Impact of Direct Current Electrical Stimulation on Treatment of Lumbosacral Radiculopathy

NCT ID: NCT06421558

Last Updated: 2024-07-29

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

RECRUITING

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-01

Study Completion Date

2025-08-01

Brief Summary

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This study will compare two methods of electrical stimulation (alternating current and direct current) as an adjunctive therapy to treating lumbosacral radiculopathy. Both types of electrical stimulation have been used in clinical practice for physical therapy, however direct current stimulation is much less common and there is less known about its impact on physical therapy outcomes. The aim of this project is to show the efficacy of a novel device, the Neubie direct current device, compared to traditional TENS unit in clinical physical therapy treatment of radiculopathy. Outcomes measured will include: pain intensity, functional status, neurological status, electrophysiological changes and patient satisfaction.

Detailed Description

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To determine the efficacy of direct current electrical stimulation (the Neubie device) on long-term symptoms and severity of lumbosacral and thoracic radiculopathy, participants will enroll in a 6-week treatment regimen at one of 16 Hands-On Physical Therapy associated clinic sites listed included in application. The first session will consist of an intake evaluation session that will include: Numeric Pain Scale for pain, Oswestry Disability Index questionnaire to assess functional disability, Straight Leg Raise Test to address nerve root irritation or compression, and Electrophysiological evaluation to determine the nerve function. These tests will serve as baseline (and a within subject control) for the intervention.

Participants will then undergo a specialized radiculopathy protocol that includes traditional PT therapy as well as treatment with the Neubie (or traditional electrical stimulation) both during PT exercises and as additional treatment after sessions. Subjects receive an evaluation session that includes Numeric Pain Scale for pain, Oswestry Disability Index questionnaire to assess functional disability, Straight Leg Raise Test to address nerve root irritation or compression, and Electrophysiological evaluation to determine the nerve function.

The experimental group subjects follow with 12 sessions of physical therapy over a 6-week period which include 30 min of various physical therapy exercises with the Neubie.

The control group subjects follow with 12 sessions of physical therapy over a 6-week period which include: a 30-min of various physical therapy exercises with TENS application.

At the end of the 12 sessions of treatment, subjects receive an evaluation session that includes Numeric Pain Scale for pain, Oswestry Disability Index questionnaire to assess functional disability, Straight Leg Raise Test to address nerve root irritation or compression, Electrophysiological evaluation to determine the nerve function, and a patient satisfaction questionnaire to assess patient satisfaction with the treatment. Participants will receive 12 treatments over 6 weeks. Measurement of these variables will provide both quantitative and qualitative data on the severity of radiculopathy symptoms (see "Tools for data collection" below).

If symptoms of radiculopathy are still present at the 6 week assessment, participants will have the option to continue treatment for up to an additional 12 sessions over 6 more weeks, to a possible maximum of 24 sessions in 12 weeks. Participants will receive a final outcome evaluation session that includes Numeric Pain Rating Scale for pain, Oswestry Disability Index questionnaire to assess functional disability, Straight Leg Raise Test to address nerve root irritation or compression, Electrophysiological evaluation to determine the nerve function, and a patient satisfaction questionnaire to assess patient satisfaction with the treatment.

Conditions

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Radiculopathy Lumbar Radiculopathy Sacral Radiculopathy Multiple Sites

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Study will be divided into two randomly assigned groups - control and experimental. Control group will receive traditional e-stim treatment with TENS plus physical therapy. Experimental group will receive direct current e-stim treatment with the Neubie device plus physical therapy.
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors
Outcomes will be assessed by clinicians at Hands on Diagnostics locations. Assessors will be blinded to which intervention participant has received.

Study Groups

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Neubie Direct Current Electrical Stimulation Device

The experimental group subjects follow with 12 sessions of physical therapy over a 6-week period which include 30 min of various physical therapy exercises with the Neubie.

Group Type EXPERIMENTAL

Neubie Direct Current Electrical Stimulation Device

Intervention Type DEVICE

Direct Current Electrical Stimulation Device that uses electrodes non-invasively on the skin to stimulate muscle fibers.

Transcutaneous Electrical Stimulation

The control group subjects follow with 12 sessions of physical therapy over a 6-week period which include: a 30-min of various physical therapy exercises with TENS application.

Group Type OTHER

Transcutaneous Electrical Stimulation

Intervention Type DEVICE

Transcutaneous Electrical Nerve Stimulation device - uses alternating current delivered through electrodes on the skin.

Interventions

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Neubie Direct Current Electrical Stimulation Device

Direct Current Electrical Stimulation Device that uses electrodes non-invasively on the skin to stimulate muscle fibers.

Intervention Type DEVICE

Transcutaneous Electrical Stimulation

Transcutaneous Electrical Nerve Stimulation device - uses alternating current delivered through electrodes on the skin.

Intervention Type DEVICE

Other Intervention Names

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TENS

Eligibility Criteria

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Inclusion Criteria

* Must show evidence of lumbo-sacral radiculopathy as determined by EMG and straight leg raise test.
* Must be able to attend weekly sessions for the 6-week period of the study (no extended travel)
* Must be at least 18 years old.

Exclusion Criteria

* Currently pregnant
* Cardiac pacemaker
* Active or recent cancer
* Active or recent blood clots
* History of epilepsy
* Open wounds
* Spinal fusion surgery
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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NeuFit - Neurological Fitness and Education

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Ramona von Leden, PhD

Role: STUDY_DIRECTOR

NeuFit - Neurological Fitness and Education

Locations

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NCEPT Physical Therapy

Escondido, California, United States

Site Status RECRUITING

APEX Physical Therapy

Cape Coral, Florida, United States

Site Status RECRUITING

Catalyst Physical Therapy

Clearwater, Florida, United States

Site Status RECRUITING

APEX Physical Therapy

Fort Myers, Florida, United States

Site Status RECRUITING

Kinetix Haile Plantation

Gainesville, Florida, United States

Site Status RECRUITING

Kinetix Arbor Greens - Jonesville

Gainesville, Florida, United States

Site Status RECRUITING

Adams Physical Therapy Services

Portland, Indiana, United States

Site Status RECRUITING

KORT Bardstown

Bardstown, Kentucky, United States

Site Status RECRUITING

KORT Sheperdsville

Shepherdsville, Kentucky, United States

Site Status RECRUITING

Hands On Physical Therpay

Astoria, New York, United States

Site Status RECRUITING

WellHealth Physical Therapy

Deer Park, New York, United States

Site Status RECRUITING

WellHealth Physical Therapy

Hicksville, New York, United States

Site Status RECRUITING

Hands On Physical Therapy of Queens Village

Queens Village, New York, United States

Site Status RECRUITING

Courcier Clinic

Edmond, Oklahoma, United States

Site Status RECRUITING

Spine & Rehab Specialists

El Paso, Texas, United States

Site Status RECRUITING

Spine & Rehab Specialists

El Paso, Texas, United States

Site Status RECRUITING

Countries

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United States

Central Contacts

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Dimitrios Kostopoulos, MD, PhD, DPT

Role: CONTACT

9175382242

Ramona von Leden, PhD

Role: CONTACT

5303832292

Facility Contacts

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Dimitrios Kostopolous

Role: primary

Dimitrios Kostopolous

Role: primary

Dimitrios Kostopolous

Role: primary

Dimitrios Kostopolous

Role: primary

Dimitrios Kostopolous

Role: primary

Dimitrios Kostopolous

Role: primary

Dimitrios Kostopolous

Role: primary

Dimitrios Kostopolous

Role: primary

Dimitrios Kostopolous

Role: primary

Dimitrios Kostopoulos, MD, PhD, DPT

Role: primary

917-538-2242

Dimitrios Kostopolous

Role: primary

Dimitrios Kostopolous

Role: primary

Dimitrios Kostopolous, MD, PhD, DPT

Role: primary

917-538-2242

Dimitrios Kostopolous

Role: primary

Dimi Kostopolous

Role: primary

Dimitrios Kostopoulos

Role: primary

References

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Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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Pro00077736

Identifier Type: -

Identifier Source: org_study_id

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