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Low Back PainNCT04812678

Efficacy of DBM Fasciatherapy for Patients Suffering From Chronic Low Back Pain

A study testing Fasciatherapy and Physiotherapy in people with Low Back Pain, run by FasciaFrance at 1 site in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial 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. Read more about this study

Who is it for?
Ages 30 to 60 years
Conditions the study is for
Low Back Pain
What is being tested?
Fasciatherapy and Physiotherapy
Type of treatment
Surgery or procedure
Could I receive a placebo?
No, everyone receives an active treatment
How many people
188 participants
Where
1 siteFrance
Study dates
1 May 2021to 6 Sep 2023
Phase
Interventional
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 30 to 60 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • First consultation for Low Back Pain with the practitioner
  • Having a diagnostic of chronic non-specific Low Back Pain based on the French Haute Autorité de Santé guidelines (https://www.has-sante.fr/upload/docs/application/pdf/2019-04/fm_lombalgie_v2_2.pdf):
  • excluding specific Low Back Pain (tumor, infection, inflammation, etc.)
  • no red flag
  • Low Back Pain for more than 3 months
  • Having had the French validated version of:
Show all 9Show fewer
  • evaluation of pain intensity with Visual Analog Scale
  • STarT Back Screening Tool questionnaire
  • Dallas Pain questionnaire

Who cannot join

  • Specific Low Back Pain (rheumatologist disease, tumoral compression, central neurological pathology, etc.)
  • Psychiatric disorder (apart from the usual co-morbidities of chronic low back pain)
  • Pregnancy or breastfeeding
  • Being under guardianship or curatorship
  • Deprivation of liberty or legal protection measure
  • Being unable to give consent
  • Being unable of fill out a questionnaire

Trial locations and contacts

1 site in 1 country.

France1 site
  • FasciaFrance

    Clermont-Ferrand, 63000

Other trials in France

About this study

Official title: Interest of DBM Fasciatherapy for Physiotherapy in the Care of Patients Suffering From Non-Specific Chronic Low Back Pain: a Cluster Randomized Multicenter Clinical Trial

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.

Read more

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.

Conditions
Low Back Pain
Being tested
Fasciatherapy, Physiotherapy
Keywords
Low Back Pain, DBM Fasciatherapy, Physiotherapy, Manual Therapy, Fascia
Medical subject headings
Low Back Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FasciatherapyProcedure or surgery

    Also called DBM Fasciatherapy, Danis Bois Method Fasciatherapy

    Fasciatherapy, with manual therapy and/or gestual therapy.

  • PhysiotherapyProcedure or surgery

    Also called Physical Therapy

    Conventional physiotherapy with massage, exercises, electrotherapy, vertebral traction, heat, cold.

Study groups in NCT04812678
Study groupRoleWhat they receive
PhysiotherapyActive comparatorConventional physiotherapy, in line with french "Haute Autorité de Santé" guidelines
Receives: Procedure: Physiotherapy
Physiotherapy and FasciatherapyExperimentalConventional physiotherapy, in line with french "Haute Autorité de Santé" guidelines, associated with Fasciatherapy Danis Bois Method
Receives: Procedure: Fasciatherapy; Procedure: Physiotherapy
FasciatherapyExperimentalFasciatherapy Danis Bois Method
Receives: Procedure: Fasciatherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pain Intensity

    Measure of pain intensity with Visual Analog Scale: 0 (no pain) to 10 (worst imaginable pain)

    Measured: Before the 1st session (start of the study for the patient)

  2. Pain Intensity

    Measure of pain intensity with Visual Analog Scale: 0 (no pain) to 10 (worst imaginable pain)

    Measured: After the 1st session (30 to 45 minutes after the previous measure)

  3. Pain Intensity

    Measure of pain intensity with Visual Analog Scale: 0 (no pain) to 10 (worst imaginable pain)

    Measured: Before the 2nd session (within a total timeframe of 3 months)

  4. Pain Intensity

    Measure of pain intensity with Visual Analog Scale: 0 (no pain) to 10 (worst imaginable pain)

    Measured: After the 2nd session (30 to 45 minutes after the previous measure)

  5. Pain Intensity

    Measure of pain intensity with Visual Analog Scale: 0 (no pain) to 10 (worst imaginable pain)

    Measured: Before the 3rd session (within a total timeframe of 3 months)

  6. Pain Intensity

    Measure of pain intensity with Visual Analog Scale: 0 (no pain) to 10 (worst imaginable pain)

    Measured: After the 3rd session (30 to 45 minutes after the previous measure)

  7. Pain Intensity

    Measure of pain intensity with Visual Analog Scale: 0 (no pain) to 10 (worst imaginable pain)

    Measured: Before the 4th session (within a total timeframe of 3 months)

  8. Pain Intensity

    Measure of pain intensity with Visual Analog Scale: 0 (no pain) to 10 (worst imaginable pain)

    Measured: After the 4th session (30 to 45 minutes after the previous measure)

  9. Pain Intensity

    Measure of pain intensity with Visual Analog Scale: 0 (no pain) to 10 (worst imaginable pain)

    Measured: Before the 5th session (within a total timeframe of 3 months)

  10. Pain Intensity

    Measure of pain intensity with Visual Analog Scale: 0 (no pain) to 10 (worst imaginable pain)

    Measured: After the 5th session (30 to 45 minutes after the previous measure)

Secondary outcomes (29)
  1. Change in Trait of Anxiety

    Evaluation of the change in trait of anxiety with State Trait Inventory Anxiety questionnaire, part Y-B: scale from 20 (no anxiety) to 80 (maximum anxiety)

    Measured: Before the 1st session

  2. Evaluation of State of Anxiety

    Evaluation of the change in state of anxiety with State Trait Inventory Anxiety questionnaire, part Y-A: scale from 20 (no anxiety) to 80 (maximum anxiety)

    Measured: Before the 1st session (start of the study for the patient)

  3. Evaluation of State of Anxiety

    Evaluation of the change in state of anxiety with State Trait Inventory Anxiety questionnaire, part Y-A: scale from 20 (no anxiety) to 80 (maximum anxiety)

    Measured: After the 1st session (30 to 45 minutes after the previous measure)

  4. Evaluation of State of Anxiety

    Evaluation of the change in state of anxiety with State Trait Inventory Anxiety questionnaire, part Y-A: scale from 20 (no anxiety) to 80 (maximum anxiety)

    Measured: Before the 2nd session (within a total timeframe of 3 months)

  5. Evaluation of State of Anxiety

    Evaluation of the change in state of anxiety with State Trait Inventory Anxiety questionnaire, part Y-A: scale from 20 (no anxiety) to 80 (maximum anxiety)

    Measured: After the 2nd session (30 to 45 minutes after the previous measure)

  6. Evaluation of State of Anxiety

    Evaluation of the change in state of anxiety with State Trait Inventory Anxiety questionnaire, part Y-A: scale from 20 (no anxiety) to 80 (maximum anxiety)

    Measured: Before the 3rd session (within a total timeframe of 3 months)

  7. Evaluation of State of Anxiety

    Evaluation of the change in state of anxiety with State Trait Inventory Anxiety questionnaire, part Y-A: scale from 20 (no anxiety) to 80 (maximum anxiety)

    Measured: After the 3rd session (30 to 45 minutes after the previous measure)

  8. Evaluation of State of Anxiety

    Evaluation of the change in state of anxiety with State Trait Inventory Anxiety questionnaire, part Y-A: scale from 20 (no anxiety) to 80 (maximum anxiety)

    Measured: Before the 4th session (within a total timeframe of 3 months)

  9. Evaluation of State of Anxiety

    Evaluation of the change in state of anxiety with State Trait Inventory Anxiety questionnaire, part Y-A: scale from 20 (no anxiety) to 80 (maximum anxiety)

    Measured: After the 4th session (30 to 45 minutes after the previous measure)

  10. Evaluation of State of Anxiety

    Evaluation of the change in state of anxiety with State Trait Inventory Anxiety questionnaire, part Y-A: scale from 20 (no anxiety) to 80 (maximum anxiety)

    Measured: Before the 5th session (within a total timeframe of 3 months)

  11. Evaluation of State of Anxiety

    Evaluation of the change in state of anxiety with State Trait Inventory Anxiety questionnaire, part Y-A: scale from 20 (no anxiety) to 80 (maximum anxiety)

    Measured: After the 5th session (30 to 45 minutes after the previous measure)

  12. Analgesic Consumption

    Evaluation of analgesic consumption (interview of the patient)

    Measured: 1st session (start of the study for the patient)

  13. Analgesic Consumption

    Evaluation of analgesic consumption (interview of the patient)

    Measured: 2nd session (within a total timeframe of 3 months)

  14. Analgesic Consumption

    Evaluation of analgesic consumption (interview of the patient)

    Measured: 3rd session (within a total timeframe of 3 months)

  15. Analgesic Consumption

    Evaluation of analgesic consumption (interview of the patient)

    Measured: 4th session (within a total timeframe of 3 months)

  16. Analgesic Consumption

    Evaluation of analgesic consumption (interview of the patient)

    Measured: 5th session (within a total timeframe of 3 months)

  17. Change in Trait of Anxiety

    Evaluation of the change in trait of anxiety with State Trait Inventory Anxiety questionnaire, part Y-B: scale from 20 (no anxiety) to 80 (maximum anxiety)

    Measured: After the last (5st) session, in a timeframe of 3 months

  18. Change in the Quality of Life - Physical Score

    Assessment of the change in the quality of life with the French version of the short version (SF-12) of "Short Form with 36 questions" (SF-36) questionnaire: scale from 0 (bad) to 100 (best)

    Measured: Before the 1st session

  19. Change in the Quality of Life - Physical Score

    Assessment of the change in the quality of life with the French version of the short version (SF-12) of "Short Form with 36 questions" (SF-36) questionnaire: scale from 0 (bad) to 100 (best)

    Measured: After the 5st session

  20. Change in the Quality of Life - Mental Score

    Assessment of the change in the quality of life with the French version of the short version (SF-12) of "Short Form with 36 questions" (SF-36) questionnaire: scale from 0 (bad) to 100 (best)

    Measured: Before the 1st session

  21. Change in the Quality of Life - Mental Score

    Assessment of the change in the quality of life with the French version of the short version (SF-12) of "Short Form with 36 questions" (SF-36) questionnaire: scale from 0 (bad) to 100 (best)

    Measured: After the 5st session

  22. Change in Functional Abilities - Daily Activities

    Evaluation of the functional disability change, with French version of Dallas Pain Questionnaire: 4 items evaluated from 0 (no impact) to 100% (maximun impact)

    Measured: Before the 1st session

  23. Change in Functional Abilities - Daily Activities

    Evaluation of the functional disability change, with French version of Dallas Pain Questionnaire: 4 items evaluated from 0 (no impact) to 100% (maximun impact)

    Measured: After the 5st session

  24. Change in Functional Abilities - Professional and Leisure Activities

    Evaluation of the functional disability change, with French version of Dallas Pain Questionnaire: 4 items evaluated from 0 (no impact) to 100% (maximun impact)

    Measured: Before the 1st session

  25. Change in Functional Abilities - Professional and Leisure Activities

    Evaluation of the functional disability change, with French version of Dallas Pain Questionnaire: 4 items evaluated from 0 (no impact) to 100% (maximun impact)

    Measured: After the 5st session

  26. Change in Functional Abilities - Anxiety and Depression

    Evaluation of the functional disability change, with French version of Dallas Pain Questionnaire: 4 items evaluated from 0 (no impact) to 100% (maximun impact)

    Measured: Before the 1st session

  27. Change in Functional Abilities - Anxiety and Depression

    Evaluation of the functional disability change, with French version of Dallas Pain Questionnaire: 4 items evaluated from 0 (no impact) to 100% (maximun impact)

    Measured: After the 5st session

  28. Change in Functional Abilities - Sociability

    Evaluation of the functional disability change, with French version of Dallas Pain Questionnaire: 4 items evaluated from 0 (no impact) to 100% (maximun impact)

    Measured: Before the 1st session

  29. Change in Functional Abilities - Sociability

    Evaluation of the functional disability change, with French version of Dallas Pain Questionnaire: 4 items evaluated from 0 (no impact) to 100% (maximun impact)

    Measured: After the 5st session

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted24 Mar 2021
  2. Study start1 May 2021
  3. Primary completion6 Sep 2023
  4. Study completion6 Sep 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
188 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04812678
Sponsor's protocol ID
FF2021
Status last verified
Feb 2025
First submitted
17 Mar 2021
Last updated
24 Apr 2025
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No: No IPD sharing

Publications

  • Bruyere O, Demoulin M, Beaudart C, Hill JC, Maquet D, Genevay S, Mahieu G, Reginster JY, Crielaard JM, Demoulin C. Validity and reliability of the French version of the STarT Back screening tool for patients with low back pain. Spine (Phila Pa 1976). 2014 Jan 15;39(2):E123-8. doi: 10.1097/BRS.0000000000000062.

    PubMed 24108286
  • Marty M, Blotman F, Avouac B, Rozenberg S, Valat JP. Validation of the French version of the Dallas Pain Questionnaire in chronic low back pain patients. Rev Rhum Engl Ed. 1998 Feb;65(2):126-34.

    PubMed 9540121
  • Leplege A, Ecosse E, Verdier A, Perneger TV. The French SF-36 Health Survey: translation, cultural adaptation and preliminary psychometric evaluation. J Clin Epidemiol. 1998 Nov;51(11):1013-23. doi: 10.1016/s0895-4356(98)00093-6.

    PubMed 9817119
  • Lawlis GF, Cuencas R, Selby D, McCoy CE. The development of the Dallas Pain Questionnaire. An assessment of the impact of spinal pain on behavior. Spine (Phila Pa 1976). 1989 May;14(5):511-6. doi: 10.1097/00007632-198905000-00007.

    PubMed 2524890
  • Ware J, Kolinski M, Keller S. How to score the SF-12 physical and mental health summaries: a user's manual. Boston: The Health Institute, New England Medical Centre, Boston, MA. 1995;

  • Carlsson AM. Assessment of chronic pain. I. Aspects of the reliability and validity of the visual analogue scale. Pain. 1983 May;16(1):87-101. doi: 10.1016/0304-3959(83)90088-X.

    PubMed 6602967
  • Boureau F. L'appréciation de la sévérité d'une douleur chronique. Médecine et hygiène. 1987;45(1703):1560-6.

  • Wilke J, Schleip R, Klingler W, Stecco C. The Lumbodorsal Fascia as a Potential Source of Low Back Pain: A Narrative Review. Biomed Res Int. 2017;2017:5349620. doi: 10.1155/2017/5349620. Epub 2017 May 11.

    PubMed 28584816
  • Courraud C, Bois D, Lieutaud A. Apports de la pratique de la fasciathérapie à l'exercice de la physiothérapie: le point de vue des praticiens. Mains Libres. 2016;(3):49-58.

Questions about this trial

What is this clinical trial studying?

A study testing Fasciatherapy and Physiotherapy in people with Low Back Pain, run by FasciaFrance at 1 site in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 9 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Apr 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Yes. Results are posted in the registry (first posted 24 Apr 2025). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain Intensity (time frame: Before the 1st session (start of the study for the patient)). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04812678, which also lists 9 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Apr 2025.

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