Assessment of LTP-like Pain Amplification in Chronic Low Back Pain Patients

NCT ID: NCT03362827

Last Updated: 2017-12-05

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

UNKNOWN

Total Enrollment

50 participants

Study Classification

OBSERVATIONAL

Study Start Date

2018-03-01

Study Completion Date

2018-12-31

Brief Summary

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The present study is aimed to assess the LTP-like pain amplification in chronic low back pain patients to explore the central and peripheral effect for pain LTP.

Detailed Description

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This study is a cross-sectional study. Two groups, including low back pain group and healthy subjects group will be arranged in this study. 50 subjects will be recruited in each group, The healthy subjects were matched for sex and age in relation to the low back pain group. Conditioning electrical stimulation (100 Hz, repeated 5 times with 10 s intervals, 500 impulses) using circular pin electrodes will be used in both groups to induce LTP-like pain amplification. The pain intensity changes to pinprick and light touch stimuli will be compared between two groups.

Conditions

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Low Back Pain

Keywords

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Low back pain Long-term potentiation Hyperalgesia Allodynia

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Chronic low back pain patients

People must have experienced low back pain for at least 3 months and have reported a minimal pain level of 30 (pain threshold) on the 0-100 pain numerical rating scale (NRS) in the last 7 days.

Chronic low back pain patients

Intervention Type OTHER

People must have experienced low back pain for at least 3 months and have reported a minimal pain level of 30 (pain threshold) on the 0-100 pain numerical rating scale (NRS) in the last 7 days.

Subjects without chronic low back pain

Participants must not have presented episodes of low back pain for more than 7 days in the last 12 months.

Subjects without chronic low back pain

Intervention Type OTHER

These participants must not have presented episodes of low back pain for more than 7 days in the last 12 months.

Interventions

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Chronic low back pain patients

People must have experienced low back pain for at least 3 months and have reported a minimal pain level of 30 (pain threshold) on the 0-100 pain numerical rating scale (NRS) in the last 7 days.

Intervention Type OTHER

Subjects without chronic low back pain

These participants must not have presented episodes of low back pain for more than 7 days in the last 12 months.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Age 21-80 years old.
* People must have experienced low back pain for at least 3 months and have reported a minimal pain level of 30 (pain threshold) on the 0-100 pain numerical rating scale (NRS) in the last 7 days.


* Age 21-80 years old.
* These participants must not have presented episodes of low back pain for more than 7 days in the last 12 months.

Exclusion Criteria

* Age below 21 or over 80 years old.
* Patients were excluded if they had taken pain medications on the day of the assessment or if they had serious spinal pathologies, such as fractures, tumors or inflammatory diseases, such as ankylosing spondylitis, nerve root compromise confirmed by clinical neurological tests or severe cardiorespiratory diseases. Those who were pregnant, patients with cancer and those with a cardiac pacemaker were also excluded.
2. Healthy volunteers.


* Age below 21 or over 80 years old.
* These participants have presented episodes of low back pain for more than 7 days in the last 12 months.
Minimum Eligible Age

20 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Peking University People's Hospital

OTHER

Sponsor Role lead

Responsible Party

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Liu Chenjun

Department of Spine Surgery

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Chenjun Liu, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

Peking University People's Hospital

Central Contacts

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Weiwei Xia, Ph.D.

Role: CONTACT

Phone: 008613260001978

Email: [email protected]

References

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Biurrun Manresa JA, Morch CD, Andersen OK. Long-term facilitation of nociceptive withdrawal reflexes following low-frequency conditioning electrical stimulation: a new model for central sensitization in humans. Eur J Pain. 2010 Sep;14(8):822-31. doi: 10.1016/j.ejpain.2009.12.008. Epub 2010 Jan 27.

Reference Type BACKGROUND
PMID: 20110183 (View on PubMed)

Mouraux A, Iannetti GD, Plaghki L. Low intensity intra-epidermal electrical stimulation can activate Adelta-nociceptors selectively. Pain. 2010 Jul;150(1):199-207. doi: 10.1016/j.pain.2010.04.026. Epub 2010 May 26.

Reference Type BACKGROUND
PMID: 20510515 (View on PubMed)

Morch CD, Hennings K, Andersen OK. Estimating nerve excitation thresholds to cutaneous electrical stimulation by finite element modeling combined with a stochastic branching nerve fiber model. Med Biol Eng Comput. 2011 Apr;49(4):385-95. doi: 10.1007/s11517-010-0725-8. Epub 2011 Jan 5.

Reference Type BACKGROUND
PMID: 21207174 (View on PubMed)

Melzack R. The short-form McGill Pain Questionnaire. Pain. 1987 Aug;30(2):191-197. doi: 10.1016/0304-3959(87)91074-8.

Reference Type BACKGROUND
PMID: 3670870 (View on PubMed)

Xia W, Morch CD, Andersen OK. Test-Retest Reliability of 10 Hz Conditioning Electrical Stimulation Inducing Long-Term Potentiation (LTP)-Like Pain Amplification in Humans. PLoS One. 2016 Aug 16;11(8):e0161117. doi: 10.1371/journal.pone.0161117. eCollection 2016.

Reference Type BACKGROUND
PMID: 27529175 (View on PubMed)

Other Identifiers

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BackpainLTP

Identifier Type: -

Identifier Source: org_study_id