Low-back Pain During Pregnancy and Its Psycho-social Implications

NCT ID: NCT04682002

Last Updated: 2020-12-23

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

75 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-12-15

Study Completion Date

2021-08-30

Brief Summary

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Pregnancy-related pelvic girdle pain (PPP) and pregnancy-related lumbar pain (PLBP) are two distinct symptoms, which can occur together as lumbar-pelvic pain.The primary objective is to measure the impact of osteopathic manipulative treatment on pregnancy-related lumbar and pelvic pain. The secondary objective is to study the interaction between pain and psycho-social factors during the gestational period.

Detailed Description

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Conditions

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Pregnancy Related Low Back Pain Pelvic Girdle Pain

Keywords

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osteopathic manipulative treatment pregnancy pain low back pain pelvic girdle pain psychological factors

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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OMT + multidisciplinary path

Patients in the experimental group will follow the obstetrician's and multidisciplinary path which provides osteopathic treatments, mindfulness, yoga, clinical nutrition, coaching and usual obstetric care.

Group Type EXPERIMENTAL

Osteopathic manipulative treatment

Intervention Type OTHER

OMT will be used to treat pregnancy women after having performed a manual osteopathic assessment. The first osteopathic evaluation is carried out during the 12th week, with the possibility to undertake a personalized treatment built on the needs of the single patient; the chosen techniques are based on the collected data by the operator. A "black-box" type of treatment is undertaken.

Mindfulness

Intervention Type OTHER

Mindfulness group weekly meetings. Mindfulness practices consist of cognitive and behavioral treatments for depression and anxiety, including mindfulness-based stress reduction and mindfulness-based cognitive therapy.

Yoga

Intervention Type OTHER

Weekly yoga group meetings. Yoga is a mind-body practice that encompasses a system of postures, deep breathing, and meditation. In this context, yoga practice is adapted to pregnancy with the aim of benefit women who suffer from anxiety, depression, stress, low back pain, and sleep disturbances.

Clinical nutrition

Intervention Type OTHER

Nutritional advice to all women participating in the study at 12 weeks of pregnancy, with the possibility of starting an individualized path.

Coaching

Intervention Type OTHER

There will be five personalized coaching sessions during the pregnancy.

Usual care

Patients in control group will continue the routine obstetrical care as established by international guidelines

Group Type OTHER

Usual care

Intervention Type OTHER

Administration of routine care based on international guidelines

Interventions

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Osteopathic manipulative treatment

OMT will be used to treat pregnancy women after having performed a manual osteopathic assessment. The first osteopathic evaluation is carried out during the 12th week, with the possibility to undertake a personalized treatment built on the needs of the single patient; the chosen techniques are based on the collected data by the operator. A "black-box" type of treatment is undertaken.

Intervention Type OTHER

Usual care

Administration of routine care based on international guidelines

Intervention Type OTHER

Mindfulness

Mindfulness group weekly meetings. Mindfulness practices consist of cognitive and behavioral treatments for depression and anxiety, including mindfulness-based stress reduction and mindfulness-based cognitive therapy.

Intervention Type OTHER

Yoga

Weekly yoga group meetings. Yoga is a mind-body practice that encompasses a system of postures, deep breathing, and meditation. In this context, yoga practice is adapted to pregnancy with the aim of benefit women who suffer from anxiety, depression, stress, low back pain, and sleep disturbances.

Intervention Type OTHER

Clinical nutrition

Nutritional advice to all women participating in the study at 12 weeks of pregnancy, with the possibility of starting an individualized path.

Intervention Type OTHER

Coaching

There will be five personalized coaching sessions during the pregnancy.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Women aged 18-44
* Primiparae
* Single pregnancy
* Spontaneous pregnancy - fisiological pregnancy
* pregnancy \>= 12 weeks
* low-back pain (between the 12th rib and the lumbo-pelvic region) and/or pelvic (in the pubic region and/or in one or both of the sacro-iliac joint and/or of the gluteal region) non specific
* consent to treatment
* absence of linguistic barriers

Exclusion Criteria

* Women aged \<18 o \>44
* Pathological pregnancy, twins
* Metabolic pathologies
* Obstetrician's emergencies
* Pre-term birth
* Specific lumbar and/or pelvic pain - Genetics disorders
* Major congenital anomalies
* Absence of consent to treatment
* Presence of linguistic barriers
Minimum Eligible Age

18 Years

Maximum Eligible Age

44 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

Yes

Sponsors

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Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico

OTHER

Sponsor Role collaborator

Come Collaboration

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Niccolò Giovanni, MD

Role: PRINCIPAL_INVESTIGATOR

Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico

Central Contacts

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Francesco Cerritelli, PhD

Role: CONTACT

Phone: +393394332801

Email: [email protected]

Andrea Manzotti, PT

Role: CONTACT

Phone: +3902 2052 0939

Email: [email protected]

Other Identifiers

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COME-02-20

Identifier Type: -

Identifier Source: org_study_id