Trial Outcomes & Findings for Transcutaneous Electrical Nerve Stimulation (TENS) and Fibromyalgia (FM) (NCT NCT00932360)

NCT ID: NCT00932360

Last Updated: 2019-01-16

Results Overview

Visual Analog Scale 0-10 with 0 No Pain and 10 Worst Pain Imaginable Pain was measured at rest before and after intervention.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

43 participants

Primary outcome timeframe

3 weeks

Results posted on

2019-01-16

Participant Flow

Subjects (125) were screened for eligibility via telephone. 82 were excluded and 43 were consented and enrolled at the University of Iowa

43 subjects were consented and enrolled to the cross over design study. Subjects were randomized to treatment group order after providing written consent. The three treatment groups for randomization order included: active TENS, placebo TENS and no treatment TENS.

Participant milestones

Participant milestones
Measure
Active TENS, Placebo TENS and No TENS
Active TENS: 100 Hz, 200 μs at maximal tolerable intensity Placebo TENS:TENS at 100 Hz, 200 μs for 30 seconds and then the current ramped off over a 15 second time frame No TENS: Participants wore a TENS unit that was turned off for blinding of the outcome assessor
Active TENS No TENS Placebo TENS
Active TENS: 100 Hz, 200 μs at maximal tolerable intensity Placebo TENS:TENS at 100 Hz, 200 μs for 30 seconds and then the current ramped off over a 15 second time frame No TENS: Participants wore a TENS unit that was turned off for blinding of the outcome assessor
Placebo TENS Active TENS No TENS
Active TENS: 100 Hz, 200 μs at maximal tolerable intensity Placebo TENS:TENS at 100 Hz, 200 μs for 30 seconds and then the current ramped off over a 15 second time frame No TENS: Participants wore a TENS unit that was turned off for blinding of the outcome assessor
Placebo TENS No TENS Active TENS
Active TENS: 100 Hz, 200 μs at maximal tolerable intensity Placebo TENS:TENS at 100 Hz, 200 μs for 30 seconds and then the current ramped off over a 15 second time frame No TENS: Participants wore a TENS unit that was turned off for blinding of the outcome assessor
No TENS Active TENS Placebo TENS
Active TENS: 100 Hz, 200 μs at maximal tolerable intensity Placebo TENS:TENS at 100 Hz, 200 μs for 30 seconds and then the current ramped off over a 15 second time frame No TENS: Participants wore a TENS unit that was turned off for blinding of the outcome assessor
No TENS Placebo TENS Active TENS
Active TENS: 100 Hz, 200 μs at maximal tolerable intensity Placebo TENS:TENS at 100 Hz, 200 μs for 30 seconds and then the current ramped off over a 15 second time frame No TENS: Participants wore a TENS unit that was turned off for blinding of the outcome assessor
1: Visit 1/Week1
STARTED
10
6
3
13
4
7
1: Visit 1/Week1
COMPLETED
10
6
3
13
4
7
1: Visit 1/Week1
NOT COMPLETED
0
0
0
0
0
0
Washout (One Week)
STARTED
10
6
3
13
2
7
Washout (One Week)
COMPLETED
10
6
3
13
2
7
Washout (One Week)
NOT COMPLETED
0
0
0
0
0
0
Visit 2/Week 2
STARTED
10
6
3
13
2
7
Visit 2/Week 2
COMPLETED
10
6
3
13
2
7
Visit 2/Week 2
NOT COMPLETED
0
0
0
0
0
0
Visit 3/Week 3
STARTED
10
6
3
13
2
7
Visit 3/Week 3
COMPLETED
10
6
3
13
2
7
Visit 3/Week 3
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Active TENS, Placebo TENS and No TENS
Active TENS: 100 Hz, 200 μs at maximal tolerable intensity Placebo TENS:TENS at 100 Hz, 200 μs for 30 seconds and then the current ramped off over a 15 second time frame No TENS: Participants wore a TENS unit that was turned off for blinding of the outcome assessor
Active TENS No TENS Placebo TENS
Active TENS: 100 Hz, 200 μs at maximal tolerable intensity Placebo TENS:TENS at 100 Hz, 200 μs for 30 seconds and then the current ramped off over a 15 second time frame No TENS: Participants wore a TENS unit that was turned off for blinding of the outcome assessor
Placebo TENS Active TENS No TENS
Active TENS: 100 Hz, 200 μs at maximal tolerable intensity Placebo TENS:TENS at 100 Hz, 200 μs for 30 seconds and then the current ramped off over a 15 second time frame No TENS: Participants wore a TENS unit that was turned off for blinding of the outcome assessor
Placebo TENS No TENS Active TENS
Active TENS: 100 Hz, 200 μs at maximal tolerable intensity Placebo TENS:TENS at 100 Hz, 200 μs for 30 seconds and then the current ramped off over a 15 second time frame No TENS: Participants wore a TENS unit that was turned off for blinding of the outcome assessor
No TENS Active TENS Placebo TENS
Active TENS: 100 Hz, 200 μs at maximal tolerable intensity Placebo TENS:TENS at 100 Hz, 200 μs for 30 seconds and then the current ramped off over a 15 second time frame No TENS: Participants wore a TENS unit that was turned off for blinding of the outcome assessor
No TENS Placebo TENS Active TENS
Active TENS: 100 Hz, 200 μs at maximal tolerable intensity Placebo TENS:TENS at 100 Hz, 200 μs for 30 seconds and then the current ramped off over a 15 second time frame No TENS: Participants wore a TENS unit that was turned off for blinding of the outcome assessor
Washout (One Week)
Withdrawal by Subject
0
0
0
0
2
0

Baseline Characteristics

2 subjects withdrew from the study after the first visit

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
All Study Participants
n=43 Participants
This is a crossover study with three groups. Subjects completed each arm of the study in random order.
Age, Categorical
<=18 years
0 Participants
n=93 Participants
Age, Categorical
Between 18 and 65 years
42 Participants
n=93 Participants
Age, Categorical
>=65 years
1 Participants
n=93 Participants
Sex: Female, Male
Female
42 Participants
n=93 Participants
Sex: Female, Male
Male
1 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
42 Participants
n=93 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=93 Participants • 2 subjects withdrew from the study after the first visit
Race (NIH/OMB)
Asian
0 Participants
n=93 Participants • 2 subjects withdrew from the study after the first visit
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=93 Participants • 2 subjects withdrew from the study after the first visit
Race (NIH/OMB)
Black or African American
0 Participants
n=93 Participants • 2 subjects withdrew from the study after the first visit
Race (NIH/OMB)
White
43 Participants
n=93 Participants • 2 subjects withdrew from the study after the first visit
Race (NIH/OMB)
More than one race
0 Participants
n=93 Participants • 2 subjects withdrew from the study after the first visit
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=93 Participants • 2 subjects withdrew from the study after the first visit
Region of Enrollment
United States
43 participants
n=93 Participants • 2 subjects withdrew after 1 visit

PRIMARY outcome

Timeframe: 3 weeks

Visual Analog Scale 0-10 with 0 No Pain and 10 Worst Pain Imaginable Pain was measured at rest before and after intervention.

Outcome measures

Outcome measures
Measure
Active TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
Placebo TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
No TENS
n=41 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
Pain at Rest Difference Score Pre-intervention and Post Intervention
0.38 units on a scale
Standard Error 0.26
-0.74 units on a scale
Standard Error 0.25
-0.47 units on a scale
Standard Error 0.26

PRIMARY outcome

Timeframe: 3 weeks

Visual Analog Scale 0-10 with 0 No Pain and 10 Worst Pain Imaginable Pain was measured at rest before and after intervention.

Outcome measures

Outcome measures
Measure
Active TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
Placebo TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
No TENS
n=41 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
Pain With Movement Difference Score Pre-intervention and Post Intervention
1.11 score on a scale
Standard Error 0.26
0.23 score on a scale
Standard Error 0.26
0.26 score on a scale
Standard Error 0.25

SECONDARY outcome

Timeframe: 3 weeks

Visual Analog Scale 0-10 with 0 No Fatigue and 10 Worst Fatigue Imaginable Pain was measured at rest before and after intervention.

Outcome measures

Outcome measures
Measure
Active TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
Placebo TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
No TENS
n=41 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
Fatigue at Rest Difference Score Pre-intervention and Post Intervention
-0.09 units on a scale
Standard Error 0.21
-0.14 units on a scale
Standard Error 0.21
0.12 units on a scale
Standard Error 0.22

SECONDARY outcome

Timeframe: 3 weeks

Visual Analog Scale 0-10 with 0 No Fatigue and 10 Worst Fatigue Imaginable Pain was measured at rest before and after intervention.

Outcome measures

Outcome measures
Measure
Active TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
Placebo TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
No TENS
n=41 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
Fatigue With Movement Difference Score Pre-intervention and Post Intervention
0.94 units on a scale
Standard Error 0.23
0.39 units on a scale
Standard Error 0.24
0.04 units on a scale
Standard Error 0.23

SECONDARY outcome

Timeframe: 3 weeks

Pressure pain threshold cervical region (kPa)

Outcome measures

Outcome measures
Measure
Active TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
Placebo TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
No TENS
n=41 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
PPT Cervical Region
53.15 pressure score (kPa)
Standard Error 10.09
26.42 pressure score (kPa)
Standard Error 10.02
19.39 pressure score (kPa)
Standard Error 10.06

SECONDARY outcome

Timeframe: 3 weeks

Pressure pain threshold in lumbar region (kPa)

Outcome measures

Outcome measures
Measure
Active TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
Placebo TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
No TENS
n=41 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
PPT Lumbar Region
86.97 pressure score (kPa)
Standard Error 15.97
34.89 pressure score (kPa)
Standard Error 15.91
33.23 pressure score (kPa)
Standard Error 15.95

SECONDARY outcome

Timeframe: 3 weeks

Pressure pain threshold in leg (kPa)

Outcome measures

Outcome measures
Measure
Active TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
Placebo TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
No TENS
n=41 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
PPT for Anterior Tibialis
62.86 pressure score (kPa)
Standard Error 18.34
38.98 pressure score (kPa)
Standard Error 21.85
4.4 pressure score (kPa)
Standard Error 15.47

SECONDARY outcome

Timeframe: 3 weeks

6 minute walk test average change (feet) before and after intervention

Outcome measures

Outcome measures
Measure
Active TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
Placebo TENS
n=43 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
No TENS
n=41 Participants
Active and Placebo TENS with configured Rehabilicare Unit; No TENS with TENS worn and not turned on.
6 Minute Walk Test Average Change (Feet)
41.85 feet
Standard Error 36.7
-40.48 feet
Standard Error 36.31
-0.97 feet
Standard Error 36.01

Adverse Events

Active TENS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Placebo TENS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

No TENS

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dana Dailey

University of Iowa

Phone: 319-335-7149

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place