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OBJECTIVES To compare the efficacy of an information booklet or oral information about back pain in reducing disability and fear-avoidance beliefs among patients with subacute and chronic low back pain referred to a rehabilitation department. METHODS An alternate-month design was used for 142 patients with subacute or chronic low back pain who were hospitalized for treatment. Seventy-two patients received written standardized information about back pain (the "back book") and usual physical therapy (intervention group), and 70 received usual physical therapy only along with nonstandardized oral information (control group). The main outcome measure was disability (measured on the Quebec back-pain disability scale), and secondary outcome measures were pain intensity (measured on a visual analog scale), fear-avoidance beliefs (measured on the Fear-Avoidance Beliefs Questionnaire [FABQ] Physical component), and knowledge of the relation of back pain to physical activity assessed at baseline, just before discharge from the hospital and 3 months after discharge. Satisfaction related to the information received was assessed on the day of discharge. RESULTS Receiving the "back book" had a significant impact on disability at 3 months, from 48.40+/-14.55 to 34.57+/-18.42 in the intervention group and from 52.17+/-16.88 to 42.40+/-14.95 in the control group (p=0.03). Receipt of the book also had a significant impact on patients' knowledge and satisfaction about information but a nonsignificant effect on fear-avoidance beliefs. CONCLUSIONS Providing an information booklet about back pain to patients with subacute and chronic low back pain referred to a rehabilitation unit contributes to reduced disability in these patients.

L’objectif de ce travail est d’évaluer l’effet de la musicothérapie (montage en “U”) dans la prise en charge de la douleur des patients souffrant de fibromyalgie, dans le cadre d’une cure thermale aux Thermes d’Allevard. Trente patients ont été inclus dans l’étude puis suivis sur une période de 21 jours, correspondant à la durée de la cure thermale de rhumatologie prescrite par le médecin traitant. Chaque patient a été examiné cliniquement et a rempli des auto-questionnaires à J1 et à J21. Les 5 séances de musicothérapie ont eu lieu la seconde semaine à raison d’une séance par jour. Les critères de jugement mesurés étaient la douleur, l’anxiété (EVA) et les manifestations anxio-dépressives (HAD). Dès la première séance, le niveau de douleur s’est abaissé significativement (p, The objective of this work is to evaluate the effect of music therapy (“U” technique) to the management of patients suffering from fibromyalgia with chronic pain, in the context of crenotherapy at Allevard-les-Bains. Thirty patients were included in the study and monitored for 21 days which correspond to the rheumatology crenotherapy duration prescribed by regular doctor. Each patient was clinically examined and performed autoquestionnaires at D1 and D21. The five music therapy sessions were done the second week at the rate of a session a day. The study endpoints were: pain and anxiety (VAS) and anxiety and depression components (HAD). From the first session, a significant reduction (p