Dance-therapy and Chronic Pain

Официальное название

Effect of Dance-therapy on Chronic Adolescent Pain Patients - a Randomized Controlled Trial Study

Обзор

Pain, when it becomes chronic, can be a threat to patients and it is very common to observe a fear of pain and a fear of movement (kinesiophobia). Avoidance of movement due to fear of pain can lead to a deterioration of body image. Non-medicinal therapies are essential to correct this fear and movement avoidance behavior, to decrease "catastrophic" judgments and thus anxiety. The use of art-therapy in the accompaniment of patients with pain has shown, in particular, decreases in the intensity of pain, the level of anxiety, an improvement in stress, mood and overall psychological state. However, according to the current literature, it appears that 1) this technique is rarely used in children or adolescents, for whom non-medicinal therapies are fundamental, and 2) in the case of chronic pain, the form of art used is very rarely related to the body (most often painting, drawing, music...). In this project, investigators propose to set up and test the potential benefit of art-therapy sessions related to the body, namely dance-therapy, in adolescents and young adults suffering from chronic pain.

Вмешательства

• Поведенческое Dance-therapy
  This session will take place once a week between weeks 1 and 15 of the protocol. * 5 mn of welcome and presentation of the upcoming session * 5 mn of self-evaluation of the pain as well as of the thymia and the fatigue before the beginning of the session (Visual numerical scales: VNS) * 15 mn of body warm-up with taught contemporary dance exercises * 15 mn of creative research based on dance improvisation on a given theme * 15 mn of sharing for the elaboration of a choreography * At the end of
• Поведенческое Art-therapy
  This session will take place once a week between weeks 1 and 15 of the protocol. * 5 mn of welcome and presentation of the upcoming session * 5 mn of self-evaluation of the pain as well as of the thymia and the fatigue before the beginning of the session (Visual numerical scales: VNS) * 10 mn of discovery of a new technique (acrylic painting or collage). * 35 mn of practice in a project fixed beforehand * At the end of the session, 5mn of self-evaluation of the pain, the thymia, the fatigue and
• Поведенческое Yoga
  This session will take place once a week between weeks 1 and 15 of the protocol. * 5 mn welcome * 5 mn of self-evaluation of the pain as well as of the thymia and the fatigue before the beginning of the session (Visual numerical scales: VNS) * 50 mn of Vinyasa type yoga (warm-up, breathing, balance, strength and flexibility, relaxation) * 5 mn of closing of the session * At the end of the session, 5mn of self-evaluation of the pain thanks, the thymia, the fatigue and the level of appreciation o

Первичные конечные точки

• Assesment of pain change [Срок оценки: Weeks 0, 5, 16, 20 and 28.]

Вторичные конечные точки (10)

• Kinesiophobia [Срок оценки: Inclusion, weeks 5, 16, 20, 28.]
• Anxiety (adolescents) [Срок оценки: Inclusion, weeks 5, 16, 20, 28]
• Anxiety (adults) [Срок оценки: Inclusion, weeks 5, 16, 20, 28]
• Pain catastrophizing [Срок оценки: Inclusion, weeks 5, 16, 20, 28.]
• Fear of Pain (adolescents) [Срок оценки: Inclusion, weeks 5, 16, 20, 28.]
• Fear of Pain (adults) [Срок оценки: Inclusion, weeks 5, 16, 20, 28.]
• Incidence of art therapy on quality of life (adolescents) [Срок оценки: Inclusion, weeks 5, 16, 20, 28.]
• Incidence of art therapy on quality of life (adults) [Срок оценки: Inclusion, weeks 5, 16, 20, 28.]
• Body satisfaction and global self-perception [Срок оценки: Inclusion, weeks 5, 16, 20, 28.]
• Incidence of art therapy on sleep quality [Срок оценки: Weeks 0, 5, 16, 20 and 28.]

Критерии участия

Критерии включения

• Patients aged 12 to 20 years, girls or boys, with chronic pain.
• Diagnosis of chronic pain made in a Pain Management Center
• Patients followed in a Pain Management Center (to ensure that patients entering the protocol have pain that is not relieved by conventional treatments)
• Patients who have given written consent for adults or whose parents have given consent for minors
• Patients who are affiliated with or benefit from a social security system.

Критерии исключения

• Patients with other neurological or psychological disorders
• Patients with psychiatric illnesses
• Patients with chronic infectious, metabolic, cancerous, autoimmune diseases.
• Non-communicating patients including deaf and hard of hearing patients
• Patients or parents who do not speak or read French
• Pregnant women
• Dance or yoga professionals (dance or yoga teachers or those studying to become teachers)

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Другое

Центры проведения

Франция · 1 центр

• Neuroscience Research Center of Lyon (CRNL)- INSERM U1028 - NEUROPAIN laboratory — Bron

Идентификаторы

NCT: NCT05689944 · 69HCL22_0361

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

Открыть это исследование на ClinicalTrials.gov ↗