Efficacy on Anxiety of the Digital Music Application Versus Equimolar Mixture of Oxygen and Nitrous Oxide in Patients Receiving CT-guided Lumbar Infiltration
MKI-TDM
Evaluation de l'efficacité Sur l'anxiété de l'Application numérique Musicale, Music Care® Versus MEOPA, Kalinox® Chez Des Patients bénéficiant d'Une Infiltration Lombaire scanoguidée. Etude Monocentrique contrôlée randomisée de Non infériorité en Ouvert.
1 other identifier
interventional
128
1 country
1
Brief Summary
Since the Covid-19 crisis, patients appear more stressed, with increasing fear of exams and the hospital environment, in particular for CT scan teams, which require injections. Currently, an equimolar mixture of oxygen and nitrous oxide (EMONO) is used to calm patients. However, the patient's prone position complicates its use, with patients sometimes in painful position and the discomfort of gas inhalation (nausea, dizziness, etc.), as well as reduced lung capacity. Greater patient anxiety increases the risk of complications, or even failure, (unexpected movement, stiffness, refusal to complete the procedure, etc.). In this study, music therapy using Music Care® tablets, was tested to replace EMONO. The study authors hypothesize that the use of the Music Care® device will have a comparable efficacy to that of EMONO (non-inferiority) in reducing patient anxiety during CT-guided lumbar infiltration. Furthermore, the study authors hypothesize that this simple, non-invasive method, with no contraindications for the patient, will be better tolerated and appreciated by both the patient and the paramedical team in charge of the treatment.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable low-back-pain
Started Oct 2025
Longer than P75 for not_applicable low-back-pain
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
April 8, 2025
CompletedFirst Posted
Study publicly available on registry
April 15, 2025
CompletedStudy Start
First participant enrolled
October 21, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
June 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
June 1, 2029
February 20, 2026
February 1, 2026
1.6 years
April 8, 2025
February 18, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (3)
Anxiety between groups
0-100 visual analog scale (VSA)
Baseline
Anxiety between groups
0-100 visual analog scale (VSA)
Day 0: upon locating helix and a skin location
Anxiety between groups
0-100 visual analog scale (VSA)
Day 0: before injection of corticosteroids
Secondary Outcomes (11)
Patient satisfaction between groups
Day 0: Before discharge from imagery department
Patient comfort between groups
Day 0: After injection of corticosteroids
Patient-reported pain between groups
Day 0: Before injection of corticosteroids
Patient-reported pain between groups
Day 0: After injection of corticosteroids
Anxiety between groups according to type of injection (foraminal, pudendal or posterior articular)
Day 0: Before injection of corticosteroids
- +6 more secondary outcomes
Study Arms (2)
Music Care
EXPERIMENTALControl
ACTIVE COMPARATORInterventions
Installation of the Music Care® device, selection of the sequence based on the patient's musical taste, listening to at least 20-minute sequence in the preparation room. Once placed on the scanner table, the patient listens to the same sequence as in the preparation room.
Eligibility Criteria
You may qualify if:
- The patient must have given their free and informed consent and signed the consent form
- The patient must be a member or beneficiary of a health insurance plan
- Patients with low back pain for whom scan-guided infiltration is indicated, whether at the foraminal level, posterior joints, pudendal, epidural, sacroiliac, or via the sacrococcygeal hiatus.
- Patient with an anxiety score ≥ 35/100 based on the STAI-ETAT questionnaire
You may not qualify if:
- The subject refuses to sign the consent
- It is impossible to give the subject informed information
- The patient is under safeguard of justice or state guardianship
- Indication for epidural injection
- Patient who is deaf or hard of hearing
- Contraindications to EMONO
- Facial or head trauma making it impossible to wear a nasofacial mask or headphones
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
CHU de Nimes
Nîmes, France
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Florelle TERRA
Centre Hospitalier Universitaire de Nīmes
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- OTHER
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
April 8, 2025
First Posted
April 15, 2025
Study Start
October 21, 2025
Primary Completion (Estimated)
June 1, 2027
Study Completion (Estimated)
June 1, 2029
Last Updated
February 20, 2026
Record last verified: 2026-02