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| ID | Type | Description | Link |
|---|---|---|---|
| 2018-A00395-50 | Other Identifier | ID-RCB |
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The management of chronic low back pain is now part of a multi-disciplinary set of proposals with the aim of adapting for each patient orientations of both medicated and non-medicated care.
Very classically, analgesic treatment of stage I or II is of use, reinforced by the occasional use of NSAIDs in the absence of contraindication. In this medical attempt of the control of the pain associates a physical care (supervised exercises, physiotherapy care), cognitive and behavioral therapy, multidisciplinary care.
Osteopathic treatment is a specific manual diagnostic and therapeutic procedure.
This study aims to evaluate the relevance of providing osteopathic treatment in combination with classical medical treatment in the management of patients with chronic non-specific low back pain.
The primary objective is to show that the addition of osteopathic treatment to classical medical treatment decreases pain for patients with chronic nonspecific low back pain.
This goal will be evaluated at 3 months by comparing
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1-Current practice Medication treatment | Other | Medication treatment according to current practice. |
|
| 2- Sham osteopathic treatment | Sham Comparator | Medication treatment according to current practice + sham osteopathic treatment. |
|
| 3- Osteopathic treatment | Experimental | Medication treatment according to current practice + osteopathic treatment. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Osteopathic treatment | Other | 5 osteopathic treatment sessions lasting 20 to 40 minutes. Each session include diagnosis according to the specific methodology "geometric model of osteopathy" and treatment of necessary elements and a control of osteopathic treatment at the end of the session. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain VAS Visual Analog Scale | The primary outcome is the change in the VAS score on a 0-100 mm scale between Day 0 (before the placement of any osteopathic manipulations for Arm 3 ( or sham osteopathic treatment for Arm 2) and J90 ( after the last osteopathic treatment session for Arm 3 (sham osteopathic treatment for Arm 2)). | Change from baseline to 3 months |
| Measure | Description | Time Frame |
|---|---|---|
| Pain VAS , level improvement | The improvement of the pain level will be objectified by the measurement of the variation of the VAS score. | Baseline, Day 15, Month 1, Month 2, Month 3, Month 6 |
| Relief Numerical scale |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Barthélémy De Truchis de Varennes, MD | Contact | + 33 5 62 21 35 36 | bdetruchis@clinique-pasteur.com |
| Name | Affiliation | Role |
|---|---|---|
| Barthélémy De Truchis de Varennes, MD | Clinique Pasteur | Principal Investigator |
| François Djabaku, DO | Study Chair | |
| Barthélémy De Truchis de Varennes, MD |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Clinique Pasteur | Recruiting | Toulouse | 31076 | France |
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Prospective monocentric study randomized into three parallel arms.
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|
| Sham osteopathic treatment | Other | 5 sham osteopathic treatment sessions lasting 20 to 40 minutes. Each session include diagnosis according to the specific methodology "geometric model of osteopathy" and only contacts for no intent to treat. At the end of the session a control of the sham osteopathic treatment is performed. |
|
| Current practice Medication treatment | Other | Analgesic medication of level 1 or a combination of level 1 and 2. Acetaminophen 1 g x 3 / day Ibuprofen 400mg x 3 / day |
|
The intensity of relief will be objectified by measuring the variation of the "relief" score on a numerical scale. Numeric Scale Cotation between 0% (No Relief) to 100%(Full Relief)
| Day 15, Month 1, Month 2, Month 3, Month 6 |
| Drug consumption | Drug consumption will be collected by patients using a patient diary and converted to DDD ( Defined Daily Dose). | Baseline, Day 15, Month 1, Month 2, Month 3, Month 6 |
| Hand-Ground Distance and Schöber test | The efficacy of functional and quality of life therapies will be assessed through functional clinical examinations (Hand-Ground Distance and Schöber test ) | Baseline, Day 15, Month 1, Month 2, Month 3, Month 6 |
| Oswestry score | The efficacy of functional and quality of life therapies will be assessed through the self questionnaire: the Oswestry questionnaire. | Baseline, Day 15, Month 1, Month 2, Month 3, Month 6 |
| Adverse event | Adverse events will be collected and analyzed for each arm. | Day 15, Month 1, Month 2, Month 3, Month 6 |
| Elements of the osteopathic diagnosis | The elements of the osteopathic diagnosis will be collected by the treating osteopaths at the beginning and at the end of each treatment. Exploratory outcome, osteopathic diagnosis will be assessed by an internal osteopath questionnaire specifying anatomical localization of identified dysfunctions. | Day 1, Day 7, Day 15, Month 1 Month 2 |
| Clinique Pasteur |
| Study Chair |
| 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 |
|---|---|
| D026301 | Manipulation, Osteopathic |
| ID | Term |
|---|---|
| D026201 | Musculoskeletal Manipulations |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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