Arthrodesis, Lumbar Spine Surgery, Manual Therapy, Post-operative Care
Conditions
Brief summary
Introduction : Low back pain represents a major public health issue. In some cases, surgery may be necessary, but it is not without consequences. Among these, we find pain that may require management in specialized centers as well as functional disability, particularly in cases of arthrodesis, thereby affecting the quality of life of patients. Objectives : To study the effectiveness of osteopathy in the post-surgical management of lumbo-sacral arthrodesis. Methods : A pilot study including 35 patients who underwent lumbo-sacral arthrodesis divided into 2 groups: standardized osteopathic treatment and sham. The protocol consists of 2 post-operative sessions (D2 3 and D90). The evaluated criteria were pain intensity using the VAS, functional disability with the Oswestry questionnaire, anxiety and depression with the HAD questionnaire, and analgesic consumption. Result : Compared to the sham group, the osteopathic treatment group exhibited a lack of significance in the VAS (p= NS), Oswestry (p= NS) and HAD (p= NS) scores. Analgesic consumption also demonstrated a lack of statistical significance (p= NS). Discussion : In this study, osteopathy did not show an impact on HAD, Oswestry, VAS scores, or analgesic consumption. Based on other articles, there seems to be a link between the effectiveness of osteopathy and the frequency of sessions. Thus, it might be interesting to repeat the study with a larger sample size, the use of other measurement tools, and an increase in session frequency to validate these results.
Interventions
OTHERmanual therapy
In first session 6 techniques were applied to favorise fluids circulation, respiratory mecanism end equilibration of pressions (all were external soft tissue techniques, without manipulation): on cervico dorsal hinge, on cranial diaphragm, on thoracic diaphragm, on pelvic diaphram, on liver and spleen organ, on lumbar fasciae. In second session 6 techniques were applied in order to improve quality and quantity of legs and pelvis mobility (all were external sof tissue techniques, without manipulation) : on cervico dorsal hinge, on cranial diaphragm, on thoracic diaphragm, on pelvic diaphram, on pubic symphysis, on legs and pelvis and on lumbar fasciae
OTHERSham
Wide ligth touch pressure applied with the 2 hand at day 2-4 and day 90
Sponsors
Institut de la Colonne Vertébrale Lyon Charcot
Centre Européen d'Enseignement Supérieur de l'Ostéopathie de Lyon
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* having surgery in Institut de la Colonne Vertébrale * surgery of lumbosacral arthrodesis
Exclusion criteria
* spine deformation * inflammatory rhumatim * neurodegenerative pathology * cognitive trouble * neoplasic pathology * surgery complication * second surgery * out of the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Analogic Visual Scale of pain | at day 0 pre surgery, day 2 post surgery, day 90 post surgery (pre and post intervention) and day 105 post surgery | Pain scale from 0 (no pain) to 10 (maximal pain). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| OSWESTRY | day 0 pre surgery - day 90 post surgery - day 105 post surgery | quality of life questionnary to evaluate fonctional incapacity. Score from 0 (no invalidity) to 50 (complete invalidity) |
| Hospital Anxiety and Depression | day 0 pre surgery, day 90 post surgery | questionnary about depression and anxiety during hospitalisation. Score from 0 (no trouble) to 21 (severe trouble) |
| Antalgic consumption | from day 0 to day 105 | week table of antalgic consumption |
Countries
France
Outcome results
None listed