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 volunteersQualifiers
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
Parallel
Treatments tested in this trial
osteopathy real
Other interventiontreatment with real osteopathy 2 times a week for 8 weeks
sham osteopathy
Other interventiontreatment with sham osteopathy 2 times a week for 8 weeks
Treatment groups
Trial outcomes
Primary outcomes
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.
Secondary outcomes
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
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)
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