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

Effects of Osteopathic Management on Disability and Quality of Life After Lumbar Arthrodesis. A PARALLEL, RANDOMIZED AND DOUBLE-BLIND CONTROLLED PILOT STUDY

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.

Inclusion Criteria:

• 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)

Exclusion Criteria:

• 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),
• have received osteopathic treatment over the last three month prior to inclusion,
• are included in another interventional research protocol during the study period