Dance-therapy and Chronic Pain (ALGODANCE)

Civil Hospices of Lyon

Status: Not yet enrolling

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

Treatments: Behavioral: Dance-therapy; Behavioral: Yoga; Behavioral: Art-therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05689944

69HCL22_0361

Details and patient eligibility

About

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.

Enrollment: 210 estimated patients

Sex: All

Ages: 12 to 20 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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.

Exclusion criteria

• 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)

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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210 participants in 4 patient groups

Control group

No Intervention group

Description:

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 group

Description:

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.

Treatment:

Behavioral: Dance-therapy

Art-therapy group

Experimental group

Description:

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.

Treatment:

Behavioral: Art-therapy

Yoga group

Experimental group

Description:

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.

Treatment:

Behavioral: Yoga