Efficacy of DBM Fasciatherapy for Patients Suffering From Chronic Low Back Pain
Condition: Low Back Pain
MeSH terms: Back Pain; Low Back Pain
Study type: Interventional

Summary: 
      Low back pain (LBP) is pain localized below the costal margin and above the inferior gluteal
      folds. It may be associated with radiculalgia. Non-specific LBP refers to LBP without
      specific problems such as infection, inflammation, vertebral fracture or cancer. Chronic LBP
      is a LBP lasting more than 3 months.

      The causes of LBP remain unknown. While there are recommendations for physiotherapy, the
      protocol of care is not well defined. New therapeutic models centered on neurophysiology are
      replacing biomechanics-based models. New programs centered on patient education and a
      biopsychosocial approach are emerging.

      Research has shown the possible involvement of fascia in LBP and the interest of manual
      fascia therapies in the treatment of LBP. To date, there are no studies that have shown the
      effects of fasciatherapy in the treatment of non-specific LBP.

      In France, many physiotherapists use this type of treatment and more specifically
      fasciatherapy. French physiotherapists say that it may improve their management of LBP.
      Studies on fasciatherapy have highlighted the effects of fasciatherapy in the management of
      fibromyalgia pain, the treatment of anxiety, malaise and the improvement of body perception.
      They show the multidimensional actions of fasciatherapy and support its clinical, functional
      and psychosocial evaluation for LBP.

      Fasciatherapy is part of the manual therapies that target their action on the fascial system.
      This "patient-centered" technique is a biopsychosocial and humanistic approach to health. The
      manual and gestural approaches of the fascia are part of the Non-Pharmaceutical Interventions
      field. Fasciatherapy involves manual and gestural interventions, with the objective of
      restoring the contractile, elastic and movement properties of the fascia in order to provide
      relief, improve function and quality of life for patients.

      In France, fasciatherapy is not part of recommendations and is not recognized by the Conseil
      National de l'Ordre des Masseurs-Kinésithérapeutes.

      This study aims to assess the effects of fasciatherapy on LBP and to evaluate how it could
      contribute to its management for physiotherapists. It is a cluster randomized trial conducted
      on 180 subjects. Intensity of pain (measured with VAS) is the primary outcome. The secondary
      outcomes are the impact of LBP on daily life (Dallas Pain Questionnaire), on quality of life
      (SF-12 questionnaire), on anxiety (STAI questionnaire), and the evolution of drug
      consumption.

      The study will take place in France and the treatment structures will be the practitioners'
      practice.
    


Intervention name(s): Fasciatherapy; Physiotherapy
Intervention type(s): Procedure; Procedure
Intervention description(s): Fasciatherapy, with manual therapy and/or gestual therapy.; Conventional physiotherapy with massage, exercises, electrotherapy, vertebral traction, heat, cold.
Other intervention name(s): DBM Fasciatherapy; Danis Bois Method Fasciatherapy; Physical Therapy
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Low Back Pain; DBM Fasciatherapy; Physiotherapy; Manual Therapy; Fascia