00e9adaptation sont les suivantes :<\/p>\n<ul>\n<li>modulation des sympt\u00f4mes;<\/li>\n<li>contr\u00f4le des mouvements;<\/li>\n<li>optimisation fonctionnelle.<\/li>\n<\/ul>\n<p>Les patients sont class\u00e9s dans l&rsquo;un de ces groupes en fonction de leur niveau de douleur et d&rsquo;incapacit\u00e9 et de la perception par le clinicien de leur pr\u00e9sentation clinique globale.<sup id=\"cite_ref-:7_10-12\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/p>\n<p>Veuillez noter que \u00ab\u00a0les patients pr\u00e9sentant un profil de risque psychologique moyen \u00e0 \u00e9lev\u00e9 ont besoin d&rsquo;une physioth\u00e9rapie int\u00e9grant la psychologie\u00a0\u00bb <sup id=\"cite_ref-:7_10-13\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup> quelle que soit l&rsquo;approche choisie. L&rsquo;\u00e9tat psychosocial peut \u00eatre \u00e9valu\u00e9 \u00e0 l&rsquo;aide de mesures d&rsquo;auto-\u00e9valuation, telles que le <a title=\"Fear Avoidance Belief Questionnaire\" href=\"\/Fear_Avoidance_Belief_Questionnaire\">\u00ab Fear-Avoidance Belief Questionnaire \u00bb<\/a> (questionnaire sur les croyances en mati\u00e8re de peur et d&rsquo;\u00e9vitement) ou le <a title=\"STarT Back Screening Tool\" href=\"\/STarT_Back_Screening_Tool\">STarT Back Tool<\/a>. <sup id=\"cite_ref-:7_10-14\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/p>\n<h3><span id=\"Symptom_Modulation_Approach\" class=\"mw-headline\">Approche par modulation des sympt\u00f4mes <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Symptom Modulation Approach\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=5\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Symptom Modulation Approach\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=5\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Une approche par modulation des sympt\u00f4mes est appropri\u00e9e pour les personnes qui r\u00e9pondent aux crit\u00e8res suivants : <sup id=\"cite_ref-:7_10-15\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10) <\/a><\/sup><\/p>\n<ul>\n<li>\u00e9pisode r\u00e9cent (nouveau ou r\u00e9current) de lombalgie qui \u00ab\u00a0provoque des caract\u00e9ristiques symptomatiques significatives\u00a0\u00bb; <sup id=\"cite_ref-:7_10-16\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/li>\n<li>\u00e9tat clinique fluctuant, donc tendance \u00e0 \u00e9viter certaines postures;<\/li>\n<li>douleur et\/ou limitations des mouvements actifs;<\/li>\n<li>une sensibilit\u00e9 accrue peut \u00eatre pr\u00e9sente lors de l&rsquo;examen neurologique.<\/li>\n<\/ul>\n<p>Les interventions visent \u00e0 moduler ces sympt\u00f4mes. Dans ce groupe, les patients sont trait\u00e9s principalement avec :<\/p>\n<ul>\n<li>le repos actif;<\/li>\n<li><a title=\"Lumbar Traction\" href=\"\/Lumbar_Traction\">les tractions;<\/a><\/li>\n<li><a title=\"McKenzie Method\" href=\"\/McKenzie_Method\">les exercices \u00e0 direction pr\u00e9f\u00e9rentielle;<\/a><\/li>\n<li>les manipulations.<\/li>\n<\/ul>\n<p>Voir la <a class=\"external text\" href=\"https:\/\/academic.oup.com\/view-large\/figure\/190920756\/ptj1057-fig004.jpeg\" rel=\"nofollow\">figure 4 de la r\u00e9vision et de la mise \u00e0 jour du syst\u00e8me de classification bas\u00e9e sur le traitement pour les lombalgies<\/a>.<\/p>\n<h3><span id=\"Movement_Control_Approach\" class=\"mw-headline\">Approche par contr\u00f4le des mouvements <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Movement Control Approach\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=6\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Movement Control Approach\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=6\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Une approche par contr\u00f4le des mouvements est appropri\u00e9e pour les personnes qui r\u00e9pondent aux crit\u00e8res suivants : <sup id=\"cite_ref-:7_10-17\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/p>\n<ul>\n<li>des niveaux de douleur et d&rsquo;incapacit\u00e9 faibles \u00e0 mod\u00e9r\u00e9s qui affectent les activit\u00e9s de la vie quotidienne;<\/li>\n<li>un faible niveau de douleur de base qui augmente avec certaines activit\u00e9s, mais revient \u00e0 un faible niveau une fois l&rsquo;activit\u00e9 arr\u00eat\u00e9e &#8211; peut \u00e9galement inclure des personnes qui sont actuellement asymptomatiques ou en r\u00e9mission, mais qui ont des \u00e9pisodes r\u00e9currents de lombalgie o\u00f9 la douleur est aggrav\u00e9e par des mouvements soudains et\/ou inattendus;<\/li>\n<li>les mouvements actifs sont g\u00e9n\u00e9ralement complets, mais des patrons de mouvement alt\u00e9r\u00e9s peuvent \u00eatre pr\u00e9sents;<\/li>\n<li>une diminution de la flexibilit\u00e9, troubles de l&rsquo;activation musculaire et du contr\u00f4le moteur peuvent \u00eatre retrouv\u00e9s lors de l&rsquo;examen physique.<\/li>\n<\/ul>\n<p>Les interventions visent \u00e0 am\u00e9liorer la qualit\u00e9 du mouvement et se concentrent sur : <sup id=\"cite_ref-:7_10-18\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10) <\/a><\/sup><sup id=\"cite_ref-:9_15-0\" class=\"reference\"><a href=\"#cite_note-:9-15\">(15)<\/a><\/sup><\/p>\n<ul>\n<li>la prise en compte de la structure neurologique sensibilis\u00e9e (par exemple, techniques neurodynamiques);<\/li>\n<li>les exercices de stabilisation;<\/li>\n<li>les exercices d&rsquo;assouplissement (peut \u00e9galement inclure de la th\u00e9rapie manuelle pour augmenter l&rsquo;amplitude des mouvements); <sup id=\"cite_ref-:9_15-1\" class=\"reference\"><a href=\"#cite_note-:9-15\">(15)<\/a><\/sup><\/li>\n<li>les exercices de contr\u00f4le moteur;<\/li>\n<li>les exercices d&rsquo;endurance.<\/li>\n<\/ul>\n<p>Voir la <a class=\"external text\" href=\"https:\/\/academic.oup.com\/view-large\/figure\/190920757\/ptj1057-fig005.jpeg\" rel=\"nofollow\">figure 5 de la r\u00e9vision et de la mise \u00e0 jour du syst\u00e8me de classification bas\u00e9e sur le traitement pour les lombalgies <\/a> .<\/p>\n<h3><span id=\"Functional_Optimization_Approach\" class=\"mw-headline\">Approche par optimisation fonctionnelle <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Functional Optimization Approach\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=7\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Functional Optimization Approach\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=7\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>L&rsquo;optimisation fonctionnelle est indiqu\u00e9e pour les personnes qui r\u00e9pondent aux crit\u00e8res suivants : <sup id=\"cite_ref-:7_10-19\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/p>\n<ul>\n<li>relativement asymptomatique;<\/li>\n<li>peut effectuer les activit\u00e9s de la vie quotidienne, mais doit \u00eatre capable d&rsquo;effectuer un niveau d&rsquo;activit\u00e9 physique plus \u00e9lev\u00e9, par exemple pour le sport ou le travail;<\/li>\n<li>la douleur n&rsquo;est aggrav\u00e9e que par la fatigue du syst\u00e8me moteur;<\/li>\n<li>pr\u00e9sentent des d\u00e9ficiences au niveau de l&rsquo;endurance, de la force et de la puissance du syst\u00e8me moteur plut\u00f4t que des d\u00e9ficiences de flexibilit\u00e9 ou de contr\u00f4le moteur.<\/li>\n<\/ul>\n<p>Les interventions visent \u00e0 maximiser les performances physiques pour permettre \u00e0 ces personnes de participer \u00e0 des activit\u00e9s de haut niveau. Les traitements doivent \u00eatre ax\u00e9s sur l&rsquo;optimisation des performances en fonction des exigences sp\u00e9cifiques du travail de l&rsquo;individu ou du sport qu&rsquo;il pratique. Les interventions comprennent : <sup id=\"cite_ref-:7_10-20\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/p>\n<ul>\n<li>des exercices a\u00e9robiques;<\/li>\n<li>des exercices de renforcement musculaire et de conditionnement physique;<\/li>\n<li>des t\u00e2ches sp\u00e9cifiques au travail ou au sport;<\/li>\n<li>des exercices de mise en forme g\u00e9n\u00e9rale.<\/li>\n<\/ul>\n<p>Voir la <a class=\"external text\" href=\"https:\/\/academic.oup.com\/view-large\/figure\/190920703\/ptj1057-fig001.jpeg\" rel=\"nofollow\">figure 1 de la r\u00e9vision et de la mise \u00e0 jour du syst\u00e8me de classification bas\u00e9e sur le traitement pour les lombalgies<\/a>.<\/p>\n<h2><span id=\"Key_Considerations\" class=\"mw-headline\">Consid\u00e9rations essentielles <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Key Considerations\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=8\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Key Considerations\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=8\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li>Les trois approches de prise en charge pr\u00e9vues par le TBC sont mutuellement exclusives<\/li>\n<li>Une reclassification peut se produire lorsque l&rsquo;\u00e9tat clinique d&rsquo;un patient change<\/li>\n<li>Le patient peut obtenir son cong\u00e9 lorsqu&rsquo;il a atteint ses objectifs<\/li>\n<li>Le traitement doit \u00eatre prioritaire lorsqu&rsquo;un patient entre dans deux options de traitement ou plus<\/li>\n<li>L&rsquo;\u00e9tat psychosocial du patient et les comorbidit\u00e9s doivent \u00eatre pris en compte &#8211; lorsque les facteurs psychosociaux sont \u00e9lev\u00e9s, les professionnels de la r\u00e9adaptation doivent dispenser une \u00e9ducation sur :\n<ul>\n<li>la th\u00e9orie de la douleur<\/li>\n<li>les techniques de relaxation musculaire<\/li>\n<li>l&rsquo;hygi\u00e8ne de sommeil<\/li>\n<li>les capacit\u00e9s d&rsquo;adaptation<\/li>\n<li>la dramatisation face \u00e0 la douleur et aux r\u00e9sultats diagnostiques<\/li>\n<\/ul>\n<\/li>\n<li>La prise en charge interdisciplinaire est n\u00e9cessaire lorsque des comorbidit\u00e9s m\u00e9dicales sont identifi\u00e9es <sup id=\"cite_ref-:7_10-21\" class=\"reference\"><a href=\"#cite_note-:7-10\">(10)<\/a><\/sup><\/li>\n<\/ul>\n<blockquote><p>Il a \u00e9t\u00e9 constat\u00e9 que la prise en charge des personnes souffrant de lombalgie \u00e0 l&rsquo;aide de la \u00ab\u00a0TBC\u00a0\u00bb r\u00e9duisait de mani\u00e8re significative l&rsquo;invalidit\u00e9 et la douleur par rapport aux normes des lignes directrices de pratique clinique actuelles <sup id=\"cite_ref-Burns_16-0\" class=\"reference\"><a href=\"#cite_note-Burns-16\">(16)<\/a><\/sup> et d&rsquo;am\u00e9liorer la prise de d\u00e9cision clinique. <sup id=\"cite_ref-:3_4-1\" class=\"reference\"><a href=\"#cite_note-:3-4\">(4)<\/a><\/sup><\/p><\/blockquote>\n<h2><span id=\"Other_Classification_Systems\" class=\"mw-headline\">Autres syst\u00e8mes de classification <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Other Classification Systems\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=9\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Other Classification Systems\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=9\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<h3><span id=\"Mechanical_Diagnosis_and_Therapy\" class=\"mw-headline\"> Diagnostic et th\u00e9rapie m\u00e9caniques (ou m\u00e9thode McKenzie)<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Mechanical Diagnosis and Therapy\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=10\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Mechanical Diagnosis and Therapy\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=10\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le diagnostic et th\u00e9rapie m\u00e9caniques (MDT), \u00e9galement appel\u00e9 M\u00e9thode McKenzie, est un syst\u00e8me de diagnostic et de traitement des troubles musculosquelettiques du rachis et des extr\u00e9mit\u00e9s. Les patients sont class\u00e9s en quatre groupes en fonction de leur r\u00e9ponse m\u00e9canique et symptomatique \u00e0 des mouvements r\u00e9p\u00e9t\u00e9s et\/ou \u00e0 des positions soutenues.<\/p>\n<ul>\n<li>Syndrome de d\u00e9rangement : <sup id=\"cite_ref-:1_17-0\" class=\"reference\"><a href=\"#cite_note-:1-17\">(17)<\/a><\/sup>\n<ul>\n<li>syndrome le plus fr\u00e9quent <sup id=\"cite_ref-18\" class=\"reference\"><a href=\"#cite_note-18\">(18)<\/a><\/sup><\/li>\n<li>le syndrome de d\u00e9rangement se caract\u00e9rise par une <a title=\"Directional Preference\" href=\"\/Directional_Preference\">pr\u00e9f\u00e9rence directionnelle<\/a><\/li>\n<li>les traitements se concentrent sur les mouvements sp\u00e9cifiques qui causent la douleur afin de la r\u00e9duire, de la centraliser et\/ou de l&rsquo;abolir<\/li>\n<\/ul>\n<\/li>\n<li>Syndrome de dysfonction : <sup id=\"cite_ref-:1_17-1\" class=\"reference\"><a href=\"#cite_note-:1-17\">(17)<\/a><\/sup>\n<ul>\n<li>la douleur est intermittente et se produit \u00e0 l&rsquo;extr\u00e9mit\u00e9 d&rsquo;un mouvement limit\u00e9<\/li>\n<li>le traitement se concentre sur des mouvements r\u00e9p\u00e9t\u00e9s dans la direction de la dysfonction ou dans la direction qui reproduit la douleur\n<ul>\n<li>l&rsquo;objectif est de remodeler le tissu qui limite le mouvement par des exercices, de sorte que le mouvement devienne indolore au fil du temps<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li>Syndrome postural :\n<ul>\n<li>la douleur survient lors d&rsquo;une position statique du rachis (par exemple, en cas d&rsquo;assise prolong\u00e9e en position affaiss\u00e9e)<\/li>\n<li>le traitement comprend l&rsquo;\u00e9ducation du patient, la correction de la posture en r\u00e9tablissant la lordose lombaire, en \u00e9vitant les postures provocantes et en \u00e9vitant les contraintes de tension prolong\u00e9es sur les structures normales <sup id=\"cite_ref-:1_17-2\" class=\"reference\"><a href=\"#cite_note-:1-17\">(17) <\/a><\/sup><sup id=\"cite_ref-19\" class=\"reference\"><a href=\"#cite_note-19\">(19)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<li>Syndrome autre ou non m\u00e9canique :\n<ul>\n<li>ce groupe concerne les personnes qui ne rentrent pas dans l&rsquo;un des trois syndromes m\u00e9caniques mais qui pr\u00e9sentent des sympt\u00f4mes et des signes d&rsquo;autres pathologies <sup id=\"cite_ref-20\" class=\"reference\"><a href=\"#cite_note-20\">(20)<\/a><\/sup><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Pour plus d&rsquo;informations sur l&rsquo;approche McKenzie, consulter la <a title=\"McKenzie Method\" href=\"\/McKenzie_Method\">m\u00e9thode McKenzie<\/a>.<\/p>\n<h3><span id=\"Cognitive_Functional_Therapy\" class=\"mw-headline\">Th\u00e9rapie fonctionnelle cognitive <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Cognitive Functional Therapy\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=11\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Cognitive Functional Therapy\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=11\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>La th\u00e9rapie fonctionnelle cognitive (\u00ab\u00a0CFT\u00a0\u00bb pour \u00ab\u00a0Cognitive Functional Therapy\u00a0\u00bb en anglais) est une approche centr\u00e9e sur le patient qui permet aux individus de g\u00e9rer leur douleur en ciblant \u00ab\u00a0les pens\u00e9es, les \u00e9motions et les comportements li\u00e9s \u00e0 la douleur qui contribuent \u00e0 la douleur et \u00e0 l&rsquo;incapacit\u00e9\u00a0\u00bb.<sup id=\"cite_ref-:2_21-0\" class=\"reference\"><a href=\"#cite_note-:2-21\">(21)<\/a><\/sup> Les th\u00e9rapeutes explorent la nature multidimensionnelle de la lombalgie \u00e0 travers l&rsquo;exp\u00e9rience de l&rsquo;individu en se concentrant sur les aspects suivants :<sup id=\"cite_ref-22\" class=\"reference\"><a href=\"#cite_note-22\">(22)<\/a><\/sup><\/p>\n<ul>\n<li>donner un sens \u00e0 la douleur;<\/li>\n<li>exposition contr\u00f4l\u00e9e;<\/li>\n<li>changement de mode de vie. <sup id=\"cite_ref-23\" class=\"reference\"><a href=\"#cite_note-23\">(23) <\/a><\/sup><sup id=\"cite_ref-:2_21-1\" class=\"reference\"><a href=\"#cite_note-:2-21\">(21)<\/a><\/sup><\/li>\n<\/ul>\n<p>Pour plus d&rsquo;informations, consulter <a title=\"Cognitive Functional Therapy\" href=\"\/Cognitive_Functional_Therapy\">Th\u00e9rapie fonctionnelle cognitive<\/a> et <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6037069\/\" rel=\"nofollow\">Cognitive Functional Therapy: an integrated behavioral approach for the targeted management of disabling low back pain<\/a> (un article sur la th\u00e9rapie fonctionnelle cognitive pour la prise en charge cibl\u00e9e des lombalgies invalidantes, en anglais original). <sup id=\"cite_ref-24\" class=\"reference\"><a href=\"#cite_note-24\">(24)<\/a><\/sup><\/p>\n<h3><span id=\"Movement_System_Impairment\" class=\"mw-headline\">\u00ab Movement System Impairment \u00bb (d\u00e9ficience du syst\u00e8me de mouvement) <\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span> <a class=\"mw-editsection-visualeditor\" title=\"Edit section: Movement System Impairment\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=12\">edit<\/a> <span class=\"mw-editsection-divider\"> | <\/span> <a title=\"Edit section: Movement System Impairment\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=12\">edit source<\/a> <span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h3>\n<p>Le \u00ab Movement System Impairment \u00bb (d\u00e9ficience du syst\u00e8me de mouvement) \u00ab implique un examen standardis\u00e9 avec plusieurs tests de mouvements et de positions afin d&rsquo;identifier les d\u00e9ficiences d&rsquo;origine m\u00e9canique \u00bb. <sup id=\"cite_ref-:8_25-0\" class=\"reference\"><a href=\"#cite_note-:8-25\">(25)<\/a><\/sup><\/p>\n<p>Les individus sont class\u00e9s dans l&rsquo;un des cinq sous-groupes. Le traitement se concentre sur l&rsquo;\u00e9ducation et les exercices afin d&rsquo;am\u00e9liorer les mouvements et d\u00e9ficiences posturales sp\u00e9cifiques \u00e0 la classification et li\u00e9s aux sympt\u00f4mes de la lombalgie. Le traitement vise \u00e0 : <sup id=\"cite_ref-:8_25-1\" class=\"reference\"><a href=\"#cite_note-:8-25\">(25)<\/a><\/sup><\/p>\n<ul>\n<li>minimiser certains mouvements du rachis lombaire;<\/li>\n<li>favoriser le mouvement dans d&rsquo;autres articulations;<\/li>\n<li>\u00e9viter les postures extr\u00eames de la colonne lombaire dans des directions sp\u00e9cifiques.<\/li>\n<\/ul>\n<p>Pour plus d&rsquo;informations, consulter la rubrique <a title=\"Classification Of Low Back Pain Using Shirley Sahrmann\u2019s Movement System Impairments, An Overview Of The Concept\" href=\"\/Classification_Of_Low_Back_Pain_Using_Shirley_Sahrmann%E2%80%99s_Movement_System_Impairments,_An_Overview_Of_The_Concept\">Vue d&rsquo;ensemble de la classification des lombalgies \u00e0 l&rsquo;aide du \u00ab Movement System Impairment \u00bb de Shirley Sahrmann<\/a>.<\/p>\n<h2><span id=\"Resources\" class=\"mw-headline\">Ressources<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: Resources\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=13\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: Resources\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=13\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<ul>\n<li><a class=\"external text\" href=\"https:\/\/academic.oup.com\/ptj\/article\/96\/7\/1057\/2864925\" rel=\"nofollow\">Treatment-based classification system for low back pain: revision and update (un article sur la r\u00e9vision et mise \u00e0 jour du syst\u00e8me de classification bas\u00e9e sur le traitement pour les lombalgies, en anglais original)<\/a><\/li>\n<\/ul>\n<h2><span id=\"References\" class=\"mw-headline\">R\u00e9f\u00e9rences<\/span><span class=\"mw-editsection\"><span class=\"mw-editsection-bracket\">(<\/span><a class=\"mw-editsection-visualeditor\" title=\"Edit section: References\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;veaction=edit&amp;section=14\">edit<\/a><span class=\"mw-editsection-divider\"> | <\/span><a title=\"Edit section: References\" href=\"\/index.php?title=Treatment-based_Classification_System_for_Low_Back_Pain&amp;action=edit&amp;section=14\">edit source<\/a><span class=\"mw-editsection-bracket\">)<\/span><\/span><\/h2>\n<div class=\"mw-references-wrap mw-references-columns\">\n<ol class=\"references\">\n<li id=\"cite_note-1\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-1\">\u2191<\/a><\/span> <span class=\"reference-text\">GBD 2021 Low Back Pain Collaborators. <a class=\"external text\" href=\"https:\/\/www.thelancet.com\/journals\/lanrhe\/article\/PIIS2665-9913(23)00098-X\/fulltext\" rel=\"nofollow\">Global, regional, and national burden of low back pain, 1990-2020, its attributable risk factors, and projections to 2050: a systematic analysis of the Global Burden of Disease Study 2021<\/a>. Lancet Rheumatol. 2023 May 22;5(6):e316-e329. <\/span><\/li>\n<li id=\"cite_note-:0-2\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:0_2-0\">2.0<\/a><\/sup> <sup><a href=\"#cite_ref-:0_2-1\">2.1<\/a><\/sup><\/span> <span class=\"reference-text\">Bastos RM, Moya CR, de Vasconcelos RA, Costa LO. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC9344960\/\" rel=\"nofollow\">Treatment-based classification for low back pain: systematic review with meta-analysis.<\/a> Journal of Manual &amp; Manipulative Therapy. 2022 Jul 4;30(4):207-27.<\/span><\/li>\n<li id=\"cite_note-Delitto-3\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-Delitto_3-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Delitto A, Erhard RE, Bowling RW. A treatment-based classification approach to low back syndrome: identifying and staging patients for conservative treatment. 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Plus, 2020.<\/span><\/li>\n<li id=\"cite_note-14\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-14\">\u2191<\/a><\/span> <span class=\"reference-text\">Melman A, Maher CG, Needs C, Machado GC. <a class=\"external text\" href=\"https:\/\/link.springer.com\/article\/10.1007\/s10067-022-06054-w\" rel=\"nofollow\">Many people admitted to hospital with a provisional diagnosis of nonserious back pain are subsequently found to have serious pathology as the underlying cause<\/a>. Clin Rheumatol. 2022 Jun;41(6):1867-71.<\/span><\/li>\n<li id=\"cite_note-:9-15\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:9_15-0\">15.0<\/a><\/sup> <sup><a href=\"#cite_ref-:9_15-1\">15.1<\/a><\/sup><\/span> <span class=\"reference-text\">Rainey N. Treatment Based Classification Approach to Low Back Pain Course. Plus, 2023.<\/span><\/li>\n<li id=\"cite_note-Burns-16\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-Burns_16-0\">\u2191<\/a><\/span> <span class=\"reference-text\">Scott A. Burns, Edward Foresman, Stephenie J. Kraycsir, William Egan, Paul Glynn, Paul E. Mintken and Joshua A. Cleland. <a class=\"external text\" href=\"http:\/\/sph.sagepub.com\/content\/3\/4\/362.abstract?rss=1\" rel=\"nofollow\">A Treatment-Based Classification Approach to Examination and Intervention of Lumbar Disorders<\/a>. Sports Health: A Multidisciplinary Approach July\/August 2011 vol. 3 no. 4 362-372 <\/span><\/li>\n<li id=\"cite_note-:1-17\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:1_17-0\">17.0<\/a><\/sup> <sup><a href=\"#cite_ref-:1_17-1\">17.1<\/a><\/sup> <sup><a href=\"#cite_ref-:1_17-2\">17.2<\/a><\/sup><\/span> <span class=\"reference-text\">May S, Donelson R. Evidence-informed management of chronic low back pain with the McKenzie method.Spine J. 2008;8(1):134-41.<\/span><\/li>\n<li id=\"cite_note-18\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-18\">\u2191<\/a><\/span> <span class=\"reference-text\">Sanchis-Sanchez, E., Lluch-Girbes, E., Guillart-Castells, P., Georgieva, S., Garcia-Molina, P. and Blasco, J.M., 2021. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7990734\/\" rel=\"nofollow\">Effectiveness of mechanical diagnosis and therapy in patients with non-specific chronic low back pain: a literature review with meta-analysis.<\/a> <i>Brazilian Journal of Physical Therapy<\/i>, <i>25<\/i>(2), pp.117-134.<\/span><\/li>\n<li id=\"cite_note-19\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-19\">\u2191<\/a><\/span> <span class=\"reference-text\">Halliday, M.H., Garcia, A.N., Amorim, A.B., Machado, G.C., Hayden, J.A., Pappas, E., Ferreira, P.H. and Hancock, M.J., 2019. <a class=\"external text\" href=\"https:\/\/www.jospt.org\/doi\/10.2519\/jospt.2019.8734\" rel=\"nofollow\">Treatment effect sizes of mechanical diagnosis and therapy for pain and disability in patients with low back pain: a systematic review.<\/a> <i>journal of orthopaedic &amp; sports physical therapy<\/i>, <i>49<\/i>(4), pp.219-229.<\/span><\/li>\n<li id=\"cite_note-20\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-20\">\u2191<\/a><\/span> <span class=\"reference-text\">Mann SJ, Lam JC, Singh P. McKenzie Back Exercises. (Updated 2023 Jul 3). In: StatPearls (Internet). Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: <a class=\"external free\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK539720\/\" rel=\"nofollow\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK539720\/<\/a><\/span><\/li>\n<li id=\"cite_note-:2-21\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:2_21-0\">21.0<\/a><\/sup> <sup><a href=\"#cite_ref-:2_21-1\">21.1<\/a><\/sup><\/span> <span class=\"reference-text\">Kent P, Haines T, O&rsquo;Sullivan P, Smith A, Campbell A, Schutze R, Attwell S, Caneiro JP, Laird R, O&rsquo;Sullivan K, McGregor A. <a class=\"external text\" href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0140673623004415\" rel=\"nofollow\">Cognitive Functional Therapy with or without movement sensor biofeedback versus usual care for chronic, disabling low back pain (RESTORE): a randomised, controlled, three-arm, parallel group, phase 3, clinical trial.<\/a> The Lancet. 2023 Jun 3;401(10391):1866-77.<\/span><\/li>\n<li id=\"cite_note-22\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-22\">\u2191<\/a><\/span> <span class=\"reference-text\">O&rsquo;Sullivan PB, Caneiro JP, O&rsquo;Keeffe M, Smith A, Dankaerts W, Fersum K, O&rsquo;Sullivan K. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6037069\/\" rel=\"nofollow\">Cognitive functional therapy: an integrated behavioral approach for the targeted management of disabling low back pain<\/a>. Phys Ther. 2018 May 1;98(5):408-23.<\/span><\/li>\n<li id=\"cite_note-23\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-23\">\u2191<\/a><\/span> <span class=\"reference-text\">Miki T, Kondo Y, Kurakata H, Buzasi E, Takebayashi T, Takasaki H. <a class=\"external text\" href=\"https:\/\/bpsmedicine.biomedcentral.com\/articles\/10.1186\/s13030-022-00241-6\" rel=\"nofollow\">The effect of cognitive functional therapy for chronic nonspecific low back pain: a systematic review and meta-analysis.<\/a> BioPsychoSocial Medicine. 2022 May 21;16(1):12.<\/span><\/li>\n<li id=\"cite_note-24\"><span class=\"mw-cite-backlink\"><a href=\"#cite_ref-24\">\u2191<\/a><\/span> <span class=\"reference-text\">O&rsquo;Sullivan PB, Caneiro JP, O&rsquo;Keeffe M, Smith A, Dankaerts W, Fersum K, O&rsquo;Sullivan K. <a class=\"external text\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6037069\/\" rel=\"nofollow\">Cognitive Functional Therapy: an integrated behavioral approach for the targeted management of disabling low back pain<\/a>. Phys Ther. 2018 May 1;98(5):408-23. <\/span><\/li>\n<li id=\"cite_note-:8-25\"><span class=\"mw-cite-backlink\">\u2191 <sup><a href=\"#cite_ref-:8_25-0\">25.0<\/a><\/sup> <sup><a href=\"#cite_ref-:8_25-1\">25.1<\/a><\/sup><\/span> <span class=\"reference-text\">Azevedo DC, Ferreira PH, Santos HD, Oliveira DR, de Souza JV, Costa LO. <a class=\"external text\" href=\"https:\/\/academic.oup.com\/ptj\/article\/98\/1\/28\/4107780\" rel=\"nofollow\">Movement system impairment-based classification treatment versus general exercises for chronic low back pain: randomized controlled trial.<\/a> Physical therapy. 2018 Jan;98(1):28-39.<\/span><\/li>\n<\/ol>\n<\/div>\n<p><!-- NewPP limit report Cached time: 20240326100614 Cache expiry: 0 Reduced expiry: true Complications: (show\u2010toc) CPU time usage: 0.123 seconds Real time usage: 0.137 seconds Preprocessor visited node count: 476\/1000000 Post\u2010expand include size: 81\/2097152 bytes Template argument size: 0\/2097152 bytes Highest expansion depth: 3\/100 Expensive parser function count: 0\/100 Unstrip recursion depth: 0\/20 Unstrip post\u2010expand size: 18667\/5000000 bytes --><br \/>\n<!-- Transclusion expansion time report (%,ms,calls,template) 100.00% 17.658 1 Special:Contributors\/Treatment-based_Classification_System_for_Low_Back_Pain 100.00% 17.658 1 -total --><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>R\u00e9dacteur original &#8211; Josh McCormack Principaux collaborateurs &#8211; Admin, Kim Jackson , Jess Bell , Robin Tacchetti , Eric Robertson, Josh McCormack , Shaimaa Eldib, Rachel Lowe , Mariam Hashem , Simisola Ajeyalemi , Tarina van der Stockt , WikiSysop , 127.0.0.1 et Evan Thomas Contenu 1 Introduction 2 Description 3 Premier niveau de triage [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-9765","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/9765","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/comments?post=9765"}],"version-history":[{"count":0,"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/pages\/9765\/revisions"}],"wp:attachment":[{"href":"https:\/\/langs.physio-pedia.com\/fr\/wp-json\/wp\/v2\/media?parent=9765"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}