Brain and Peripheral Electrical Stimulation in Chronic Low Back Pain: a Factorial Design

NCT ID: NCT01896453

Last Updated: 2014-12-04

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2/PHASE3

Total Enrollment

92 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-06-30

Study Completion Date

2014-12-31

Brief Summary

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The purpose of this study is to evaluate the efficacy of brain and peripheral electrical stimulation on chronic non-specific low back pain patients.

Detailed Description

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Conditions

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Chronic Low Back Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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tDCS real + TENS real

Real transcranial direct current stimulation associated with real transcutaneous electrical nerve stimulation (TENS).

tDCS: 20 minutes, 2mA, primary motor cortex anode (contralateral to the lesion) and supraorbital cathode (ipsilateral to the lesion).

TENS: 40 minutes, 100Hz, 200µs, 2 channels with electrodes over the low back area of pain.

Group Type ACTIVE_COMPARATOR

Transcranial direct current stimulation (tDCS)

Intervention Type PROCEDURE

Technique based on the application of weak, direct electrical current to the brain through relatively large electrodes that are placed over the scalp, in which anodal and cathodal stimulation increases and decreases cortical excitability, respectively

Transcutaneous electrical nerve stimulation (TENS)

Intervention Type PROCEDURE

Technique based on the application of low-voltage electrical current to the skin through relatively large electrodes that are placed over the pain area.

tDCS real + TENS sham

Real transcranial direct current stimulation associated with sham transcutaneous electrical nerve stimulation (TENS).

tDCS: 20 minutes, 2mA, primary motor cortex anode (contralateral to the lesion) and supraorbital cathode (ipsilateral to the lesion).

TENS: 40 minutes (30 seconds ON), 100Hz, 200µs, 2 channels with electrodes over the low back area of pain.

Group Type EXPERIMENTAL

Transcranial direct current stimulation (tDCS)

Intervention Type PROCEDURE

Technique based on the application of weak, direct electrical current to the brain through relatively large electrodes that are placed over the scalp, in which anodal and cathodal stimulation increases and decreases cortical excitability, respectively

Transcutaneous electrical nerve stimulation (TENS)

Intervention Type PROCEDURE

Technique based on the application of low-voltage electrical current to the skin through relatively large electrodes that are placed over the pain area.

tDCS sham + TENS real

Sham transcranial direct current stimulation associated with real transcutaneous electrical nerve stimulation (TENS).

tDCS: 20 minutes (30 seconds ON), 2mA, primary motor cortex anode (contralateral to the lesion) and supraorbital cathode (ipsilateral to the lesion).

TENS: 40 minutes, 100Hz, 200µs, 2 channels with electrodes over the low back area of pain.

Group Type EXPERIMENTAL

Transcranial direct current stimulation (tDCS)

Intervention Type PROCEDURE

Technique based on the application of weak, direct electrical current to the brain through relatively large electrodes that are placed over the scalp, in which anodal and cathodal stimulation increases and decreases cortical excitability, respectively

Transcutaneous electrical nerve stimulation (TENS)

Intervention Type PROCEDURE

Technique based on the application of low-voltage electrical current to the skin through relatively large electrodes that are placed over the pain area.

Sham tDCS + Sham TENS

Sham transcranial direct current stimulation associated with sham transcutaneous electrical nerve stimulation (TENS).

tDCS: 20 minutes (30 seconds ON), 2mA, primary motor cortex anode (contralateral to the lesion) and supraorbital cathode (ipsilateral to the lesion).

TENS: 40 minutes (30 seconds ON), 100Hz, 200µs, 2 channels with electrodes over the low back area of pain.

Group Type SHAM_COMPARATOR

Transcranial direct current stimulation (tDCS)

Intervention Type PROCEDURE

Technique based on the application of weak, direct electrical current to the brain through relatively large electrodes that are placed over the scalp, in which anodal and cathodal stimulation increases and decreases cortical excitability, respectively

Transcutaneous electrical nerve stimulation (TENS)

Intervention Type PROCEDURE

Technique based on the application of low-voltage electrical current to the skin through relatively large electrodes that are placed over the pain area.

Interventions

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Transcranial direct current stimulation (tDCS)

Technique based on the application of weak, direct electrical current to the brain through relatively large electrodes that are placed over the scalp, in which anodal and cathodal stimulation increases and decreases cortical excitability, respectively

Intervention Type PROCEDURE

Transcutaneous electrical nerve stimulation (TENS)

Technique based on the application of low-voltage electrical current to the skin through relatively large electrodes that are placed over the pain area.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Males and females aged \> 18 years and \<65 years
* Complaining of back pain for more than three months
* Presence of a chronic pain measurable with the number rating scale (NRS 0-10) not less than 4 during a 1 week daily NRS monitoring
* Seeking care for low back pain

Exclusion Criteria

* Previous surgery on the spine, spondylolisthesis
* Previous treatment with TENS \<6 months
* Previous treatment with tDCS
* Disc herniation with nerve compression
* Neurological, psychiatric and rheumatologic diseases
* Impaired sensibility
* Use of pacemakers or other implanted devices
* Pregnancy
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Sao Paulo General Hospital

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Fuad A Hazime, PT

Role: PRINCIPAL_INVESTIGATOR

University of Sao Paulo

Silvia MA João, PT

Role: STUDY_CHAIR

University of Sao Paulo

Locations

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School of Physiotherapy - University of São Paulo

São Paulo, São Paulo, Brazil

Site Status

Countries

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Brazil

References

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Hazime FA, de Freitas DG, Monteiro RL, Maretto RL, Carvalho NA, Hasue RH, Joao SM. Analgesic efficacy of cerebral and peripheral electrical stimulation in chronic nonspecific low back pain: a randomized, double-blind, factorial clinical trial. BMC Musculoskelet Disord. 2015 Jan 31;16(1):7. doi: 10.1186/s12891-015-0461-1.

Reference Type DERIVED
PMID: 25636503 (View on PubMed)

Other Identifiers

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USaoPauloGH

Identifier Type: OTHER

Identifier Source: secondary_id

tDCSBACKPAIN

Identifier Type: -

Identifier Source: org_study_id