ECAP: Essential Oil for Chronic Low Back Pain
Study Details
Study Description
Brief Summary
The specific objective of this study is to assess the safety and clinical efficacy of a new individualised spinal rehabilitation programme involving copaiba essential oil (CEO) therapy compared to usual care for people with chronic low back pain. Research in complementary and alternative medicine has increased over the last 15 years. As biochemical research shows, these substances carry the ability to relieve pain and to reduce inflammation. In doing so, it aims to:
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Improve the health outcomes for individuals with chronic low back pain (CLBP) by positively impacting their pain, disability, work capacity, physical activity and mental health, and
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Reduce the chronic health burden on society associated with treatment, sick leave, rehabilitation, and involuntary retirement, by reducing health-related costs.
The primary clinical hypothesis is that patients with CLBP receiving individualised spinal care and additional CEO topical treatment will have superior short- and long-term outcome (defined by condition specific quality of life and general well-being) compared to usual care.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Standard care and CEO treatment with standard 20% concentration Copaiba oil
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Other: usual care and topical essential copaiba oil
All subjects will receive daily interdisciplinary - multimodular -treatment during their hospital stay including a daily 30 minute massage therapy. Both experimental groups and the placebo group patients continue to use topical treatment in the first half of the follow up period (90 days).
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Experimental: Standard care and CEO treatment with 40% concentration Copaiba oil
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Other: usual care and topical essential copaiba oil
All subjects will receive daily interdisciplinary - multimodular -treatment during their hospital stay including a daily 30 minute massage therapy. Both experimental groups and the placebo group patients continue to use topical treatment in the first half of the follow up period (90 days).
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Placebo Comparator: standard care and placebo treatment with coconut oil
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Other: usual care and placebo treatment
All subjects will receive daily interdisciplinary - multimodular -treatment during their hospital stay including a daily 30 minute massage therapy. Both experimental groups and the placebo group patients continue to use topical treatment in the first half of the follow up period (90 days).
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Active Comparator: Standard care
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Other: usual care
All subjects will receive daily interdisciplinary - multimodular -treatment during their hospital stay.
|
Outcome Measures
Primary Outcome Measures
- Pain intensity [6 months]
Visual Analogue Scale measured on a scale 0-10 where the higher the number the worse the pain intensity
- Function [6 months]
Oswestry Disability Index
Secondary Outcome Measures
- Core Outcome Measures Index Back (COMI Back) [6 months]
A brief instrument for assessing the main outcomes of importance to patients with back problems (pain, function, symptom-specific well-being, quality of life, disability).
- Quality of Life [6 months]
EuroQoL-5D
- Psychological measurements- Fear Avoidance Beliefs [6 months]
Fear Avoidance Beliefs Questionnaire
- Psychological measurements- Depression [6 months]
Beck Depression Inventory
- Psychological measurements- Pain catastrophization: [6 months]
Pain Catastrophizing Scale
- Psychological measurements- Anxiety [6 months]
State-Trait Anxiety Inventory
- Spinal function [6 months]
Timed Up and Go (TUG) test
- Spinal active range of motion [6 months]
range of motion
- Global treatment outcome [6 months]
7- point Likert scale ( higher numbers representing worse the outcome)
- Patient satisfaction [6 months]
5- point Likert scale (smaller number represent more satisfied patients)
- Demand of treatment [6 months]
Pain medication and applied therapies after discharge
Eligibility Criteria
Criteria
Inclusion Criteria:
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Chronic low back pain with or without irradiating pain (pain > 3 months)
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Low back pain is the dominant symptom, and Visual Analog Pain Scale (low back pain)>4
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Normal cognitive function, voluntary participation
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Able to read and answer the questionnaires in English or Hungarian language
Exclusion Criteria:
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Previous spinal surgery
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Untreated metabolic bone disease
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Active malignant disease
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Pregnancy
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Severe osteoporosis, fracture or posttraumatic deformity
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Spinal infection
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Neuromuscular disease
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Autoimmune disease
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Myelopathy
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Congenital spinal deformity
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Mental disorders
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Severe sciatica
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Severe spinal instability
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Refusing the study protocol
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | National Center for Spinal Disorders / Buda Health Center | Budapest | Hungary | 1126 |
Sponsors and Collaborators
- Buda Health Center
- dōTERRA International
Investigators
- Principal Investigator: Peter Pal Varga, MD, Buda Health Center
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- DO-221014-COP