Non-pharmacological Treatment for Chronic Back Pain

NCT ID: NCT03910023

Last Updated: 2019-11-07

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

358 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-06-15

Study Completion Date

2022-06-15

Brief Summary

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The working hypothesis is that spa therapy in addition to usual care including home exercises (UCHE) will result in greater improvements in pain reduction, associated disability and quality of life for chronic low back pain patients. It follows that health resource consumption and linked costs should also be reduced. The primary objective of this study is therefore to compare the therapeutic effect of UCHE alone versus spa therapy in addition to UCHE for chronic low back pain.

Detailed Description

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Secondarily, the study will also (i) evaluate the therapeutic effects specific to each spa-centre, (ii) specifically describe effects among subjects who are currently engaged in a professional activity, (iii) evaluate treatment tolerance as well as (iv) per-patient health resource use and associated costs.

Conditions

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Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

In this prospective, evaluator-blinded, multi-centre, 2-parallel-arm, Zelen randomized (1:1), controlled trial, UCHE alone will be compared to spa therapy in addition to UCHE for the treatment of chronic low back pain.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Investigators Outcome Assessors

Study Groups

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Control group

The control group will perform home exercises alone

Group Type ACTIVE_COMPARATOR

Usual care comporting a home-exercise program (UCHE)

Intervention Type OTHER

The UCHE intervention will correspond to current practice (including the continuation of previous treatments, if applicable) as decided by the attending physician. The patient will also be provided with a practical guide on how to manage back pain (the "back book"), including a recommended home exercise program.

Spa group

The spa group will be proposed an additional spa treatment

Group Type EXPERIMENTAL

Usual care comporting a home-exercise program (UCHE)

Intervention Type OTHER

The UCHE intervention will correspond to current practice (including the continuation of previous treatments, if applicable) as decided by the attending physician. The patient will also be provided with a practical guide on how to manage back pain (the "back book"), including a recommended home exercise program.

Spa therapy

Intervention Type OTHER

the spa-therapy intervention consists of 18 consecutive days of spa-therapy (excepting Sundays), that must occur with 60 days of randomisation. The latter will combine mineral water with physical and hydrotherapeutic treatments, including massages, heat and water exercises.

Interventions

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Usual care comporting a home-exercise program (UCHE)

The UCHE intervention will correspond to current practice (including the continuation of previous treatments, if applicable) as decided by the attending physician. The patient will also be provided with a practical guide on how to manage back pain (the "back book"), including a recommended home exercise program.

Intervention Type OTHER

Spa therapy

the spa-therapy intervention consists of 18 consecutive days of spa-therapy (excepting Sundays), that must occur with 60 days of randomisation. The latter will combine mineral water with physical and hydrotherapeutic treatments, including massages, heat and water exercises.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Adult patient presenting with chronic low back pain: usual pain of the lumbar region lasting for more than 3 months. This pain may radiate to the buttocks, iliac crest, and does not go past the knee.
* Patient presenting with a current pain intensity on a visual analogue scale (VAS) \> or = 40 mm.
* The patient has signed the informed consent
* The patient is a beneficiary of a social security programme \[national health insurance\]

Exclusion Criteria

* Patients with secondary low back pain
* Patients with severe depression, psychosis
* Patients who have already had a spa treatment in the previous 6 months
* Patients with a contraindication for spa treatment
* Patients with a professional activity related to hydrotherapy (to avoid any conflict of interest)
* Patients with sciatic pain beyond the knee (sciatica being a non-indication for spa treatment)
* Other treatments that may interact according to the judgment of the investigator
* Patients who live more than 30 km away from the spa
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Association Francaise pour la Recherche Thermale

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Centre de recherche rhumatologique et thermal

Aix-les-Bains, , France

Site Status RECRUITING

Countries

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France

Central Contacts

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Romain FORESTIER, MD

Role: CONTACT

00334 79 35 14 87

Facility Contacts

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Romain FORESTIER, Dr

Role: primary

0479351487

References

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Forestier R, Suehs C, Francon A, Marty M, Genevay S, Sellam J, Chauveton C, Erol Forestier FB, Molinari N. Usual care including home exercise with versus without spa therapy for chronic low back pain: protocol for the LOMBATHERM' study, a multicentric randomised controlled trial. Trials. 2020 May 11;21(1):392. doi: 10.1186/s13063-020-04271-9.

Reference Type DERIVED
PMID: 32393320 (View on PubMed)

Other Identifiers

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2018-A02801-54

Identifier Type: -

Identifier Source: org_study_id

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