The ACAMTO study—impact of add-on osteopathic treatment on adolescent patients with anorexia nervosa: study protocol for a randomized controlled trial

Abstract Background Anorexia nervosa (AN) mainly affects women (sex ratio 1/10) and most often starts during adolescence. The prognosis of AN remains poor (10% of deaths and high risk of chronicity). Body dissatisfaction, disturbances in recognition and identification of body sensations are some of...

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Autores principales:	Aurélie Letranchant, Yunkyung Kim-de Montebello, Corinne Dugré-Le bigre, Agathe Wagner, Florence Curt, Jérôme Silva, Isabelle Nicolas, Pablo Votadoro, Nina Kalindjian, Anna Korchonnoff, Andréa Gutierre, Ana Beatriz Novelli, Alexandra Pham-Scottez, Maurice Corcos
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Anorexia nervosa Body approach Interoception Osteopathic medicine Osteopathic treatment Randomized controlled trial Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/2a678ac9c6014c89a40d8d13c5427f40
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spelling	oai:doaj.org-article:2a678ac9c6014c89a40d8d13c5427f402021-11-28T12:28:10ZThe ACAMTO study—impact of add-on osteopathic treatment on adolescent patients with anorexia nervosa: study protocol for a randomized controlled trial10.1186/s13063-021-05810-81745-6215https://doaj.org/article/2a678ac9c6014c89a40d8d13c5427f402021-11-01T00:00:00Zhttps://doi.org/10.1186/s13063-021-05810-8https://doaj.org/toc/1745-6215Abstract Background Anorexia nervosa (AN) mainly affects women (sex ratio 1/10) and most often starts during adolescence. The prognosis of AN remains poor (10% of deaths and high risk of chronicity). Body dissatisfaction, disturbances in recognition and identification of body sensations are some of the key symptoms of AN. However, there is a contrast between this consensual observation of body image disorders in AN, and the relative deficit of specifically targeted body treatments. Our proposal for a body approach specifically dedicated to AN is based on the understanding that posture, breathing, muscle tension and body perception are closely linked to our psychological and emotional state and are therefore disturbed in patients with AN. The purpose of this monocentric randomized controlled trial is to evaluate if a targeted osteopathic protocol treatment for AN in addition to treatment as usual (TAU) is significantly more effective than TAU alone. Methods In total, 72 patients meeting the inclusion criteria will be randomly assigned to one of the two treatment groups: one receiving the specific osteopathic treatment targeted for AN in addition to the TAU (group A) and the other one, receiving TAU only (group B). The patients in group A will receive 5 30-min osteopathic treatment sessions. Soft specific palpatory techniques on the diaphragm, digestive system and cervical region will be performed. The TAU is defined by the multidisciplinary approach recommended by the French health high authority. The primary outcome is the evaluation of interoceptive sensibility and secondary outcomes include clinical and psychopathology-related symptoms with assessment of somatic dysfunctions’ evolution. A qualitative study will also be carried out, applying the Interpretative Phenomenological Analysis method. Patients will be included for a maximum of 14 weeks between the inclusion time and the last evaluation. Discussion If the results of the study are positive (statistically significant efficacy of this osteopathic treatment protocol), the study will provide arguments in favor of osteopathic sessions as a possible non-invasive additional treatment option in the multidisciplinary care approach for patients with AN. Trial registration ClinicalTrials.gov ID: NCT04666415 , Release Date: December 11, 2020; N° ID-RCB: 2019-A02613-54.Aurélie LetranchantYunkyung Kim-de MontebelloCorinne Dugré-Le bigreAgathe WagnerFlorence CurtJérôme SilvaIsabelle NicolasPablo VotadoroNina KalindjianAnna KorchonnoffAndréa GutierreAna Beatriz NovelliAlexandra Pham-ScottezMaurice CorcosBMCarticleAnorexia nervosaBody approachInteroceptionOsteopathic medicineOsteopathic treatmentRandomized controlled trialMedicine (General)R5-920ENTrials, Vol 22, Iss 1, Pp 1-13 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Anorexia nervosa Body approach Interoception Osteopathic medicine Osteopathic treatment Randomized controlled trial Medicine (General) R5-920
spellingShingle	Anorexia nervosa Body approach Interoception Osteopathic medicine Osteopathic treatment Randomized controlled trial Medicine (General) R5-920 Aurélie Letranchant Yunkyung Kim-de Montebello Corinne Dugré-Le bigre Agathe Wagner Florence Curt Jérôme Silva Isabelle Nicolas Pablo Votadoro Nina Kalindjian Anna Korchonnoff Andréa Gutierre Ana Beatriz Novelli Alexandra Pham-Scottez Maurice Corcos The ACAMTO study—impact of add-on osteopathic treatment on adolescent patients with anorexia nervosa: study protocol for a randomized controlled trial
description	Abstract Background Anorexia nervosa (AN) mainly affects women (sex ratio 1/10) and most often starts during adolescence. The prognosis of AN remains poor (10% of deaths and high risk of chronicity). Body dissatisfaction, disturbances in recognition and identification of body sensations are some of the key symptoms of AN. However, there is a contrast between this consensual observation of body image disorders in AN, and the relative deficit of specifically targeted body treatments. Our proposal for a body approach specifically dedicated to AN is based on the understanding that posture, breathing, muscle tension and body perception are closely linked to our psychological and emotional state and are therefore disturbed in patients with AN. The purpose of this monocentric randomized controlled trial is to evaluate if a targeted osteopathic protocol treatment for AN in addition to treatment as usual (TAU) is significantly more effective than TAU alone. Methods In total, 72 patients meeting the inclusion criteria will be randomly assigned to one of the two treatment groups: one receiving the specific osteopathic treatment targeted for AN in addition to the TAU (group A) and the other one, receiving TAU only (group B). The patients in group A will receive 5 30-min osteopathic treatment sessions. Soft specific palpatory techniques on the diaphragm, digestive system and cervical region will be performed. The TAU is defined by the multidisciplinary approach recommended by the French health high authority. The primary outcome is the evaluation of interoceptive sensibility and secondary outcomes include clinical and psychopathology-related symptoms with assessment of somatic dysfunctions’ evolution. A qualitative study will also be carried out, applying the Interpretative Phenomenological Analysis method. Patients will be included for a maximum of 14 weeks between the inclusion time and the last evaluation. Discussion If the results of the study are positive (statistically significant efficacy of this osteopathic treatment protocol), the study will provide arguments in favor of osteopathic sessions as a possible non-invasive additional treatment option in the multidisciplinary care approach for patients with AN. Trial registration ClinicalTrials.gov ID: NCT04666415 , Release Date: December 11, 2020; N° ID-RCB: 2019-A02613-54.
format	article
author	Aurélie Letranchant Yunkyung Kim-de Montebello Corinne Dugré-Le bigre Agathe Wagner Florence Curt Jérôme Silva Isabelle Nicolas Pablo Votadoro Nina Kalindjian Anna Korchonnoff Andréa Gutierre Ana Beatriz Novelli Alexandra Pham-Scottez Maurice Corcos
author_facet	Aurélie Letranchant Yunkyung Kim-de Montebello Corinne Dugré-Le bigre Agathe Wagner Florence Curt Jérôme Silva Isabelle Nicolas Pablo Votadoro Nina Kalindjian Anna Korchonnoff Andréa Gutierre Ana Beatriz Novelli Alexandra Pham-Scottez Maurice Corcos
author_sort	Aurélie Letranchant
title	The ACAMTO study—impact of add-on osteopathic treatment on adolescent patients with anorexia nervosa: study protocol for a randomized controlled trial
title_short	The ACAMTO study—impact of add-on osteopathic treatment on adolescent patients with anorexia nervosa: study protocol for a randomized controlled trial
title_full	The ACAMTO study—impact of add-on osteopathic treatment on adolescent patients with anorexia nervosa: study protocol for a randomized controlled trial
title_fullStr	The ACAMTO study—impact of add-on osteopathic treatment on adolescent patients with anorexia nervosa: study protocol for a randomized controlled trial
title_full_unstemmed	The ACAMTO study—impact of add-on osteopathic treatment on adolescent patients with anorexia nervosa: study protocol for a randomized controlled trial
title_sort	acamto study—impact of add-on osteopathic treatment on adolescent patients with anorexia nervosa: study protocol for a randomized controlled trial
publisher	BMC
publishDate	2021
url	https://doaj.org/article/2a678ac9c6014c89a40d8d13c5427f40
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The ACAMTO study—impact of add-on osteopathic treatment on adolescent patients with anorexia nervosa: study protocol for a randomized controlled trial

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