Effects of Osteopathic Management on Disability and Quality of Life After Lumbar Arthrodesis

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-75
SponsorClinique Bizet

About this trial

The aim of our study is to assess the effect of a combined physiotherapy and osteopathy treatment versus a placebo on the management of disability and quality of life after lumbar arthrodesis. This study will provide a better assessment of the use of osteopathy as a non pharmacological approach to post-operative management.

For this purpose, We will analyze the effects of these two approaches, targeted and non-targeted osteopathy (TO vs. NTO), on patients' disability and quality of life after surgery.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

having experienced a lumbar arthrodesis (of one to three levels) four weeks before inclusion

being under a stable pharmacological treatment over the last month

who are suffering from postoperative mechanical pain (VAS ≥ 4)

Disqualifiers

neuropathic pain according to a DN4 score greater than or equal to 4/10,

are suffering from fibromyalgia,

algodystrophy,

other somatic or neuropsychiatric diseases (other than depression and anxiety),

Trial design

Design model

Parallel

Treatments tested in this trial

  • osteopathy real

    Other intervention

    treatment with real osteopathy 2 times a week for 8 weeks

  • sham osteopathy

    Other intervention

    treatment with sham osteopathy 2 times a week for 8 weeks

Treatment groups

40 Participants
are divided into 2 treatment groups
Group A: Targeted osteopathic treatmentExperimental treatment 1 intervention
Group B: Non-targeted osteopathic treatmentPlacebo comparator 1 intervention

Trial outcomes

Primary outcomes

1

Disability will be assessed using the ODQ

Oswestry Low Back Pain Disability Questionnaire * Minimum Value: 0 * Maximum Value: 100 * Interpretation: Higher scores indicate a worse outcome =\> greater disability due to low back pain.

Time frame
baseline and Week 8

Secondary outcomes

1

Pain and disability measures

The Visual Analog Scale is a subjective measurement tool commonly used to assess the intensity of pain. It consists of a horizontal 10-centimeter line on which the patient marks a point that reflects their experience. Minimum and maximum values: 0 = complete absence of the symptom 10 = the most severe imaginable intensity of the symptom Score interpretation: Higher scores indicate greater symptom intensity Lower scores indicate lesser intensity

Time frame
baseline, ans every week from 1 to 8
2

The Osteopathic Dysfunction Palpation Assessment Scale

Osteopathic Dysfunction Palpation Assessment Scale Minimum value: 0 (no dysfunction detected) Maximum value: Each anatomical structure (e.g., ilium, pubis, sacrum, spine, etc.) is assessed on 4 criteria: mobility, viscoelasticity, texture, temperature. For each criterion, the score is 0 or 1 (absence or presence of dysfunction). For each structure, the maximum score is therefore 4. The total maximum score depends on the number of structures assessed Interpretation: The higher the score, the greater the osteopathic dysfunction (so a higher score indicates a worse outcome)

Time frame
baseline and Week 8

Other outcomes

Sponsors and contacts

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Clinique Bizet

Lead sponsor

Institut De La Colonne Vertebrale Et Des Neurosciences

Collaborator

Ecole Supérieur d'Ostéopathie

Collaborator