Dance-therapy and Chronic Pain

NCT05689944 | Not Yet Recruiting

• 1 other identifier: 69HCL22_0361
• Study Type: interventional
• Target: 210
• Locations: 1 country
• Sites: 1

Brief Summary

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.

Conditions

Chronic Pain; Complex Regional Pain Syndromes; Tension-Type Headache

Keywords

Dance-therapy; Chronic pain; Complex Regional Pain Syndrome; Tension Type Headache; Adolescents

Outcome Measures

Primary Outcomes (1)

• Assesment of pain change

  Daily self-assessment on visual numerical scale of pain intensity upon awakening, at bedtime, and on average during the day. Each item is scored 0-10 (0= no pain; 10 = maximal pain). Reporting of the times during the day and night when the patient feels pain and its intensity.

  Weeks 0, 5, 16, 20 and 28.

Secondary Outcomes (10)

• Kinesiophobia

  Inclusion, weeks 5, 16, 20, 28.

• Anxiety (adolescents)

  Inclusion, weeks 5, 16, 20, 28

• Anxiety (adults)

  Inclusion, weeks 5, 16, 20, 28

• Pain catastrophizing

  Inclusion, weeks 5, 16, 20, 28.

• Fear of Pain (adolescents)

  Inclusion, weeks 5, 16, 20, 28.

Study Arms (4)

Control group

NO INTERVENTION

Patients in the control group will not participate in any art-therapy or yoga interventions. They will be asked to complete pain and sleep diaries, questionnaires and pain, fatigue and mood scales at the same times and for the same duration as the other groups.

Dance-therapy group

EXPERIMENTAL

Patients in the dance-therapy group will attend a weekly session of dance-therapy between weeks 1 and 15 of the protocol (15 sessions). They will be asked to complete daily pain and sleep diaries at weeks W0, W5, W16, W20 and W28 as well as questionnaires (kinesiophobia, anxiety, catastrophizing, fear of pain, quality of life, body image/self-perception). They will also be asked to assess their pain, fatigue and mood levels at the end of each week between W1 and W15.

Behavioral: Dance-therapy

Art-therapy group

EXPERIMENTAL

Patients in the art-therapy group will attend a weekly session of art-therapy (drawings, collages…) between weeks 1 and 15 of the protocol (15 sessions). They will be asked to complete daily pain and sleep diaries at weeks W0, W5, W16, W20 and W28 as well as questionnaires (kinesiophobia, anxiety, catastrophizing, fear of pain, quality of life, body image/self-perception). They will also be asked to assess their pain, fatigue and mood levels at the end of each week between W1 and W15.

Behavioral: Art-therapy

Yoga group

EXPERIMENTAL

Patients in the yoga group will attend a weekly session of Vinyasa yoga between weeks 1 and 15 of the protocol (15 sessions). They will be asked to complete daily pain and sleep diaries at weeks W0, W5, W16, W20 and W28 as well as questionnaires (kinesiophobia, anxiety, catastrophizing, fear of pain, quality of life, body image/self-perception). They will also be asked to assess their pain, fatigue and mood levels at the end of each week between W1 and W15.

Behavioral: Yoga

Interventions

Dance-therapy BEHAVIORAL

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 the session, 5mn of self-evaluation of the pain, the thymia, the fatigue and the level of appreciation of the session (VNS). After the session, the patient will be asked to think about the next session if he/she wishes (e.g. think of a choreography, remember what was done etc. ....) in order to encourage the commitment to care. These sessions will be based on contemporary dance and dance improvisation techniques.

Dance-therapy group

Art-therapy BEHAVIORAL

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 the level of appreciation of the session (VNS). After the session, the patient will be asked to think about the next session (e.g. collecting plants for collage....) in order to encourage commitment to the treatment. The sessions will be based on acrylic painting or collage techniques.

Art-therapy group

Yoga BEHAVIORAL

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 of the session (VNS). These sessions engage the body without entering into a therapy protocol turned towards art as in the two previous interventions.

Yoga group

Eligibility Criteria

• Age: 12 Years - 20 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Patients aged 12 to 20 years, girls or boys, with either complex regional pain syndrome (CRPS) or chronic tension-type headache (CTTH).
• Diagnosis of CRPS or chronic CTTH 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.

You may not qualify if:

• Patients with headaches other than CTTH
• Patients with other neurological or psychological disorders
• Patients with psychiatric illnesses
• Patients with chronic pain conditions other than CRPS or CTTH
• Patients with chronic infectious, metabolic, cancerous, autoimmune diseases.
• Patients whose motor limitations are not related to the diagnosis of CRPS or CTTH (e.g. cerebral palsy, spinal cord injury...)
• 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)

Sponsors & Collaborators

• Hospices Civils de Lyon: lead

Study Sites (1)

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

Bron, 69677, France

Location

MeSH Terms

Conditions

Chronic Pain; Complex Regional Pain Syndromes; Tension-Type Headache

Interventions

Dance Therapy; Art Therapy; Yoga

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Autonomic Nervous System Diseases; Nervous System Diseases; Peripheral Nervous System Diseases; Neuromuscular Diseases; Headache Disorders, Primary; Headache Disorders; Brain Diseases; Central Nervous System Diseases

Intervention Hierarchy (Ancestors)

Sensory Art Therapies; Complementary Therapies; Therapeutics; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Exercise Movement Techniques; Physical Therapy Modalities; Psychotherapy; Behavioral Disciplines and Activities; Mind-Body Therapies; Spiritual Therapies

Central Study Contacts

Maud FROT, INSERM Researcher

CONTACT

04 72 35 78 88; maud.frot@univ-lyon1.fr

Caroline PERCHET, research engineer

CONTACT

04 72 35 78 88; caroline.perchet@univ-lyon1.fr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 1, 2022
• First Posted: January 19, 2023
• Study Start: May 1, 2023
• Primary Completion (Estimated): December 1, 2029
• Study Completion (Estimated): December 1, 2029
• Last Updated: May 6, 2023

Record last verified: 2023-05

Data Sharing

• IPD Sharing: Will not share

Locations

FR (1)