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Living Well with Low Back Pain: A comprehensive guide to understanding, managing, and thriving with confidence

*LBP = Low Back Pain P.2 The purpose of this leaflet is to provide you with information about Low Back Pain (LBP*). It includes general information about LBP and its effects on the back, a description of symptoms and treatments, practical advice to help you care for your back, and solutions offered by Thuasne® to support you. Dear readers,

CONTENT UNDERSTANDING LOW BACK PAIN What is Low Back Pain? ………………………………………………………………………………….... P. 5 Anatomy of the Spine? ………………………………………………………………………………........ P.6-8 Four Types of Low Back Pain? ……………………………………………………….………………... P. 9 Aggravating factors ………………………………………………………………………………………… P.10 Some figures ………………………………………………………………………………………………….. P.11 Main Pathologies related to Low Back Pain …………………………………………………. P.12-13 UNDERSTANDING CHRONIC LOW BACK PAIN What is Chronic Low Back Pain (Definition, Data…) ……………………………………….… P.15 DIAGNOSIS AND TREATMENT FOR LOW BACK PAIN Your care team …………………………………………………………………………………………………….. P.17 What can you ask your GP? ……………………………………………………………………………..…… P.18 The diagnosis : The Patient Pathway ………………………………………………………................ P.19 Available treatments ………………………………………………………………..……………….….. P.20-23 LIVING WITH LOW BACK PAIN Managing daily life with Low Back Pain …………………………………………...………………. P.25 Good habits for daily life ……………………………………………………………………………………. P.26 Possible complications associated with Low Back Pain …………………………………....... P.27 How to exercise safely with Low Back Pain (4 exercices) ……………………….…….. P.28 - 31 GENERAL INFORMATION ABOUT LUMBAR SUPPORTS General information on lumbar supports ………………………………………………….…… P.33-34 Lumbar braces and Benefits ………………………………………………………………………….…… P.35 Decision tree for braces General information on Thuasne lumbar support and the solutions TEST YOUR KNOWLEDGE Quiz (part 1 & 2) Answers P.3

Understanding Low Back Pain P.4

Diapositive 4 SM1 Photo : Lightspring / Shutterstock.com Sullivan Michon; 2025-08-12T12:25:42.991

WHAT IS LOW BACK PAIN? (1) Low back pain (LBP) is pain or discomfort felt between the bottom of the ribs and the top of the buttocks. Understanding Low Back Pain P.5 Low back pain can be divided into two common types: 1 - World Health Organization. (2021, June 17). Low back pain. https://www.who.int/news-room/fact-sheets/detail/low-back-pain 2 - Wernli, K., O’Sullivan, P., Smith, A., Campbell, A., & Kent, P. (2020). Movement, posture and low back pain. How do they relate ? A replicated single-case design in 12 people with persistent, disabling low back pain. European Journal Of Pain, 24(9), 1831-1849. https://doi.org/10.1002/ejp.1631 3 - Farley, T., Stokke, J., Goyal, K., & DeMicco, R. (2024). Chronic low back pain: History, symptoms, pain mechanisms, and treatment. Life, 14(7), 812. https://doi.org/10.3390/life14070812- 4 Amir Qaseem, Timothy J. Wilt, Robert M. McLean, et al; for the Clinical Guidelines Committee of the American College of Physicians . https://www.acpjournals.org/doi/abs/10.7326/M16-2367. Ann Intern Med.2017;166:514-530. [Epub 14 February 2017]. doi:https://doi.org/10.7326/M16-2367 THE ORIGIN OF LBP ? (2;3) Mechanical low back pain (99% of cases) comes from the spine’s structures, like muscles, ligaments, discs, or joints; it usually gets worse when you move, lift, bend, or sit for a long time. Pathologic low back pain (1% of cases) is caused by a specific medical condition, such as infection, fracture, tumor, or nerve compression. Different types of non-specific back pain (4) It is not possible to diagnose the exact cause of this back pain in most people. Acute LBP (<6 weeks) Subacute LBP (6-12 weeks) Chronic LBP (>3 months) Non-Specific LBP 90% of spontaneous resolution 10% of case Pain Stage Risk Progression MV1MV2MV3 MV MV5MV6 MVMVNB

Diapositive 5 MV1 -> increases Marija Vertinska; 2026-02-02T10:39:00.816 MV2 j'ajouterais aussi : and high mechanical loads Marija Vertinska; 2026-02-02T10:41:39.505 MV3 Minhye Jo, Soo-Won Chae, Stress analysis of intervertebral disc during occupational activities, Computer Methods and Programs in Biomedicine, Volume 208, 2021, 106298, ISSN 0169-2607, https://doi.org/10.1016/j.cmpb.2021.106298. Marija Vertinska; 2026-02-02T10:44:24.271 MV4 https://www.who.int/news-room/fact-sheets/detail/low-back-pain?utm Marija Vertinska; 2026-02-02T10:45:04.131 MV5 https://www.tandfonline.com/doi/pdf/10.1080/09638288.2024.2385070?utm Marija Vertinska; 2026-02-02T10:46:21.835 MV6 -> habit can contribute to certain Marija Vertinska; 2026-02-02T10:47:57.261 MV7 Ajouter aussi : non-specific? Marija Vertinska; 2026-02-02T13:48:37.845 MV8 https://www.frequencemedicale.com/medecine-generale/maladie/1189-Lombalgie-chronique-comprendre-mal- Marija Vertinska; 2026-02-04T14:01:54.597 NB9 Je pensais placer ce schéma dans la partie «Understanding Low Back Pain» Noemie Bravard; 2026-05-04T14:24:37.011

Understanding Low Back Pain ANATOMY OF THE SPINE Cervical lordosis Thoracic kyphosis Lumbar lordosis Sacrum Coccyx 7 cervical vertebrae C1 - C7 12 thoracic vertebrae T1 - 12 5 lumbar vertebrae L1 - L5 4 sacral vertebrae S1 - S5 Typically 4 fused coccygeal vertebrae Range 3 – 5 (1) Harrison, D., MD. (2023, 3 février). Vertebrae : The Bones of the Spinal Column. Spine Info. https://www.spineinfo.com/anatomy/vertebrae-the-bones-of- the-spinal-column/ (2) Medtronic. (n.d.). La colonne vertébrale. https://www.medtronic.com/fr-fr/patients/pathologies/Mal-de-dos/Colonne-vertabrale.html P.6 24 mobile vertebrae • The spine’s four natural curves distribute pressure evenly and ensure optimal flexibility SM1MV2

Diapositive 6 SM1 Launch pack dynacross Sullivan Michon; 2025-08-12T14:01:49.902 SM1 0 https://thuasnegroup.sharepoint.com/:p:/r/sites/Marketing/Documents%20partages/12%20-%20Launch%20Pack Sullivan Michon; 2025-08-12T14:01:53.406 MV2 Remplacer "Sacrum Kyphosis" et tout qui est écrit à droite par : Sacrum: sacral vertebrae (S1–S5) Coccyx: typically four fused coccygeal vertebrae (range: 3–5) Marija Vertinska; 2026-02-02T09:56:45.055 MV2 0 Source : Frost, Brody A., Sandra Camarero-Espinosa, and E. Johan Foster. 2019. "Materials for the Spine: Anatomy Problems, and Solutions" Materials 12, no. 2: 253. https://doi.org/10.3390/ma12020253 Marija Vertinska; 2026-02-02T09:56:55.399

Understanding Low Back Pain ANATOMY OF THE SPINE (4) (1) Harrison, D., MD. (2023, 3 février). Vertebrae : The Bones of the Spinal Column. Spine Info. https://www.spineinfo.com/anatomy/ (1) BiologyInsights Team. (2025, 23 juillet). The Vertebral Bone : Anatomy, Function, and Regions & # x2d ; Biology Insights. Biology Insights. https://biologyinsights.com/the-vertebral- bone-anatomy-function-and-regions/?utm SPINAL CORD (5) a nerve bundle that carries signals between the brain and the body, and it is protected by the bony vertebral column as well as the surrounding ligaments and muscles. VERTEBRAE (5) support the body, allow trunk movements (flexion, extension, rotation, lateral bending), protect the spinal cord within the central bony canal, and provide attachment points for stabilizing muscles and ligaments VERTEBRA DISC (5;6) They connect the vertebrae together, absorb shocks, and help maintain spinal flexibility P.7 SM1MV2 NB3

Diapositive 7 SM1 Launch pack dynacross Sullivan Michon; 2025-08-12T14:01:49.902 SM1 0 https://thuasnegroup.sharepoint.com/:p:/r/sites/Marketing/Documents%20partages/12%20-%20Launch%20Pack Sullivan Michon; 2025-08-12T14:01:53.406 MV2 Remplacer "Sacrum Kyphosis" et tout qui est écrit à droite par : Sacrum: sacral vertebrae (S1–S5) Coccyx: typically four fused coccygeal vertebrae (range: 3–5) Marija Vertinska; 2026-02-02T09:56:45.055 MV2 0 Source : Frost, Brody A., Sandra Camarero-Espinosa, and E. Johan Foster. 2019. "Materials for the Spine: Anatomy Problems, and Solutions" Materials 12, no. 2: 253. https://doi.org/10.3390/ma12020253 Marija Vertinska; 2026-02-02T09:56:55.399 NB3 Integration de fun facts Noemie Bravard; 2026-05-07T09:56:00.815

P.8 (1) Kenhub. (2015, May 17). Curvature and movements of the vertebral column. https://www.kenhub.com/en/library/anatomy/curvature-and-movements-of-the-vertebral-column (2) ClubOrtho.fr. (n.d.). Biomécanique du rachis [PDF]. http://www.clubortho.fr/cariboost_files/cours_20biomecanique_20rachis_20GV.pdf The spine is a flexible structure capable of four main types of movement: (1) Understanding Low Back Pain FLEXION (SIDE BENDING) EXTENSION LATERAL INCLINATION AXIAL ROTATION (TWISTING) SM1 MV2 MV3MV4MV5MV6MV7MV8MV9 NB10

Diapositive 8 SM1 Launch pack lombastab Sullivan Michon; 2025-08-12T13:58:03.103 MV2 https://www.kenhub.com/en/library/anatomy/curvature-and-movements-of-the-vertebral-column?utm Marija Vertinska; 2026-02-02T10:13:21.289 MV3 https://medlineplus.gov/ency/imagepages/19463.htm?utm Marija Vertinska; 2026-02-02T10:16:03.857 MV4 https://biologyinsights.com/the-vertebral-bone-anatomy-function-and-regions/?utm Marija Vertinska; 2026-02-02T10:19:01.469 MV5 https://www.sciencedirect.com/topics/neuroscience/intervertebral-disk?utm Marija Vertinska; 2026-02-02T10:21:47.659 MV6 -> AREAS Marija Vertinska; 2026-02-02T10:54:01.816 MV7 -> GENERALIZED PAIN Marija Vertinska; 2026-02-02T10:54:26.816 MV8 -> EXTREMITIES / JOINTS Marija Vertinska; 2026-02-02T10:55:05.457 MV9 -> BACK Marija Vertinska; 2026-02-02T10:56:40.270 NB10 Thuasne. (2025). LombaStab range international launch deck – Vf [PowerPoint slides]. Thuasne internal marketing platform. https://thuasnegroup.sharepoint.com/sites/Marketing Noemie Bravard; 2026-04-09T13:53:40.983

TYPES OF LOW BACK PAIN ?4 YELLOW FLAG RED FLAG BLUE FLAG BLACK FLAG (1) Hautes Autorités de Santé (French Health Organization). (2019). fm_lombalgie_v2_2.pdf - Pain that worsens at rest or during the night - Numbness or weakness in the legs, or trouble controlling bladder or bowel - Tingling in the pubic or perineal area - Major injury, like a fall from a height - Unexplained weight loss - History of cancer - Use of IV drugs or use of long-term corticosteroids - Visible deformity of the spine - Chest pain linked to back pain - Back pain starting before age 20 or after 55 - Fever or general health decline - Physically demanding work - High pressure and little control over tasks - No option to change jobs - Lack of support from colleagues or managers - Feeling rushed or under time pressure - Low job satisfaction - Stress at work - Fear of not being able to return to work - Worry about pain coming back Psychosocial risk factors Work-related beliefs and perceptions There are four flag types used in back pain assessment: red, yellow, blue, and black flags. Each identifies factors influencing pain development, persistence, or resolution to guide treatment and prevent chronicity. According to the environment P.9 Serious medical conditions - Emotional challenges like stress, anxiety, or depression. - Negative beliefs about back pain (e.g., thinking it’s dangerous or will never improve). - Avoiding movement due to fear of pain. - Work-related stress, such as job dissatisfaction or a difficult work environment. Compensation concerns, like disability benefits or financial stress. - No gradual return to work or job adjustments. - Financial stress or insecurity. - Complex or unclear compensation systems. - Lack of support or contact with the workplace. - Long periods of sick leave. Understanding Low Back Pain MV1 MV2

Diapositive 9 MV1 ajouter : use Marija Vertinska; 2026-02-02T11:05:36.403 MV2 -> reduce the risk of chronicity Marija Vertinska; 2026-02-02T11:07:21.969

Understanding Low Back Pain Personal factors Professional factors Sedentary lifestyle Stress Obesity (postural cause) Age Pregnancy Tabagism Prolonged sitting or standing Heavy lifting Exposure to vibration Prolonged car travel Posture (1) National Library of Medicine (NIH). (30th October 2024.). Efficacy of Back Pain in Treating Chronic Low Back Pain. Efficacy of Back Bracing in Treating Chronic Low Back Pain – PMC P.10 MV1MV2 MV3

Diapositive 10 MV1 -> movement Marija Vertinska; 2026-02-02T10:31:36.949 MV2 Quelle source corresponds à quelle ligne? Marija Vertinska; 2026-02-02T10:43:18.396 MV3 Je dirais : Prolonged sitting or standing Marija Vertinska; 2026-02-02T11:16:16.538

(1) Li, Y., Zou, C., Guo, W., Han, F., Fan, T., Zang, L., & Huang, G. (2024). Global burden of low back pain and its attributable risk factors from 1990 to 2021: A comprehensive analysis from the global burden of disease study 2021. Frontiers in Public Health, 12, Article 1480779. https://doi.org/10.3389/fpubh.2024.1480779 (2) Global, regional and national burden of low back pain 1990–2019: A systematic analysis of the Global Burden of Disease study 2019 (3) Assurance Maladie. (n.d.). Lombalgies : Un enjeu de santé publique. Ameli.fr. https://www.ameli.fr/etablissement/sante-prevention/lombalgies/enjeu-sante-publique (4) Haute Autorité de Santé. (2024, 28 mars). Prescription d’activité physique. Lombalgie commune chronique [Fiche]. https://www.has-sante.fr/upload/docs/application/pdf/2024- 04/fiche_aps_lombalgie_commune_chronique.pdf** Profile of LBP sufferers P.10 This number is expected to rise to 843 million by 2050 due to population growth and aging. (4) In 2021, approximately 628.8 million people worldwide were affected by LBP (1) Up to 9 out of 10 people will experience a back problem at some point in their lives (4) Understanding Low Back Pain MV1 MV2 NB3

Diapositive 11 MV1 Li Y, Zou C, Guo W, Han F, Fan T, Zang L and Huang G (2024) Global burden of low back pain and its attributabl risk factors from 1990 to 2021: a comprehensive analysis from the global burden of disease study 2021. Front. Public Health. 12:1480779. doi: 10.3389/fpubh.2024.1480779 Marija Vertinska; 2026-02-02T12:52:20.209 MV2 Retirer ou trouver une source Marija Vertinska; 2026-02-02T12:58:30.915 NB2 0 Supprimé Noemie Bravard; 2026-02-09T10:45:57.009 NB3 [@Marija Vertinska] Finalement j’ai repris les mêmes données que sur la brochure étude clinique Noemie Bravard; 2026-02-09T10:54:19.454

(1) Li, Y., Zou, C., Guo, W., Han, F., Fan, T., Zang, L., & Huang, G. (2024). Global burden of low back pain and its attributable risk factors from 1990 to 2021: A comprehensive analysis from the global burden of disease study 2021. Frontiers in Public Health, 12, Article 1480779. https://doi.org/10.3389/fpubh.2024.1480779 (2) Global, regional and national burden of low back pain 1990–2019: A systematic analysis of the Global Burden of Disease study 2019 (3) Assurance Maladie. (n.d.). Lombalgies : Un enjeu de santé publique. Ameli.fr. https://www.ameli.fr/etablissement/sante-prevention/lombalgies/enjeu-sante-publique (4) Haute Autorité de Santé. (2024, 28 mars). Prescription d’activité physique. Lombalgie commune chronique [Fiche]. https://www.has-sante.fr/upload/docs/application/pdf/2024- 04/fiche_aps_lombalgie_commune_chronique.pdf** Some figures… P.11 were affected by LBP in 2021 (1) Understanding Low Back Pain reason for acute visits (<4 weeks) (3) Low back pain led disability in 2019 (3) MV1 MV2 NB3

Diapositive 12 MV1 Li Y, Zou C, Guo W, Han F, Fan T, Zang L and Huang G (2024) Global burden of low back pain and its attributabl risk factors from 1990 to 2021: a comprehensive analysis from the global burden of disease study 2021. Front. Public Health. 12:1480779. doi: 10.3389/fpubh.2024.1480779 Marija Vertinska; 2026-02-02T12:52:20.209 MV2 Retirer ou trouver une source Marija Vertinska; 2026-02-02T12:58:30.915 NB2 0 Supprimé Noemie Bravard; 2026-02-09T10:45:57.009 NB3 [@Marija Vertinska] Finalement j’ai repris les mêmes données que sur la brochure étude clinique Noemie Bravard; 2026-02-09T10:54:19.454

Understanding Low Back Pain The main manifestations of low back pain • Benign low back pain (1) is a broad term for common lower back pain that is usually not linked to a serious medical problem. It can be caused by muscle strain, poor posture, or everyday movements. (1) Margetis, K., Singh, C., Casiano, V. E., & Varacallo, M. A. (2025, 13 décembre). Low Back Pain : Evaluation and Management. StatPearls - NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK538173/ (2) Vlaeyen, J. W. S., Maher, C. G., Wiech, K., Van Zundert, J., Meloto, C. B., Diatchenko, L., Battié, M. C., Goossens, M., Koes, B., & Linton, S. J. (2018). Low back pain. Nature Reviews Disease Primers, 4(1), 52. https://doi.org/10.1038/s41572-018-0052-1 P.12 • Lumbago (2) refers to a more sudden and acute episode of lower back pain. It often comes on after a bad movement, lifting, or a small strain. NB1 NB2

Diapositive 13 NB1 https://www.shutterstock.com/fr/image-vector/lumbar-pain-woman-back-disease-violation-1441603661?trackin Noemie Bravard; 2026-05-06T13:03:03.614 NB1 0 1441603661 Noemie Bravard; 2026-05-06T13:03:13.230 NB2 https://www.shutterstock.com/fr/image-vector/male-office-worker-suffering-back-pain-2185890035?trackingId= Noemie Bravard; 2026-05-07T06:59:58.229 NB2 0 2185890035 Noemie Bravard; 2026-05-07T07:00:07.066

Understanding Low Back Pain • Sciatica (1) Sciatica is pain that starts in the lower back and can travel through the buttock and down the leg. It happens when a nerve in the lower spine is irritated or compressed, often because of a herniated disc or narrowing of the spine. It may also cause numbness, tingling, or weakness in the leg. (1) Wheeless’ Textbook of Orthopaedics. (2023, août 14). Section 2, Chapter 8 : Pathophysiology of Lumbar Radiculopathy. Wheeless’ Textbook Of Orthopaedics. https://www.wheelessonline.com/issls/section-2-chapter-8-pathophysiology-of-lumbar-radiculopathy/ (2) Moley, P. J. (2024, 7 novembre). Hernie discale lombaire. Édition Professionnelle du Manuel MSD. https://www.msdmanuals.com/fr/professional/troubles- musculosquelettiques-et-du-tissu-conjonctif/douleurs-cervicales-et-lombaires/hernie-discale-lombaire P.13 • Lumbar Herniated disc (2) Compression of a nerve root due to a displaced intervertebral disc. The pain radiates to the buttock, leg, and foot (sciatica). It is a persistent pain, usually worse in the leg than in the lower back. NB1

Diapositive 14 NB1 https://www.msdmanuals.com/fr/professional/troubles-musculosquelettiques-et-du-tissu-conjonctif/douleurs-ce Noemie Bravard; 2026-05-07T07:04:18.728

Understanding Chronic Low Back Pain P.14 NB1

Diapositive 15 NB1 https://www.shutterstock.com/fr/image-photo/caucasian-woman-suffering-muscle-back-pain-1883443531 Noemie Bravard; 2025-09-12T07:53:39.594 NB1 0 1883443531 Noemie Bravard; 2025-12-15T13:13:36.802

Understanding Chronic Low Back Pain (CLBP) (1) Fouquet, N., Chazelle, E., Chérié-Challine, L., Bodin, J., Descatha, A., & Roquelaure, Y. (2018). Surveillance de la lombalgie en lien avec le travail : comparaison de quatre sources de données et perspectives pour la prévention. Santé publique France. (2) James-Belin, E., Ostertag, A., Couzi, E., Petrover, D., Yelnik, A., Orcel, P., & Beaudreuil, J. (2023). Economic impact of work disability due to chronic low back pain from the patient perspective. Revue d’Épidémiologie et de Santé Publique, 71(4), 101858. https://doi.org/10.1016/j.respe.2023.101858pubmed.ncbi.nlm.nih (3) Cougot, B., Petit, A., Paget, C., Roedlich, C., Fleury-Bahi, G., Fouquet, M., Menu, P., Dubois, C., Géraut, C., Roquelaure, Y., & Tripodi, D. (2015). Chronic low back pain among French healthcare workers and prognostic factors of return to work (RTW): A non-randomized controlled trial. Journal of Occupational Medicine and Toxicology, 10, 40. https://doi.org/10.1186/s12995-015-0082-5pubmed.ncbi.nlm.nih P.15 Chronic Low Back Pain (cLBP) is lower back pain lasting longer than 12 weeks. $19.6B - $118.8B of direct indirect costs (1) It comes from absenteeism and not from medical care. Probability of returning to work (3) 5 weeks 3 months 1 year 86% 60% CLBP stage 70% 70% of lost workdays came from absences longer than 6 months. (2) MV1 MMM

Diapositive 16 MV1 -> movement Marija Vertinska; 2026-02-02T10:31:36.949 MV2 https://www.ameli.fr/etablissement/sante-prevention/lombalgies/enjeu-sante-publique Marija Vertinska; 2026-02-02T13:33:21.625 MV3 -> for disability ou a major cause of disability benefit claims Marija Vertinska; 2026-02-02T13:35:30.564 MV3 0 https://www.has-sante.fr/upload/docs/application/pdf/2024-04/fiche_aps_lombalgie_commune_chronique.pdf?u Marija Vertinska; 2026-02-02T13:36:19.347 MV4 Préciser que c'est le cas pour la France? Marija Vertinska; 2026-02-02T13:39:09.759

Diagnosis and Treatment for Low Back Pain P.16 NB1

Diapositive 17 NB1 https://www.shutterstock.com/fr/image-photo/brochure-consulting-doctor-speaking-woman-life-2352614223 Noemie Bravard; 2025-09-10T13:03:21.866 NB1 0 2352614223 Noemie Bravard; 2025-12-15T13:14:19.003

Managing low back pain usually involves several healthcare professionals working together to help you feel better. YOUR CARE TEAM General Practitioner (GP): Your main doctor who helps you understand your pain and guides your treatment. Radiologist: Provides imaging studies when clinically indicated to assess causes of LBP. However, imaging is not always required Rheumatologist: Involvement if LBP is suspected to be inflammatory (e.g., axial spondylarthritis*) , with specific tests and long-term management Physiotherapist: Guides exercise therapy, manual therapy, and education, which are first-line treatments for LBP. Dietitian/Nutritionist offers advice on weight management and healthy dietary habits, which may influence LBP severity Occupational therapist: Helps adapt work and home environments to reduce LBP triggers and promote function. Orthopaedic surgeons: Consulted for severe structural problems (e.g.: a herniated disc causing leg weakness or numbness). Surgery remains rare and only considered after conservative treatments fail. Psychologist/Behavioral Therapist: Addresses the psychological factors (fear-avoidance, catastrophizing) that can maintain or worsen chronic LBP. (1) Maher et al., Lancet, 2017: "Low back pain series" (référence clé sur LBP management, recommandant peu d'imagerie sauf exception). (2) Qaseem et al., Annals of Internal Medicine, 2017: recommandations ACP sur LBP (première intention = exercice + éducation). (3) Sieper et al., Annals of the Rheumatic Diseases, 2016: gestion de la spondyloarthrite axiale. (4) Cohen et al., Pain Physician, 2013: traitements interventionnels de la lombalgie. (5) Foster et al., BMJ, 2018: prise en charge pluridisciplinaire de la lombalgie. (6) Kamper et al., JAMA Internal Medicine, 2014: rôle du soutien psychologique dans LBP. (7) Shmagel et al., Pain, 2018: lien entre obésité, alimentation et douleur lombaire. (8) Chou et al., NEJM, 2020: indications chirurgicales dans la lombalgie. Pain Specialist: Manages complex or chronic pain cases. May propose interventions such as nerve block or radiofrequency ablation. P.17 *Axial spondylarthritis : a type of long-term spine inflammation Diagnosis and Treatment for Low Back Pain MV1

Diapositive 18 MV1 -> healthy dietary habits, which may influence LBP severity Marija Vertinska; 2026-02-02T14:25:00.972

WHAT CAN YOU ASK TO YOUR GP ? If you have recently been diagnosed with LBP, it can be overwhelming. However, education is crucial, and we encourage you to ask your doctor any questions you may have. If you need assistance in formulating questions, here are some suggestions: • What are the common causes of low back pain, and how do they differ from other types of back issues? • How might my low back pain progress or evolve over time? • Are there any potential complications or associated problems with low back pain that I should be aware of? • What are the available treatment options for managing low back pain? • Is it possible to prevent or minimize the progression of low back pain through treatment or lifestyle changes? • Which specialists or healthcare professionals should I consult for my low back pain care? • Is treatment for low back pain covered under my health insurance plan, and what are the associated costs? • Can I continue participating in sports or physical activities with low back pain, and are there any modifications needed? • What should I do if I experience severe or unmanageable low back pain? • Would consulting a psychologist or counsellor help me cope with the impact of low back pain on my daily life? P.18 Diagnosis and Treatment for Low Back Pain NB1

Diapositive 19 NB1 https://www.shutterstock.com/fr/image-vector/doctor-writing-recipe-concept-woman-medical-2408425591 Noemie Bravard; 2025-09-10T10:41:56.953

(1) Garrick, N. (2023, February). Back Pain. National Institute of Arthritis and Musculoskeletal and Skin Diseases. https://www.niams.nih.gov/health-topics/back-pain/diagnosis-treatment-and-steps-to-take (2) Low back pain - Physiotherapy and exercises. (s. d.). Guy’s And St Thomas’ NHS Foundation Trust. https://www.guysandstthomas.nhs.uk/health-information/low-back-pain/physiotherapy-and-exercises (3) Institut McKenzie France. (2024, 12 décembre). Qu’est-ce que le MDT ? - Institut McKenzie France. Institut McKenzie France -. https://institut.mckenzie.fr/patients/quest-ce-que-le-mdt/ P.19 Diagnosis and Treatment for Low Back Pain • History • Pain scale • Exam START GP - ACUTE PAIN & INITIAL CONSULTATION COMPLEMENTARY EXAMS • X-rays • MRI • Blood tests… ACTIVE PHYSIOTHERAPY (2) • Listens • Examines • Tailors advice and exercises • Restores movement, strength, and confidence 1 2 3 4 AUTONOMY (MCKENZIE METHOD) (3) Movement education helps patients self- manage future episodes. Doing your exercises independently at home is key to your recovery. MV1MV2MV3MV4 MV5

Diapositive 20 MV1 -> to identify possible causes, risk factors, and warning signs (red flags) Marija Vertinska; 2026-02-02T14:34:17.544 MV2 -> Perform a physical examination Marija Vertinska; 2026-02-02T14:34:53.640 MV3 -> used in complex cases, when neurological deficits or specific conditions are suspected, or before surgical intervention. It allows assessment of discs, ligaments, and nerve roots. Marija Vertinska; 2026-02-02T14:36:35.893 MV4 qqchose come : including assessment of posture and spinal mobility, as well as evaluation of reflexes, muscle strength, and sensation. This clinical assessment helps identify the location of the pain and detect possible neurological involvement. Marija Vertinska; 2026-02-02T14:45:17.385 MV5 C'est bon Marija Vertinska; 2026-02-02T14:50:32.906

Diagnosis and Treatment for Low Back Pain There is no single treatment that can completely cure low back pain, but many options can help reduce pain and improve your daily life The different treatments can be categorised as : 1. NON-PHARMACOLOGICAL TREATMENTS 2. PHARMACOLOGICAL TREATMENTS P.20 MV1MV2 MV3

Diapositive 21 MV1 -> movement Marija Vertinska; 2026-02-02T10:31:36.949 MV2 Quelle source corresponds à quelle ligne? Marija Vertinska; 2026-02-02T10:43:18.396 MV3 Retirer Marija Vertinska; 2026-02-02T14:59:21.356

Diagnosis and Treatment for Low Back Pain (1) Haute Autorité de Santé. (2019, avril). Fiche mémo : Prise en charge du patient présentant une lombalgie commune (version 2.2). https://www.has-sante.fr/upload/docs/application/pdf/2019- 04/fm_lombalgie_v2_2.pdf (2) Traeger, A. C., Buchbinder, R., Elshaug, A. G., Croft, P. R., & Maher, C. G. (2019). Care for low back pain: can health systems deliver? Bulletin of the World Health Organization, 97(6), 423–433. https://doi.org/10.2471/blt.18.226050 (3) Abdulbari Bener, A., Verjee, M., Dafeeah, E. E., Falah, O., Aljuhaisi, T., Sedeeq, A., Khan, S., & Josia Schlogl. (2013). Psychological factors: anxiety, depression, and somatization symptoms in low back pain patients. Journal of Pain Research, 6, 95. https://doi.org/10.2147/jpr.s40740 (4) Cherkin DC, Sherman KJ, Balderson BH, et al. Effect of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care on Back Pain and Functional Limitations in Adults With Chronic Low Back Pain: A Randomized Clinical Trial. JAMA. 2016;315(12):1240–1249. doi:10.1001/jama.2016.2323 P.21 Rest actually makes things worse. Gentle movement improves muscle function, postural control, and reduces fear of pain. Choose What You Enjoy ! Walking, swimming, yoga, or stretching — consistency matters more than the type of exercise. Get Professional Guidance A health professional can help you start safely, stay motivated, and reduce stress around movement. PHYSICAL EXERCICE (1;2) Group Therapy Sharing experiences with others helps reduce isolation and provides emotional support from people who understand chronic pain. Cognitive Behavioral Therapy (CBT) Helps manage thoughts and emotions linked to pain. CBT reframes negative patterns that worsen the pain experience. Mindfulness & Relaxation Breathing exercises, meditation, or apps like Calm or Petit Bambou can help reduce stress and improve pain tolerance. These methods don't replace physical activity — they make it easier to stay active and feel more confident. Stay Active 1. NON-PHARMACOLOGICAL MANAGEMENT MENTAL SOLUTIONS (3;4) MV1 MV2 M M MV5 MV6MV7MV8MV9

Diapositive 22 MV1 -> movement Marija Vertinska; 2026-02-02T10:31:36.949 MV2 Quelle source corresponds à quelle ligne? Marija Vertinska; 2026-02-02T10:43:18.396 MV3 Quelle source corresponds à quelle ligne? Marija Vertinska; 2026-02-02T10:43:18.396 MV4 Retirer Marija Vertinska; 2026-02-02T14:59:21.356 MV5 Retirer Marija Vertinska; 2026-02-02T14:59:21.356 MV6 https://www.has-sante.fr/upload/docs/application/pdf/2019-04/fm_lombalgie_v2_2.pdf Marija Vertinska; 2026-02-02T15:20:25.315 MV7 -> improve muscle function Marija Vertinska; 2026-02-02T15:27:13.373 MV8 -> postural control Marija Vertinska; 2026-02-02T15:27:30.968 MV9 Cherkin DC, Sherman KJ, Balderson BH, et al. Effect of Mindfulness-Based Stress Reduction vs Cognitive Behavioral Therapy or Usual Care on Back Pain and Functional Limitations in Adults With Chronic Low Back Pain: A Randomized Clinical Trial. JAMA. 2016;315(12):1240–1249. doi:10.1001/jama.2016.2323 Marija Vertinska; 2026-02-02T15:31:56.942

Diagnosis and Treatment for Low Back Pain P.22 2. PHARMACOLOGICAL (E.G. PAINKILLERS) (1) Ayşegül Ketenci, Mert Zure. Department of Physical Medicine and Rehabilitation, Istanbul University Istanbul Faculty of Medicine, Istanbul, Turkey. Received: January 16, 2021, Accepted: February 01, 2021, Published online: March 04, 2021 (2) Prise en charge du patient présentant une lombalgie commune. (s. d.-b). Haute Autorité de Santé. https://www.has- sante.fr/jcms/c_2961499/fr/prise-en-charge-du-patient-presentant-une-lombalgie-commune?utm *Nonsteroidal anti-inflammatory drugs : medications that relieve pain, reduce fever, and decrease inflammation. MEDICATION (1;2) Drugs Medication can be useful alongside other treatments, particularly when pain persists despite physical activity and basic counseling. Reduces pain through targeted exercise therapy • Nonsteroidal anti-inflammatory drugs* (NSAIDs) are the main short-term option for pain relief. • Antidepressants may help when pain is linked to nerve issues or mood. • Stronger drugs like opioids should only be used in specific cases and under close medical supervision due to addiction risks. Medicines don’t cure back pain but can help manage it effectively. MV1 MV2 MV3

Diapositive 23 MV1 -> movement Marija Vertinska; 2026-02-02T10:31:36.949 MV2 https://www.has-sante.fr/jcms/c_2961499/fr/prise-en-charge-du-patient-presentant-une-lombalgie-commune?u Marija Vertinska; 2026-02-02T16:10:01.234 MV3 Retirer, la source dit "Les myorelaxants ont une balance bénéfice/risque défavorable dans la lombalgie commune (AE)" Marija Vertinska; 2026-02-02T16:14:00.361

P.23

The Effects Of Low Back Pain On Youth P.22 NB1

Diapositive 25 NB1 https://www.shutterstock.com/fr/image-photo/back-pain-suffering-osteochondrosis-after-long-2161579053 Noemie Bravard; 2025-09-12T07:55:57.798

The Effects of Low Back Pain on Youth P.23 When does it start? Back pain can begin as early as age 14. It’s often mild and temporary, but for some teens, it can affect daily life (school, sports, sleep). Why does it happen? - Too much training (e.g. gymnastics, dance) - Not enough movement (too much sitting) - Being overweight - Stress or anxiety What are the symptoms? - Back pain - Neck pain or headaches - Tiredness when sitting or standing How is it treated? - Learn about your pain - Stay active (don’t stop moving!) - Build good habits (posture, stretching, sleep) - Talk to someone if pain makes you anxious or sad What are the risks if it lasts? - Around 1 in 5 teens may have chronic back pain at age 17 - It can lead to missed school, less activity, or long-term care (1) O’Sullivan, P., Smith, A., Beales, D., & Straker, L. (2017). Understanding Adolescent Low Back Pain From a Multidimensional Perspective: Implications for Management. Journal of Orthopaedic & Sports Physical Therapy, 47(10), 741–751. https://doi.org/10.2519/jospt.2017.7376 (2) Back Pain in Young People: Causes, Management and Treatment | Expert Advice. (2023). EUROSPINE. https://www.eurospine.org/patients/knowledge-centre/living-with-back-pain/back- pain-in-young-people/#c2218 (3) Low Back Pain During Childhood and Adolescence. (n.d.). Retrieved October 3, 2025, from https://europeanpainfederation.eu/wp-content/uploads/2021/05/Global-Year-2021_LBP- During-Childhood-and-Adolescence-Fact-Sheet.pdf (4) Back Pain in Children & Teens. (2019). HealthyChildren.org. https://www.healthychildren.org/English/health-issues/conditions/orthopedic/Pages/Back-Pain-in-Children-Teens.aspx (5) The American Academy of Family Physicians (AAFP). (1st July 2020). Back Pain in Children and Adolescents. p19.pdf ? MV1MV2 MV3 MV4MV5MV6MV7

Diapositive 26 MV1 -> movement Marija Vertinska; 2026-02-02T10:31:36.949 MV2 Quelle source corresponds à quelle ligne? Marija Vertinska; 2026-02-02T10:43:18.396 MV3 Retirer Marija Vertinska; 2026-02-02T14:59:21.356 MV4 Ajouter la source 37 Marija Vertinska; 2026-02-04T10:56:16.679 MV5 Ajouter la source 37 Marija Vertinska; 2026-02-04T11:00:02.805 MV5 0 Ajouter "Around" au début de la phrase Marija Vertinska; 2026-02-04T11:06:32.389 MV6 Je pense c'est mieux de retirer ça, car l'article dit "Further, the magnitude of spinal curvature based on the Cobb angle does not correlate well with the presence of pain. Together, the current evidence does not support a clear relationship between scoliosis and LBP." Marija Vertinska; 2026-02-04T11:04:15.244 MV7 Dans l'article c'est precisé "..not strong predictors" Marija Vertinska; 2026-02-04T11:08:45.563 NB7 0 Retiré Noemie Bravard; 2026-02-09T14:44:16.455

PAGE DE VISUEL Description: Style Code: Copyright: STUDIO CATERIN Living With Low Back Pain Tips to help you live better with low back pain every day P.24

Diapositive 27 SM1 https://www.shutterstock.com/fr/image-photo/studio-fitness-man-back-pain-gym-2482087111 Sullivan Michon; 2025-08-11T09:39:05.592

Living with Low Back Pain P.25 Low back pain affects about 4 out of 5 people during their lifetime and is on of the leading causes of disability in the world according to the World Health Organization (WHO). It affects both young and older workers, with significant consequences on personal and professional life. (47) At work : - Many workers with low back pain report difficulty maintaining their jobs due to pain. A report by the French Health Insurance Agency shows that in 2017, 30% of sick leave lasting more than 6 months was due to low back pain (ameli.fr). (1;2) - Keeping your job is easier when work conditions and the workspace are adapted to individual needs. (1;2) At home: - Pain can impact sleep, sexuality, leisure or parenthood. - A study published in Pain Practice (Volinn, 2018) points out that chronic lower back pain is associated with reduced social interactions and an increased risk of anxiety or depression. MANAGING DAILY LIFE WITH LOW BACK PAIN (1) ScienceDirect Topics. (n.d.). Low back disorder - an overview. Retrieved February 9, 2026, from https://www.sciencedirect.com/topics/medicine-and-dentistry/low-back-disorder (2) Assurance Maladie. (2018, 6 novembre). Campagne "Mal de dos ? Le bon traitement, c'est le mouvement" [Communiqué de presse]. https://www.assurance-maladie.ameli.fr/presse/2018-11-06-dp-campagne-mal-de-dos MV1MV2 MV3 MV4MV5MV6MV7

Diapositive 28 MV1 -> movement Marija Vertinska; 2026-02-02T10:31:36.949 MV2 Quelle source corresponds à quelle ligne? Marija Vertinska; 2026-02-02T10:43:18.396 MV3 Retirer Marija Vertinska; 2026-02-02T14:59:21.356 MV4 Ajouter la source : https://www.sciencedirect.com/topics/medicine-and-dentistry/low-back-disorder Marija Vertinska; 2026-02-04T13:18:28.115 MV5 La source dit "La lombalgie représente en effet 30 % des arrêts de travail de plus de 6 mois.."; préciser que plus de 6 mois Marija Vertinska; 2026-02-04T13:21:52.225 MV5 0 Ajouter la source : https://www.assurance-maladie.ameli.fr/presse/2018-11-06-dp-campagne-mal-de-dos Marija Vertinska; 2026-02-04T13:22:03.928 MV6 -> is one of the leading causes Marija Vertinska; 2026-02-04T13:24:04.898 MV7 -> when work conditions and the workspace are adapted to individual needs Marija Vertinska; 2026-02-04T13:24:49.070

Living with Low Back Pain P.26 GOOD HABITS TO USE IN YOUR DAILY LIFE (1) The Physiotherapy Department. (n.d.). 10 daily habits and lifestyle changes to ease and manage chronic lower back pain. https://thephysiotherapydepartment.com/10-daily-habits-to-stop-back- pain-a-comprehensive-guide/ (2) World Health Organization : WHO & World Health Organization : WHO. (2023, 19 juin). Lombalgie. https://www.who.int/fr/news-room/fact-sheets/detail/low-back-pain (3) Harvard Health Publishing. (n.d.). Stretching and strengthening exercises to relieve and prevent lower back pain. https://www.health.harvard.edu/pain/stretching-and-strengthening-exercises-to- relieve-and-prevent-lower-back-pain (4) Caggiari, G., Talesa, G.R., Toro, G. et al. What type of mattress should be chosen to avoid back pain and improve sleep quality? Review of the literature. J Orthop Traumatol 22, 51 (2021). https://doi.org/10.1186/s10195-021-00616-5 (5) Thuasne. (n.d.). Quel matelas choisir pour le mal de dos ? https://www.thuasne.com/fr-fr/blog/lombalgie/quel-matelas-choisir-pour-le-mal-de-dos (6) Thamrin, A. H. (2023). Title of the article. Sport Mont, 21(2), 1-10. http://www.sportmont.ucg.ac.me/clanci/SM_June_2023_Thamrin.pdf (7) Lumbalgia : Síntomas, causas y tratamiento | ASERHCO. (s. d.-b). SEMILLA. https://www.aserhco.com/fisioterapia/lumbalgia/ Maintain good posture: Sit and stand upright; avoid prolonged slouching. (1) Take regular breaks: If you sit for long periods, stand up and move regularly, about every 45 minutes. (2) Stretch daily: Gentle stretching at the end of the day can help relax muscles and maintain flexibility (3) Sleep well: helps recovery and may reduce back pain with a medium-firm mattress are preferred. (4; 5) Organize your space: avoid very soft mattresses and distribute heavy loads evenly. (4; 5) Limit screen time: set up your screen at eye level, 50–70 cm away, and change positions often. (6) Wear supportive shoes: choose well-fitting footwear with a supportive sole. (7) MV1MV2 MV3 MV4MV5MV6MV7MV8MV9MV10

Diapositive 29 MV1 -> movement Marija Vertinska; 2026-02-02T10:31:36.949 MV2 Quelle source corresponds à quelle ligne? Marija Vertinska; 2026-02-02T10:43:18.396 MV3 Retirer Marija Vertinska; 2026-02-02T14:59:21.356 MV4 -> Sit and stand upright without staying in one position for too long, and avoid prolonged slouching. Marija Vertinska; 2026-02-04T13:40:24.623 MV5 -> around regularly (for example, every 45 min) Marija Vertinska; 2026-02-04T13:41:22.171 MV6 -> can help relax muscles and maintain flexibility Marija Vertinska; 2026-02-04T13:42:05.312 MV7 ..., poor sleep quality may worsen back pain Marija Vertinska; 2026-02-04T13:42:49.203 MV8 -> There is no single best sleeping position; the most appropriate position is one that feels comfortable and supports natural spinal alignment Marija Vertinska; 2026-02-04T13:46:22.454 MV9 On a justement fait l'article sur ça qui dit que " Les matelas mi-fermes favorisent le confort, la qualité du sommei et un meilleur alignement de la colonne vertébrale" : à corriger Marija Vertinska; 2026-02-04T13:47:31.551 MV9 0 La source : Caggiari, G., Talesa, G.R., Toro, G. et al. What type of mattress should be chosen to avoid back pain and improve sleep quality? Review of the literature. J Orthop Traumatol 22, 51 (2021). https://doi.org/10.1186/s10195-021-00616-5 Marija Vertinska; 2026-02-04T13:48:01.021 MV9 1 J'ajouterais ça pour le point en bas "organize your space" Marija Vertinska; 2026-02-04T13:48:34.601 MV9 2 Tu peux s'inspirer de cet article "https://www.thuasne.com/fr-fr/blog/lombalgie/quel-matelas-choisir-pour-le-mal-de-dos" ; je l'ai déjà vérifié Marija Vertinska; 2026-02-04T13:49:05.430 MV10 peut-être ajouter : but remember to change positions frequently Marija Vertinska; 2026-02-04T13:53:05.872

WHAT ARE THE POSSIBLE COMPLICATIONS ASSOCIATED WITH LBP ? - Chronic pain: Pain lasting more than 3 months is considered chronic. It affects 1 in 10 people but accounts for 80% of healthcare costs related to back pain. (1) - Reduced mobility: Chronic pain can limit movement, balance, and daily activities. (2) - Nerve pain: Conditions like sciatica or herniated discs can cause radiating pain, numbness, or tingling. (3) - Mental health impact: Limited movement can cause psychological distress, which worsens pain in return. Your health beliefs and coping strategies also affect your distress and pain levels. For example, anxiety, pessimism, and catastrophic thinking can make pain much worse by changing your brain. Psychological therapies effectively treat back pain-related anxiety. Mindfulness (MBSR) (8 weeks) has the strongest evidence, reducing pain and activating brain relaxation. Cognitive Behavioral Therapy (CBT) changes pain perception and catastrophic thinking. Hypnosis and progressive muscle relaxation also help. These modify brain biology to break the pain-anxiety cycle. (4) - Social isolation and loss of independence: especially in older adults. (5) => Early care and healthy habits can help prevent these complications. (1) Fréquence Médicale. (n.d.). Lombalgie chronique : Comprendre le mal de dos pour mieux le soulager. https://www.frequencemedicale.com/medecine-generale/maladie/1189- Lombalgie-chronique-comprendre-mal-dos-dure-mieux-le-soulager (2) Niknejad, S., Akbari, M., Hosseini, M., & Shams, J. (2023). Investigating functional impairment in chronic low back pain: A qualitative study from the patients and specialists' perspectives. Pain Research and Management, 2023, Article 6611435. https://doi.org/10.1155/2023/6611435 (3) Davis D, Taqi M, Vasudevan A. Sciatica. [Updated 2024 Jan 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507908/ (4) Harvard Health Publishing. (2016, April 25). The psychology of low back pain. Harvard Health Blog. https://www.health.harvard.edu/blog/psychology-low-back-pain-201604259537 (5) Noguchi, T., Inoue, K., Sugiyama, K., & Kondo, K. (2024). Association of social isolation and loneliness with chronic low back pain among older adults: A cross-sectional study from Japan Gerontological Evaluation Study (JAGES). Journal of Epidemiology, 34(6), 261–268. https://doi.org/10.2188/jea.JE20230127 P.27 Living with Low Back Pain MV1 MV2 MV3

Diapositive 30 MV1 https://www.frequencemedicale.com/medecine-generale/maladie/1189-Lombalgie-chronique-comprendre-mal- Marija Vertinska; 2026-02-04T14:02:37.816 MV2 Davis D, Taqi M, Vasudevan A. Sciatica. [Updated 2024 Jan 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507908/ Marija Vertinska; 2026-02-04T14:07:42.756 MV3 Trouver la source Marija Vertinska; 2026-02-04T14:11:50.398 NB3 0 Harvard Health Publishing. (2016, April 25). The psychology of low back pain. Harvard Health Blog. https://www.health.harvard.edu/blog/psychology-low-back-pain-201604259537 Noemie Bravard; 2026-02-09T14:56:22.284 EN4 Juste cette phrase je l'ai trouvé un peu dure à comprendre, peut être un truc comme "can worsen pain by affecting the brain" Elisa Naranjo; 2026-05-07T12:37:32.825

HOW TO EXERCISE WITH LBP? To relieve lower back pain, it is essential to do targeted exercises that strengthen the back muscles and improve flexibility. Don't be afraid to move, as avoiding movement or prolonged rest may delay recovery. Exercices recommended by health professionals. 3. Feel the stretching in your back Maintain your position according to the instructions from your healthcare professional 2. Lie down on the ball then let your arm go and left it hang loose 1. Start position: Kneeling and facing a ball 4. Return to the starting position LUMBAR WITH BALL P.42 OA P.28 NB1MV2 MV3 NB4

Diapositive 31 NB1 DEMANDE DESIGN Noemie Bravard; 2025-10-29T10:33:02.486 MV2 Quelle est la source pour tous les exercices des 4 prochaines pages ? Car les sources dans la brochure OA sont spécifiques à OA Marija Vertinska; 2026-02-04T14:18:44.996 NB2 0 Ca provient d’un dossier présent dans le share point : https://thuasnegroup.sharepoint.com/sites/Marketing/Documents%20partages/Forms/AllItems.aspx?csf=1&web Noemie Bravard; 2026-02-10T07:25:48.915 NB2 1 Ce sont des vidéos faites par Thuasne Noemie Bravard; 2026-02-10T07:26:18.172 MV3 -> as avoiding movement or prolonged rest may delay recovery Marija Vertinska; 2026-02-04T14:19:53.465 NB4 OU CES EXERCICES : https://www.health.harvard.edu/pain/reduce-or-avoid-back-pain-during-these-everyday-activities Noemie Bravard; 2026-02-16T14:12:00.363

HOW TO EXERCISE WITH LBP? P.28 Living with Low Back Pain NB1MV2NB3

Diapositive 32 NB1 DEMANDE DESIGN Noemie Bravard; 2025-10-29T10:33:02.486 MV2 Quelle est la source pour tous les exercices des 4 prochaines pages ? Car les sources dans la brochure OA sont spécifiques à OA Marija Vertinska; 2026-02-04T14:18:44.996 NB2 0 Ca provient d’un dossier présent dans le share point : https://thuasnegroup.sharepoint.com/sites/Marketing/Documents%20partages/Forms/AllItems.aspx?csf=1&web Noemie Bravard; 2026-02-10T07:25:48.915 NB2 1 Ce sont des vidéos faites par Thuasne Noemie Bravard; 2026-02-10T07:26:18.172 NB3 OU CES EXERCICES : https://www.health.harvard.edu/pain/reduce-or-avoid-back-pain-during-these-everyday-activities Noemie Bravard; 2026-02-16T14:12:00.363

ARM CLOSURE, WITH ELASTIC 1. Start position: Standing, with an elastic band attached to a base roughly level with your elbows and hold the other end of the elastic band in your hand, at a distance from the base. The palm of your hand should be turned towards the base Position yourself to one side of the base, and far enough away so as for the elastic band to be taugh Your leg should be slightly spread as wide as your pelvis, and be aligned with your hips 2. You should bend your knees slightly 3. Turn the arm holding the elastic band inward, keeping your elbow rigid and your arm strethed at 90° 4. Make sure you keep your back very straight 5. Repeat the exercice according to the instructions from your healthcare professional 6. Return to the starting position 7. Perform the exercice on the other side P.29 NB1

Diapositive 33 NB1 DEMANDE DESIGN Noemie Bravard; 2025-10-29T10:33:11.058

HOW TO EXERCISE WITH LBP? P.29 Living with Low Back Pain NB1MV2NB3

Diapositive 34 NB1 DEMANDE DESIGN Noemie Bravard; 2025-10-29T10:33:02.486 MV2 Quelle est la source pour tous les exercices des 4 prochaines pages ? Car les sources dans la brochure OA sont spécifiques à OA Marija Vertinska; 2026-02-04T14:18:44.996 NB2 0 Ca provient d’un dossier présent dans le share point : https://thuasnegroup.sharepoint.com/sites/Marketing/Documents%20partages/Forms/AllItems.aspx?csf=1&web Noemie Bravard; 2026-02-10T07:25:48.915 NB2 1 Ce sont des vidéos faites par Thuasne Noemie Bravard; 2026-02-10T07:26:18.172 NB3 OU CES EXERCICES : https://www.health.harvard.edu/pain/reduce-or-avoid-back-pain-during-these-everyday-activities Noemie Bravard; 2026-02-16T14:12:00.363

FRONT ARM – FLEXION, WITH ELASTIC 1. Start position: Standing, with an elastic band secured under the ball of your foot 2. With the other end in your hand on the same side, with your arms alongside your body. The palm of your hand should be turned forwards 3. Your legs should be spread as wide as your pelvis and be aligned with your hips 4. Your legs should be slightly flexed 5. Flex your right arm, keeping the rest of your body rigid 6. Make sure you keep your back very straight 7. Repeat the exercice according to the instructions from your healthcare professional 8. Return to the starting point and perform the exercice on the other side P.30 NB1

Diapositive 35 NB1 DEMANDE DESIGN Noemie Bravard; 2025-10-29T10:33:16.381

PUSH UP 1. Start position: On all fours, with your hands beneath your shoulders 2. Raise your torso while pressing down on your arms and your feet 3. Extend your ams as far aways from one another as is comfortable for you UP & DOWN 4. Make sure your feet, knees, hips and shoulders remain aligned 5. Return to the starting point 6. Repeat the exercice according to the instructions from your healthcare professional P.31 NB1

Diapositive 36 NB1 DEMANDE DESIGN Noemie Bravard; 2025-10-29T10:33:22.177

General information about Lumbar Supports P.32 NB1

Diapositive 37 NB1 https://mediacenter.thuasne.com/dam/wedia/browse/thasset/16880/?fulltext=lombacross&orderby=id%20desc Noemie Bravard; 2026-05-05T10:23:17.772 NB1 0 083505, 083602 Noemie Bravard; 2026-05-05T10:23:28.985

P.33 What are lumbar supports for ? - They support your lower back and help reduce pain. (1) - Worn early, they can help prevent your pain from becoming a long-term problem. (2) - They help you feel more confident when moving. ? (1) Texas Spine and Pain. (2025, 25 février). How lumbar bracing supports and relieves lower back pain. https://texasspineandpain.com/how-lumbar-bracing-supports-and-relieves-lower- back-pain/ (2) Akbar, M. S., Syafar, M., Thamrin, Y., Aras, D., Maidin, A., & Arsyad, M. (2025). Impact of lumbar support on pain reduction in low back pain patients : A systematic review and meta- analysis of randomized control trials. Narra J, 5(1), e2165. https://doi.org/10.52225/narra.v5i1.2165 (3) Azadinia, F., Ebrahimi, E., Kamyab, M., Parnianpour, M., Cholewicki, J., & Maroufi, N. (2016). Can lumbosacral orthoses cause trunk muscle weakness ? A systematic review of literature. The Spine Journal, 17(4), 589-602. https://doi.org/10.1016/j.spinee.2016.12.005 (4) Rabe, E., Partsch, H., Morrison, N., Meissner, M. H., Mosti, G., Lattimer, C. R., Carpentier, P. H., Gaillard, S., Jünger, M., Urbanek, T., Hafner, J., Patel, M., Wu, S., Caprini, J., Lurie, F., & Hirsch, T. (2020). Risks and contraindications of medical compression treatment – A critical reappraisal. An international consensus statement. Phlebology The Journal Of Venous Disease, 35(7), 447-460. https://doi.org/10.1177/0268355520909066 (5) Gignoux, P., Lanhers, C., Dutheil, F., Boutevillain, L., Pereira, B., & Coudeyre, E. (2020). Non-rigid lumbar supports for the management of non-specific low back pain: A literature review and meta-analysis. Annals of Physical and Rehabilitation Medicine. Advance online publication. https://doi.org/10.1016/j.rehab.2020.05.010 Which recommendations ? - Braces should not be worn all day long. (3) - They are not suitable for certain medical conditions (e.g., fragile bones or circulatory problems). (4) - Always follow your healthcare provider’s advice. (5) General information about lumbar support NB1MV2

Diapositive 38 NB1 file:///C:/Users/nobravard/Downloads/2406241%20-%20catalogue%20ortho%202025%20international_dam.pdf Noemie Bravard; 2025-10-03T12:32:39.130 NB1 0 CATALOGUE THUASNE ORTHOPAEDICS INTERNATIONAL P.23 Noemie Bravard; 2025-10-03T12:33:03.420 MV2 Pour cette slide, reprendre les commentaires que j'ai laissés pour la brochure des essais cliniques "APM CEINTURES - ENG" sur les slides 4 et 5 Marija Vertinska; 2026-02-04T14:26:05.535

P.34 (1) HAS - Fiche mémo Prise en charge du patient présentant une lombalgie commune - Mars 2019 (2) Wassell JT, Gardner LI, Landsittel DP, Johnston JJ, Johnston JM. A Prospective Study of Back Belts for Prevention of Back Pain and Injury. JAMA.2000;284(21):2727–2732. doi:10.1001/jama.284.21.2727 (3) Kayla M. Fewster, Kaitlin M. Gallagher, Samuel H. Howarth, Jack P. Callaghan, Low back pain development differentially influences centre of pressure regularityfollowing prolonged standing, Gait & Posture, Volume 78, 2020, Pages e1-e6, ISSN 0966-6362, https://doi.org/10.1016/j.gaitpost.2017.06.005 General information about lumbar support When to wear lumbar supports ? ? During painful episodes, for short periods (1) During risky activities, like lifting heavy objects (2) or standing (3) for a long time. How to take measurements ? For other supports For the maternity support (Lombamum) NB1 MV2MV3 MMM

Diapositive 39 NB1 file:///C:/Users/nobravard/Downloads/2406241%20-%20catalogue%20ortho%202025%20international_dam.pdf Noemie Bravard; 2025-10-03T12:32:39.130 NB1 0 CATALOGUE THUASNE ORTHOPAEDICS INTERNATIONAL P.23 Noemie Bravard; 2025-10-03T12:33:03.420 MV2 Pour cette slide, reprendre les commentaires que j'ai laissés pour la brochure des essais cliniques "APM CEINTURES - ENG" sur les slides 4 et 5 Marija Vertinska; 2026-02-04T14:26:05.535 MV3 -> 49 Marija Vertinska; 2026-02-04T14:27:19.396 MV4 retirer Marija Vertinska; 2026-02-04T14:31:57.601 MV5 Kayla M. Fewster, Kaitlin M. Gallagher, Samuel H. Howarth, Jack P. Callaghan, Low back pain development diff erentially infl uences centre of pressure regularityfollowing prolonged standing, Gait & Posture, Volume 78, 2020 Pages e1-e6, ISSN 0966-6362, https://doi.org/10.1016/j.gaitpost.2017.06.005 Marija Vertinska; 2026-02-04T14:32:17.570 MV6 Wassell JT, Gardner LI, Landsittel DP, Johnston JJ, Johnston JM. A Prospective Study of Back Belts for Prevention of Back Pain and Injury. JAMA.2000;284(21):2727–2732. doi:10.1001/jama.284.21.2727 Marija Vertinska; 2026-02-04T14:32:32.413

P.35 Which benefits ? General information about lumbar support  Limitation of Range of motion* By providing some support, they reduce the strain on your back, giving your muscles a chance to recover (1;2)  Compression and increase of intra-abdominal pressure The gentle pressure they provide helps stabilize your core, giving your back a stronger, more secure foundation.(4) (1) Van Poppel MNM, de Looze MP, Koes BW, Smid T, Bouter LM. Mechanisms of action of lumbar supports: a systematic review. Spine. 2000;25(16):2103-2113. (2) Han WS, Molimard J, Pierrat B, Pannetier R, Convert R. An in-silico study on the therapeutic effect of low back belts: biomechanical correlation between belt design and patient morphology. Appl Sci. 2022;12:10100. (3) Errabity A. Étude biomécanique des ceintures lombaires pendant le mouvement. Thèse. Soutenue le 21 mai 2024. (4) Cholewicki J, Juluru K, Radebold A, Panjabi MM, McGill SM. Lumbar spine stability can be augmented with an abdominal belt and/or increased intra-abdominal pressure. Eur Spine J. 1999;8:388-395. (5) Azadinia F, Kingma I, Mazaheri M. Effect of external lumbar supports on joint position sense, postural control, and postural adjustment: a systematic review. Disabil Rehabil. 2023;45(5):753-771. doi:10.1080/09638288.2022.2043464.  Postural modification and unloading By supporting your natural back curve, they help take the load off your spine and reduce discomfort. (2;3)  Improvement of proprioception and sensorimotor function They help you become more aware of your back position, reminding you to keep a good posture throughout the day. (5) *Range of motion : how much the lower back is still able to move while wearing it. NB1

Diapositive 40 NB1 Simplification du pptx (IMS 2026 - WP Clinical studies and Low Back Pain) Noemie Bravard; 2026-05-06T13:57:49.849

P.36 General information about lumbar support LUMBAR SUPPORTS HAVE PROVEN THEIR EFFICACY IN COMBINATION WITH PHARMACOLOGICAL OPTIONS MEDICATION (2) Analgesics, Anti-inflammatories, (acute/sub-acute phases) Pain management- resting not more than 3 days FUNCTIONAL REHABILITATION (1) Tailored and progressive Prevention of recurrences, restore the function SUPPORT PROVIDING STABILITY TO THE LUMBAR AREA (1) while maintaining daily activities with adapted & progressive rehabilitation (1) Effectiveness of flexible lumbar support provided by Thuasne® Lombacross activity support belt in the treatment of subacute low back pain. A randomized, multicentric, controlled study. Calmels P. et al. - Spine, 2009 ; 34(3) : 215-2 (2) Adrian Traeger, et al. Diagnosis and management of low-back pain in primary care November 13, 2017 189 (45) E1386- E1395; DOI: https://doi.org/10.1503/cmaj.170527 NB1 MV2

Diapositive 41 NB1 file:///C:/Users/nobravard/Downloads/2406241%20-%20catalogue%20ortho%202025%20international_dam.pdf Noemie Bravard; 2025-10-03T12:32:39.130 NB1 0 CATALOGUE THUASNE ORTHOPAEDICS INTERNATIONAL P.23 Noemie Bravard; 2025-10-03T12:33:03.420 MV2 Pour cette slide, reprendre les commentaires que j'ai laissés pour la brochure des essais cliniques "APM CEINTURES - ENG" sur les slides 4 et 5 Marija Vertinska; 2026-02-04T14:26:05.535

P.36 (1) Gignoux, P., Lanhers, C., Loisel, P., & Coudeyre, E. (2022). Non-rigid lumbar supports for the management of non-specific low back pain: A literature review and meta-analysis. Annals of Physical and Rehabilitation Medicine, 65(1), 101406. https://doi.org/10.1016/j.rehab.2020.05.010 …LUMBAR SUPPORT RELIEVES PAIN AND DOES NOT LIMIT MOVEMENT (1) Conclusions of the meta-analysis*: - Proves that lumbar supports provides better relieve of pain and better improvement in function than the control conditions - Limitations: Limited number of trials => Further studies are necessary to increase the robustness of the meta-analysis In the EBM pyramid, meta-analysis is the highest level of scientific evidence, and this meta-analysis shows that lumbar supports have a significant positive effect on both pain and function in patients with non-specific low back pain. *Meta-analysis : A statistical method that combines the results of multiple studies to obtain a more reliable conclusion. Clinical studies demonstrate that… NB1 MV2

Diapositive 42 NB1 file:///C:/Users/nobravard/Downloads/2406241%20-%20catalogue%20ortho%202025%20international_dam.pdf Noemie Bravard; 2025-10-03T12:32:39.130 NB1 0 CATALOGUE THUASNE ORTHOPAEDICS INTERNATIONAL P.23 Noemie Bravard; 2025-10-03T12:33:03.420 MV2 Pour cette slide, reprendre les commentaires que j'ai laissés pour la brochure des essais cliniques "APM CEINTURES - ENG" sur les slides 4 et 5 Marija Vertinska; 2026-02-04T14:26:05.535

P.37 (1) Azadinia F, et al The Effect of Lumbosacral Orthosis on the Thickness of Deep Trunk Muscles Using Ultrasound Imaging, Am J Phys Med Rehabil (2019);98:536–544 (2) Azadinia F, et al. Can lumbosacral orthoses cause trunk muscle weakness? A systematic review of literature. Spine J. (2017);17(4):589-602. doi:10.1016/j.spinee.2016.12.005 (3) Takasaki, H., & Miki, T. (2017). The impact of continuous use of lumbosacral orthoses on trunk motor performance : a systematic review with meta-analysis. The Spine Journal …LUMBAR SUPPORT DOES NOT INDUCE MUSCLE LOSS (1;2;3) Clinical studies demonstrate that… No evidence in the literature suggesting that lumbar supports lead to muscle atrophy :  No deleterious effect on muscle morphology The thickness of deep trunk muscles (obliques, transverse abdominals, and multifidus) in patients with chronic LBP, measured by ultrasound in different positions, is not affected by wearing a lumbosacral brace for 4 weeks in combination with routine physical therapy1.  No deleterious effect on muscle activity The muscle activity of superficial back muscles, measured by electromyography*, may be reduced when wearing lumbosacral brace2, it is a protective mechanism and not a proof of dependence. It is associated with lower need for co-contraction due to the additional passive stiffening provided by the brace. The magnitude of this reduction is not sufficient to induce muscle atrophy.  No deleterious effect on muscle performance Wearing a lumbosacral brace for one to six months do not have a negative effect on the strength, endurance, and fatigability of the trunk flexors and extensors3. Lumbosacral braces do not produce complete immobilization, likely preventing muscle atrophy. *Electromyography (EMG) : is a test that checks how well your nerves and muscles are working. It measures the electrical activity in the muscles and can help find nerve or muscle problems. NB1 MV2

Diapositive 43 NB1 file:///C:/Users/nobravard/Downloads/2406241%20-%20catalogue%20ortho%202025%20international_dam.pdf Noemie Bravard; 2025-10-03T12:32:39.130 NB1 0 CATALOGUE THUASNE ORTHOPAEDICS INTERNATIONAL P.23 Noemie Bravard; 2025-10-03T12:33:03.420 MV2 Pour cette slide, reprendre les commentaires que j'ai laissés pour la brochure des essais cliniques "APM CEINTURES - ENG" sur les slides 4 et 5 Marija Vertinska; 2026-02-04T14:26:05.535

Thuasne Solutions Lumbar Support P.38 NB1

Diapositive 44 NB1 https://mediacenter.thuasne.com/dam/wedia/browse/thasset/16890/ Noemie Bravard; 2025-09-10T13:28:00.302

- Activity Level + ++ LombaSkin LombaStab Lombatech® Lombacross Activity LombaStartLombaFirst Sedentary Patient Active Patient (Prolonged Standing) Active Patient Very active PatientFor atypical morphology A MODEL TAILORED TO EACH PATIENT PREMIUM RANGE ACCESS TO CARE 1 - Survey among general practitionners and patients, OpinionWay, 2019 P.39 Lombax Original Occasional wear LombaMum Pregnant Woman

Description: Lombaskin Style Code: 087104 Copyright: STUDIO CATERIN P.40

LOMBASKIN Lumbar support for next-to-skin wear(1) For which patient ? Lombaskin is designed for : - Sedentary patients Benefits Low-profile and breathable: moisture-evacuating Combitex(2) fabric, seamless and edgeless low-profile design(3). Adapts to the anatomy: 4 conformable dorsal stays. Comfort: anatomically-shaped on hips, ribs and abdominal areas Ease of application: abdominal panels with symmetrical hand loops and tightening indicators Easy care: machine washable at 30°C (77) Michael Benning, Ralf-Dieter Hilgers, Stephanie Villet, Prasanna Shrestha and Nils Lynen. Efficacy and safety of a new offloading brace in the management of knee osteoarthritis. A randomized controlled UNIBRACE Study. 24th European congress of Physical and Rehabilitation Medicine - ESPRM. Ljubljana, Slovenia. 23-27 April 2024. (78) Internal CE marking data. P.41

Description: LombaStab Style Code: 085402 Copyright: STUDIO CATERIN P.42

LOMBASTAB Lumbar support with easy and precise tightening For which patient ? Lombastab is designed for : Patients in prolonged standing position Patients lacking strength Benefits Easy and precise tightening: wire lacing system with easy-grip handles. Adapts to the anatomy: 4 conformable dorsal stays and independent back plates. Ease of application: symmetrical hand loops to ensure lumbar support is properly centred on the spine. Comfort: specific LombaStab elastic fabric with breathable Coolmax lining Easy-care: machine-washable at 30°C. P.43

P.46 (1) … …LUMBAR SUPPORT REDUCES PAIN AND RESTORE MOBILITY TO THE PATIENT (1) This clinical concusion has been proven through Thuasne Lombastab lumbar support - Lombact clinical studies (2026) - Thuasne Compared with usual care alone, patients wearing Lombastab for 3 months showed: - greater improvement in functional capacity - rapid and sustained pain reduction - better patient-reported improvement - greater mobility gain - lower medication use - good compliance - and high patient satisfaction Clinical studies demonstrate that… LOMBASTAB NB1

Diapositive 50 NB1 PPTX STEPHANIE VILLET - WP CLINICAL STUDIES FOR LUMBAR SUPPORTS (IMS 2026) Noemie Bravard; 2026-04-17T11:53:40.406

Description: Lombax original Style Code: 082403, 082404, 08240 5 Copyright: STUDIO CATERIN P.44

Lumbar support LOMBAX ORIGINAL For which patient ? Lombax Original is designed for patients who : Non-Specific low back pain (acute, subacute, chronic). Spinal stenosis Occasional wear Benefits Strong compression: elastic compressive Lombax fabric(1). Comfort: breathable 3D mesh back panel(1). Ease of application: two-part self-fastening closure. Easy care: machine-washable at 40°C. P.45

Description: Lombatech Style Code: 085203 Copyright: STUDIO CATERIN P.46

LOMBATECH Lumbar support with adjustable and targeted compression(1) For which patient ? Lombatech is designed for patients who : • Have atypical body type Benefits • Adapts to the anatomy: 4 independent dorsal stays adapt to various body types. • Targeted pain relief: removable additional strap can be positioned according to painful area • Comfort: anatomically-shaped on hips, ribs and abdominal areas. • Breathability: moisture-evacuating Combitex fabric. • Ease of application: abdominal panels with symmetrical hand loops and tightening indicators. • Easy care: machine washable at 30°C (74) Internal CE marketing data. (75) In-house study report – OC1806, 2019. (76) Performance study report – OC2201, 2022 / « assesment and comrpression of the biomechanical effects of umbar belts » Report, 2023 P.47

PAGE DE VISUEL Description: Lombacross activity Style Code: 083602 Copyright: STUDIO CATERIN P.48

Lombacross activity Reinforced(1) lumbar support For which patient ? Lombacross activity is designed for patients who : • Perform intensive physical activities • Heavy duty workers Benefits Resistant structure: long-lasting materials ensure long-term efficiency(2) • Reinforced compression : thanks to additional double strap. • Comfort : anatomically-shaped on hips, ribs and abdominal areas • Breathability : moisture-evacuating Combitex(3) fabric. • Ease of application : abdominal panels with symmetrical hand loops and tightening indicators.(2) • Easy care : Machine washable at 30°C (delicate). (71) Internal CE marketing data. (72) Performance study report – OC2201, 2022 / Evaluation of Stability, Internal tests – OC2201, 2023 (73) In-house study report – OC1806, 2019. P.49

Description: Lombastart Style Code: 087403 Copyright: STUDIO CATERIN P.50

LombaFirst Reinforced(1) lumbar support For which patient ? LombaFirst is designed for patients who : • Non-specific low back pain (acute, subacute andchronic phases). • Prevention of recurrent low back pain in combination with return to activity and/or therapeutic information. • Spinal stenosis. Benefits - (71) Internal CE marketing data. (72) Performance study report – OC2201, 2022 / Evaluation of Stability, Internal tests – OC2201, 2023 (73) In-house study report – OC1806, 2019. P.51

Description: Lombafirst Style Code: 087403 Copyright: STUDIO CATERIN P.52

LOMBASTART Lumbar support wirth adjustable compression (1) • Adjustable compression : additional strap. • Comfort: anatomically-shaped on hips, ribs and abdominal areas; seamless and edgeless design. • Adapt to the anatomy: 4 conformable dorsal stays. • Ease of application: hand loop and centring indicator to ensure support is properly positioned on the spine. • Easy care: machine washable at 30°C (delicate) Benefits P.53

Description: Lombamum Style Code: 080501 Copyright: STUDIO CATERIN P.54

For which patient ? LombaMum is designed for : Pregnant patients Benefits Adjustable throughout pregnancy: abdominal support bands adapt to evolving girth. Targeted support: adjustable additional straps. Comfort: bamboo fibre lining. Ease of application: hand loops to ensure support is properly positioned. Easy care: machine-washable at 30°C LOMBAMUM Lumbar support for maternity P.55

Question 1: What is Low Back Pain (LBP)? A) A contagious spinal infection B) A chronic inflammatory disease of the spinal cord C) Pain localized between the lower ribs and the gluteal folds D) A temporary skin condition of the back Question 2 : What is the main function of the intervertebral discs in the spine? A) To produce bone marrow B) To act as elastic cushions and distribute pressure C) To store calcium D) To connect muscles to bones Question 3: Which spinal region is typically affected by Low Back Pain? A) Cervical B) Thoracic C) Lumbar D) Sacral Question 4: What is the definition of chronic Low Back Pain (cLBP)? A) Pain lasting less than 6 weeks B) Pain lasting between 6 and 12 weeks C) Pain lasting more than 12 weeks D) Pain that occurs only during exercise QUIZ – TEST YOUR KNOWLEDGE ABOUT LOW BACK PAIN ! P.56

Question 5: True or False: Wearing a lumbar support can help relieve pain in people with non-specific LBP. A) True B) False Question 6: How many people of LBP sufferers are women? A) 25% B) 50% C) 66% D) 82% Question 7: How do lumbar orthoses (braces) help patients with LBP? A) They eliminate the need for physical therapy B) They provide compression and restrict harmful movements C) They stimulate the nerves in the spine D) They treat infections in the lower back Question 8: What is the main goal of treatment for chronic LBP? A) Complete recovery B) Improving quality of life and reducing disability C) Pain elimination D) Avoiding all physical activity Question 9: True or False: All cases of LBP require surgical intervention. A) True B) False Question 10: 5. Which of the following is NOT a typical symptom of LBP? A) Blurred vision B) Radiating leg pain C) Tingling D) Stiffness P.57

QUIZ ANSWERS 1: C) Pain localized between the lower ribs and the gluteal folds 2: B) To act as elastic cushions and distribute pressure 3: C) Lumbar region 4: C) Pain lasting more than 12 weeks 5: A) True 6: C) 66% 7: B) They provide compression and restrict harmful movements 8: B) Improving quality of life and reducing disability 9: B) False 10: A) Blurred vision P.58 MV1

Diapositive 65 MV1 Oui, si t'as réussi de trouver la source pour la page 12 pour montrer que 2/3 sont les femmes Marija Vertinska; 2026-02-04T14:55:51.025

Notes ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………… P.59

Mentions légales Code bar QR code site Thuasne Availability of these products might vary from a given country or region to another, as a result of specific local regulatory approval or clearance requirements for sales in such country or region. The medical devices mentioned on this document are CE marked according to the Regulation 2017/745 on medical devices. Products mentioned in this document are CE class I device. Please contact Thuasne should you need any additional information on devices classification. Please read carefully the instructions for use, indications and contraindications of the product. Last revision date: XX/XXXX Find more about our products in our website www.thuasne.com Thuasne SAS – SIREN/RCS Nanterre 542 091 186 – capital 1 950 000 euros – 120, rue Marius Aufan 92300 Levallois-Perret (France) Labels Manufacturer: THUASNE 120 rue Marius Aufan 92300 Levallois – Perret (France) UniReliever : Manufacturer: THUASNE DEUTSCHLAND GmbH Im Steinkamp 12, D-30938 Burgwedel We reserve the right to modify our products without prior notice with respect to the descriptions and illustrations in this booklet. Photos are non- contractual. Please check product availability with your retailer. Ref:XXXXXXXXXX Photo: XXX

Brief Guide patient Low Back Pain • Ce guide patient va accompagner la gamme de ceintures à l’international. • C’est un document dédié aux patients. L’idée est de fournir du contenu sur le mal de dos et plus particulièrement la Lombalgie. • Ce brief est en version ENG. • Un document similaire a été conçu par la lymphologie et porte la Réf. : 8203 092 000-02 (2023- 06) - 2305208.

It is important to address the first episode of back pain promptly to prevent it from becoming chronic. However, once back pain becomes chronic, treatment focuses on reducing disability and improving quality of life. P.9 (11) Fondation Grünenthal & Observatorio del Dolor de la Universidad de Cádiz. (2024, novembre). Barómetro del dolor crónico asociado a la lumbalgia [Rapport PDF]. Fundación Grünenthal. https://www.fundaciongrunenthal.es/fundacion/pdfs/Barometro-del-dolor-lumbalgia.pdf NB1

Diapositive 69 NB1 https://www.fundaciongrunenthal.es/fundacion/pdfs/Barometro-del-dolor-lumbalgia.pdf (P.39) Noemie Bravard; 2025-10-01T14:47:51.576

70 70 Chemin de fer 1 1er de couv VISUEL 1 INTRO VISUEL 2 SOMMAIRE 3 UNDERSTANDING LOW BACK PAIN VISUEL 4 WHAT IS LOW BACK VISUEL 5 Anatomie Rachis VISUEL 6 Anatomie vertèbres VISUEL 7 Principaux mouvements du rachis VISUEL 8 Drapeaux 9 Profiles 11 Pathologies liées à la lombalgie (PT1) 12 UNDERSTANDING CHRONIC LOW BACK PAIN VISUEL 14 What is chronic low back pain (definition = types) 15 TRAITEMENTS & DIAGNOSTIQUE VISUEL 16 EQUIPE MEDICALE 17 Facteurs 10 Pathologies liées à la lombalgie (PT2) 13

71 71 TYPES DE TRAITEMENTS : PHARMACEUTIQU ES (PT2) 22 23 Living w/ LBP VISUEL 24 Vivre avec LBP (gérer son quotidien) VISUEL 25 Les bonnes habitudes VISUEL 26 Les possibles complications liées au LBP 27 Exercice 1 VISUEL 28 Exercice 2 VISUEL 29 Types de traitements (intro) 20 Types de traitements : non pharmaceutiques 21 Questions a poser au generaliste VISUEL 18 Parcours patient 19 Exo 3 VISUEL 30 Exo 4 VISUEL 31 Infos sur les ceint. lombaires VISUEL 32 Infos sur les ceint. lombaires (pourquoi + recommandations) VISUEL 33

72 72 Etude clinique 1 36 Etude Clinique 2 VISUEL 37 PRESENTATION DES CEINTURES (SCHEMA) VISUEL 39 Thuasne Solutions VISUEL 38 VISU LOMBASTAB 42 LOMBASTAB DESCRIPTION 43 VISU LOMBAX 44 LOMBAX DESCRIPTION 45 VISU LOMBATECH 46 LOMBATECH DESCRIPTION 47 Infos ceint. Lombaires (Quand ? Mesures) VISUELS 34 Effets de la ceint. lombaire VISUEL 35 VISU LOMBASKIN 40 LOMBASKIN DESCRIPTION 41 VISU LOMBACROSS ACTIVITY 50 LOMBACROSS ACTIVITY DESCRIPTION 51 VISU LOMBACROSS ACTIVITY 48 LOMBACROSS ACTIVITY DESCRIPTION 49

73 73 VISUEL LOMBASTART 52 LOMBASTART DESCRIPTION 53 QUIZ 56 QUIZ 57 SOLUTIONS AU QUIZ 58 NOTES 59 MENTIONS LEGALES 60 VISUEL LOMBAMUM 54 LOMBAMUM DESCRIPTION 55 VISUEL LOMBASTART 52 QUIZ 56 SOLUTIONS AU QUIZ 58 NOTES 59 VISUEL LOMBAMUM 54 LOMBAMUM DESCRIPTION 55 VISU LOMBACROSS ACTIVITY 50 LOMBACROSS ACTIVITY DESCRIPTION 51 VISU LOMBAFIRST 50 LOMBAFIRST DESCRIPTION 51

LombaSkin LombaStab LombaFirst Sedentary Patient Active Patient (Prolonged Standing) A MODEL TAILORED PREMIUM ACCESS TO (1) Survey among general practitionners and patients, OpinionWay, 2019 P.41 LombaMum Pregnant Woman - Activity

TO EACH PATIENT CARE (1) Survey among general practitionners and patients, OpinionWay, 2019 P.42 Level + ++ Thuasne is the first brand cited by general practitioners for lumbar brace (1) Active Patient Very active PatientFor atypical morphology Occasional wear RANGE Lombacross ActivityLombatech®Lombax Original LombaStart