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The investigators propose to carry out a study evaluating the effectiveness of the MDT method (mechanical diagnosis and therapy) in the subacute phase of common low back pain.
Few studies have specifically evaluated the effectiveness of the MDT method in the subacute phase, a phase that appears to be crucial before the chronicization of low back pain.
The main objective of this study will be to evaluate the pain of patients managed by the MDT method.
The analysis of the main criterion (Visual Analog Scale) will be done using a type individual clinical trial specific: the Single Case Experimental Design or SCED in lines of multiple bases.
This type of study makes it possible to carry out a comparative test on a single subject acting as its own witness in order to obtain an acceptable level of evidence response for that particular patient.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MDT (mechanical diagnosis and therapy) method |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MDT (mechanical diagnosis and therapy) method | Other | The intervention consists of a first session to carry out an assessment, followed by 4 reassessment sessions |
|
| Measure | Description | Time Frame |
|---|---|---|
| Evolution over time of patients' pain | The main outcome will be the evolution over time of patients' pain as assessed by a visual analogue scale completed daily by the patient himself. | 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Evolution of the pain localization will be done on a body chart filled daily by the patient | Evolution of the pain localization will be done on a body chart filled daily by the patient | 3 months |
| Evolution of drug consumption through a completed questionnaire daily by the patient |
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Inclusion Criteria:
Exclusion Criteria:
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The study population is all patients aged 18 to 55 years who consult with one of the Mc Kenzie physiotherapists participating in the study, for a common low back pain reason between 4 and 12 weeks of evolution.
The first ten patients consulting one of the physiotherapists involved and meeting the criteria will be recruited. Each patient will receive information about the research and sign a consent.
Patients with a strong suspicion of specific low back pain will be excluded from the outset.
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Celine BOUTON, Professor | Contact | +33(0)244769055 | celine.bouton@univ-nantes.fr |
| Name | Affiliation | Role |
|---|---|---|
| Celine BOUTON, Professor | Nantes University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Picasso physiotherapy cabinet (5 rue Nina Simone - 44 000 NANTES) | Nantes | 44000 | France |
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Evolution of drug consumption through a completed questionnaire daily by the patient |
| 3 months |
| Evolution of functional disability through the EIFEL questionnaire | Evolution of functional disability through the EIFEL questionnaire | 3 months |
| Evolution of beliefs and fears through the FABQ (Fear Avoidance Belief) questionnaire | Evolution of beliefs and fears through the FABQ (Fear Avoidance Belief) questionnaire | 3 months |
| Evolution of psychosocial factors by STarT Back | Evolution of psychosocial factors by STarT Back | 3 months |
| ID | Term |
|---|---|
| D017116 | Low Back Pain |
| ID | Term |
|---|---|
| D001416 | Back Pain |
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D013812 | Therapeutics |
| D008722 | Methods |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
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