Dance-therapy and Chronic Pain
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age12-20
SponsorHospices Civils de Lyon
About this trial
Pain, when it becomes chronic, can be a threat to patients and it is very common to observe a fear of pain and a fear of movement (kinesiophobia). Avoidance of movement due to fear of pain can lead to a deterioration of body image. Non-medicinal therapies are essential to correct this fear and movement avoidance behavior, to decrease "catastrophic" judgments and thus anxiety. The use of art-therapy in the accompaniment of patients with pain has shown, in particular, decreases in the intensity of pain, the level of anxiety, an improvement in stress, mood and overall psychological state. However, according to the current literature, it appears that 1) this technique is rarely used in children or adolescents, for whom non-medicinal therapies are fundamental, and 2) in the case of chronic pain, the form of art used is very rarely related to the body (most often painting, drawing, music...).
In this project, investigators propose to set up and test the potential benefit of art-therapy sessions related to the body, namely dance-therapy, in adolescents and young adults suffering from chronic pain.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients aged 12 to 20 years, girls or boys, with chronic pain.
Diagnosis of chronic pain made in a Pain Management Center
Patients followed in a Pain Management Center (to ensure that patients entering the protocol have pain that is not relieved by conventional treatments)
Patients who have given written consent for adults or whose parents have given consent for minors
Disqualifiers
Patients with other neurological or psychological disorders
Patients with psychiatric illnesses
Patients with chronic infectious, metabolic, cancerous, autoimmune diseases.
Non-communicating patients including deaf and hard of hearing patients
Trial design
Design model
Parallel
Treatments tested in this trial
Dance-therapy
BehavioralThis session will take place once a week between weeks 1 and 15 of the protocol. * 5 mn of welcome and presentation of the upcoming session * 5 mn of self-evaluation of the pain as well as of the thymia and the fatigue before the beginning of the session (Visual numerical scales: VNS) * 15 mn of body warm-up with taught contemporary dance exercises * 15 mn of creative research based on dance improvisation on a given theme * 15 mn of sharing for the elaboration of a choreography * At the end of the session, 5mn of self-evaluation of the pain, the thymia, the fatigue and the level of appreciation of the session (VNS). After the session, the patient will be asked to think about the next session if he/she wishes (e.g. think of a choreography, remember what was done etc. ....) in order to encourage the commitment to care. These sessions will be based on contemporary dance and dance improvisation techniques.
Art-therapy
BehavioralThis session will take place once a week between weeks 1 and 15 of the protocol. * 5 mn of welcome and presentation of the upcoming session * 5 mn of self-evaluation of the pain as well as of the thymia and the fatigue before the beginning of the session (Visual numerical scales: VNS) * 10 mn of discovery of a new technique (acrylic painting or collage). * 35 mn of practice in a project fixed beforehand * At the end of the session, 5mn of self-evaluation of the pain, the thymia, the fatigue and the level of appreciation of the session (VNS). After the session, the patient will be asked to think about the next session (e.g. collecting plants for collage....) in order to encourage commitment to the treatment. The sessions will be based on acrylic painting or collage techniques.
Yoga
BehavioralThis session will take place once a week between weeks 1 and 15 of the protocol. * 5 mn welcome * 5 mn of self-evaluation of the pain as well as of the thymia and the fatigue before the beginning of the session (Visual numerical scales: VNS) * 50 mn of Vinyasa type yoga (warm-up, breathing, balance, strength and flexibility, relaxation) * 5 mn of closing of the session * At the end of the session, 5mn of self-evaluation of the pain thanks, the thymia, the fatigue and the level of appreciation of the session (VNS). These sessions engage the body without entering into a therapy protocol turned towards art as in the two previous interventions.
Treatment groups
160 Participants
are divided into 4 treatment groupsGroup A: Control groupNo intervention 0 interventions
Group B: Dance-therapy groupExperimental treatment 1 intervention
Group C: Art-therapy groupExperimental treatment 1 intervention
Group D: Yoga groupExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Assesment of pain change
Daily self-assessment on visual numerical scale of pain intensity upon awakening, at bedtime, and on average during the day. Each item is scored 0-10 (0= no pain; 10 = maximal pain). Reporting of the times during the day and night when the patient feels pain and its intensity.
Time frame
Weeks 0, 5, 16, 20 and 28.Secondary outcomes
1
Kinesiophobia
Evaluation of the kinesiophobia index with the TAMPA scale: 13 items to be evaluated on a 4-point Likert-type scale between 1 (strongly disagree) and 4 (strongly agree). Scores between 13 and 52, a score of 30/52 being considered as a significant kinesiophobia.
Time frame
Inclusion, weeks 5, 16, 20, 28.2
Anxiety (adolescents)
Screen for Child Anxiety Related Disorders (SCARED). 41 items to be evaluated on a 3-point Likert-type scale between 0 ('not true' or 'almost never true') and 2 ('very true' or 'often true'). A score greater than or equal to 25 may indicate the presence of an anxiety disorder.
Time frame
Inclusion, weeks 5, 16, 20, 283
Anxiety (adults)
For adult patients: HAD scale. 14 items rated from 0 to 3. Seven items relate to anxiety and seven others to the depressive dimension. The highest scores correspond to the presence of a more severe symptomatology.
Time frame
Inclusion, weeks 5, 16, 20, 284
Pain catastrophizing
Pain catastrophizing scale (PCS). 13 items to be evaluated on a 5-point Likert-type scale between 0 (never) to 4 (always). Scores between 0 and 52. A total PCS score of 30 represents clinically relevant level of catastrophizing.
Time frame
Inclusion, weeks 5, 16, 20, 28.Sponsors and contacts
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Source ClinicalTrials.gov