Osteopathy Treatment for Cancer Pain Related to the Confinement to Bed

Study Overview
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Brief Summary
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Staying confined in the bed is frequent at the end of life. The cancer patients can also experiment this situation, and consequences are painful, with pain increasing with the time. This pain are related to the joints stiffing , muscles mass decreasing, and tendons retractions . The non pharmacological approach associated with the conventional treatments can be interesting to assess in this frails patients.

Official Title
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Osteopathy Treatment for Cancer Pain Related to the Confinement to Bed Pilot Study

Conditions
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Cancer Patient Confined in the Bed

Intervention / Treatment
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* Other: Osteopathic treatment


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Man or woman Aged 18 years or older Having signed informed consent to participate in the study Patient affiliated to a social security scheme Patient with pain affecting the musculoskeletal system following prolonged bed rest Capable to understand French Capable of completing self-assessment scales Exclusion Criteria: Patients with bone metastases at risk for the use of osteopathy Patients under legal protection measures Patients with cognitive impairment preventing self-evaluation Patient who is considered too fragile or with a clinical condition too unstable by the doctor refer to be included in the study Patients in the pre-agonic or agonic phase

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Osteopathy treatment<br> | Other: Osteopathic treatment<br>* The patients meeting the inclusions criteria will be informed of the study and an osteopathic treatment holistic ,involving all the body will be applied, three time with 2 days between the treatments .Each meeting with the practitioner will last around 40 minutes. The pain and symptoms assessment will be done before and after the treatment .<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decreased pain intensity of 2 points measured by Analog Visual Scale (AVS) before and after the session |  | 15 days | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Decrease in analgesic consumption for pain related to immobilization |  | 15 days | 
| Decreased 2 points of intensity of other symptoms associated before and after session measured with Edmonton Symptom Assessment System (ESAS). |  | 15 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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advanced cancer, osteopathy, pain, bedridden