Cancer Patient Confined in the Bed
Conditions
Keywords
advanced cancer, osteopathy, pain, bedridden
Brief summary
Staying confined in the bed is frequent at the end of life. The cancer patients can also experiment this situation, and consequences are painful, with pain increasing with the time. This pain are related to the joints stiffing , muscles mass decreasing, and tendons retractions . The non pharmacological approach associated with the conventional treatments can be interesting to assess in this frails patients.
Interventions
The patients meeting the inclusions criteria will be informed of the study and an osteopathic treatment holistic ,involving all the body will be applied, three time with 2 days between the treatments .Each meeting with the practitioner will last around 40 minutes. The pain and symptoms assessment will be done before and after the treatment .
Sponsors
Study design
Eligibility
Inclusion criteria
* Man or woman * Aged 18 years or older * Having signed informed consent to participate in the study * Patient affiliated to a social security scheme * Patient with pain affecting the musculoskeletal system following prolonged bed rest * Capable to understand French * Capable of completing self-assessment scales
Exclusion criteria
* Patients with bone metastases at risk for the use of osteopathy * Patients under legal protection measures * Patients with cognitive impairment preventing self-evaluation * Patient who is considered too fragile or with a clinical condition too unstable by the doctor refer to be included in the study * Patients in the pre-agonic or agonic phase
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Decreased pain intensity of 2 points measured by Analog Visual Scale (AVS) before and after the session | 15 days |
Secondary
| Measure | Time frame |
|---|---|
| Decrease in analgesic consumption for pain related to immobilization | 15 days |
| Decreased 2 points of intensity of other symptoms associated before and after session measured with Edmonton Symptom Assessment System (ESAS). | 15 days |
Countries
France