AzTrials
AzTrials

Electrical StimulationNCT04346719

Percutaneous High Frequency Alternating Current Stimulation in Healthy Volunteers

A study testing 10 kHz stimulation (Myomed 932, Enraf-Nonius) and 20 kHz stimulation (Myomed 932, Enraf-Nonius) in people with Electrical Stimulation and Neuromodulation, run by University of Castilla-La Mancha at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
Search all trials

Trial summary

High-frequency alternating currents of greater than 1 kHz applied on peripheral nerves has been used in animal studies to produce a motor nerve block. It has been evidenced that frequencies higher than 5 kHz are necessary to produce a complete peripheral nerve block in primates, whose nerve thickness is more similar… Read more about this study

Who is it for?
Ages 18 to 60 yearsHealthy volunteers can take part
Conditions the study is for
Electrical Stimulation, Neuromodulation
What is being tested?
10 kHz stimulation (Myomed 932, Enraf-Nonius) and 20 kHz stimulation (Myomed 932, Enraf-Nonius)
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
60 participants
Where
1 siteSpain
Study dates
1 Jun 2020to 17 Nov 2020
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 60 years
  • All sexes
  • Healthy volunteers accepted
  • Adult

Who may be able to join

  • Healthy volunteers
  • Ability to perform all clinical tests and understand the study process, as well as obtaining informed consent.
  • Tolerance to the application of electrotherapy.
  • That they have not diagnosed any pathology.
  • They do not present a contraindication to puncture and / or the application of electric currents.

Who cannot join

  • Neuromuscular disease.
  • Epilepsy.
  • Trauma, surgery or pain affecting the upper limb
  • Osteosynthesis material in the upper limb.
  • Diabetes.
  • Cancer.
Show all 11Show fewer
  • Cardiovascular disease.
  • Pacemaker or other implanted electrical device.
  • Take any drug (NSAIDs, corticosteroids, antidepressants, analgesics, antiepileptics, ...) during the study and in the previous 7 days.
  • Presence of tattoos or other external agent introduced into the treatment or assessment area.
  • Pregnancy

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Castilla-La Mancha University

    Toledo, 45071

Other trials in Spain

About this study

Official title: Percutaneous High Frequency Alternating Current Stimulation: Effects on Somatosensory and Motor Threshold in Healthy Volunteers

High-frequency alternating currents of greater than 1 kHz applied on peripheral nerves has been used in animal studies to produce a motor nerve block. It has been evidenced that frequencies higher than 5 kHz are necessary to produce a complete peripheral nerve block in primates, whose nerve thickness is more similar to humans.

Read the detailed description

Our previous studies with transcutaneous HFAC, suggest high-frequency stimulation (10 and 20 kHz) have an inhibitory effect over muscle strength and somatosensory threshold.

However, in these studies the intensity needed to reach block threshold is very high. The purpose of the present work is to reduce the amount of current intensity needed using a percutaneous approach by apply two acupuncture needles near the nerve as electrodes.

Being tested
10 kHz stimulation (Myomed 932, Enraf-Nonius), 20 kHz stimulation (Myomed 932, Enraf-Nonius), Sham stimulation (Myomed 932, Enraf-Nonius)
Keywords
high-frequency alternating current, nerve block, somatosensory threshold, motor threshold, percutaneous electrical stimulation

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • 10 kHz stimulation (Myomed 932, Enraf-Nonius)Device

    A charge-balanced, symmetric, biphasic sinusoidal current without modulation will be delivered at a frequency of 10 kHz. The stimulation intensity will be defined as that sufficient to produce a "strong but comfortable" sensation, just below motor threshold, over the median nerve through the electrotherapy device Myomed 932. (Enraf-Nonius, Delft,Netherlands)

  • 20 kHz stimulation (Myomed 932, Enraf-Nonius)Device

    A charge-balanced, symmetric, biphasic sinusoidal current without modulation will be delivered at a frequency of 20 kHz. The stimulation intensity will be defined as that sufficient to produce a "strong but comfortable" sensation, just below motor threshold, over the median nerve through the electrotherapy device Myomed 932. (Enraf-Nonius, Delft,Netherlands)

  • Sham stimulation (Myomed 932, Enraf-Nonius)Device

    Sham stimulation will be delivered at a frequency of 10 kHz only during the first 30 seconds.

Study groups in NCT04346719
Study groupRoleWhat they receive
10 kHz stimulationExperimentalTranscutaneous application of high frequency electrical current at 10 kHz over the median nerve for a 20 minutes session. The intensity of the current will increase until participants report a "strong but comfortable" sensation, just below motor threshold.
Receives: Device: 10 kHz stimulation (Myomed 932, Enraf-Nonius)
20 kHz stimulationExperimentalTranscutaneous application of high frequency electrical current at 20 kHz over the median nerve for a 20 minutes session. The intensity of the current will increase until participants report a "strong but comfortable" sensation, just below motor threshold.
Receives: Device: 20 kHz stimulation (Myomed 932, Enraf-Nonius)
Sham stimulationSham comparatorElectrodes are placed over the median nerve for 20 minutes in the same manner as experimental group but will be applied a sham electrical stimulation increasing the current intensity during the first 30 seconds.
Receives: Device: Sham stimulation (Myomed 932, Enraf-Nonius)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Antidromic median sensory nerve action potential

    The recording electrodes were placed on the second finger and the stimulus will be applied on the median nerve (above the elbow joint). The stimulus will consist of a train of 10 pulses (100 μs width), applied at supramaximal stimulation, presented at 1 Hz (DS7A, Digitimer Ltd). Negative peak latency (NPL), positive peak latency (PPL), and peak-to-peak amplitude (PPA) will be registered with a specific software (Signal software, CED).

    Measured: Baseline at 0 minutes

  2. Tactile Threshold

    The tactile threshold will be measured with Von Frey filaments and will be expressed in millinewton

    Measured: Baseline at 0 minutes

  3. Oscillation Frequency of tissue assessed by MyotonPro

    This outcome measure is obtained by a device named MyotonPro. The frequency of the damped oscillations characterizes the muscle tone. The muscle will be assessed is opponens pollicis muscle

    Measured: Baseline at 0 minutes

  4. Stiffness of tissue assessed by MyotonPro

    This outcome measure is obtained by a device named MyotonPro. Stiffness reflects the resistance of the muscle to the force deforming the muscle. The muscle will be assessed is opponens pollicis muscle

    Measured: Baseline at 0 minutes

  5. Decrement (elasticity) of tissue assessed by MyotonPro

    This outcome measure is obtained by a device named MyotonPro. The logarithmic decrement of the damping oscillations characterizes muscle elasticity which is the ability of the muscle to restore its initial shape after contraction. The muscle will be assessed is opponens pollicis muscle

    Measured: Baseline at 0 minutes

  6. Pressure Pain Threshold

    The PPT will be measured with an algometer and will be expressed in Newtons

    Measured: Baseline at 0 minutes

  7. Muscle strength

    Muscle strength will be measured with a dynamometer and will be expressed in Kgs.

    Measured: Baseline at 0 minutes

  8. Tactile Threshold

    The tactile threshold will be measured with Von Frey filaments and will be expressed in millinewton

    Measured: During treatment at 15 minutes

  9. Oscillation Frequency of tissue assessed by MyotonPro

    This outcome measure is obtained by a device named MyotonPro. The frequency of the damped oscillations characterizes the muscle tone. The muscle will be assessed is opponens pollicis muscle

    Measured: During treatment at 15 minutes

  10. Stiffness of tissue assessed by MyotonPro

    This outcome measure is obtained by a device named MyotonPro. Stiffness reflects the resistance of the muscle to the force deforming the muscle. The muscle will be assessed is opponens pollicis muscle

    Measured: During treatment at 15 minutes

  11. Decrement (elasticity) of tissue assessed by MyotonPro

    This outcome measure is obtained by a device named MyotonPro. The logarithmic decrement of the damping oscillations characterizes muscle elasticity which is the ability of the muscle to restore its initial shape after contraction. The muscle will be assessed is opponens pollicis muscle

    Measured: During treatment at 15 minutes

  12. Pressure Pain Threshold

    The PPT will be measured with an algometer and will be expressed in Newtons

    Measured: During treatment at 15 minutes

  13. Antidromic median sensory nerve action potential

    The recording electrodes were placed on the second finger and the stimulus will be applied on the median nerve (above the elbow joint). The stimulus will consist of a train of 10 pulses (100 μs width), applied at supramaximal stimulation, presented at 1 Hz (DS7A, Digitimer Ltd). Negative peak latency (NPL), positive peak latency (PPL), and peak-to-peak amplitude (PPA) will be registered with a specific software (Signal software, CED).

    Measured: Immediately after treatment at 20 minutes

  14. Tactile Threshold

    The tactile threshold will be measured with Von Frey filaments and will be expressed in millinewton

    Measured: Immediately after treatment at 20 minutes

  15. Oscillation Frequency of tissue assessed by MyotonPro

    This outcome measure is obtained by a device named MyotonPro. The frequency of the damped oscillations characterizes the muscle tone. The muscle will be assessed is opponens pollicis muscle

    Measured: Immediately after treatment at 20 minutes

  16. Stiffness of tissue assessed by MyotonPro

    This outcome measure is obtained by a device named MyotonPro. Stiffness reflects the resistance of the muscle to the force deforming the muscle. The muscle will be assessed is opponens pollicis muscle

    Measured: Immediately after treatment at 20 minutes

  17. Decrement (elasticity) of tissue assessed by MyotonPro

    This outcome measure is obtained by a device named MyotonPro. The logarithmic decrement of the damping oscillations characterizes muscle elasticity which is the ability of the muscle to restore its initial shape after contraction. The muscle will be assessed is opponens pollicis muscle

    Measured: Immediately after treatment at 20 minutes

  18. Pressure Pain Threshold

    The PPT will be measured with an algometer and will be expressed in Newtons

    Measured: Immediately after treatment at 20 minutes

  19. Muscle strength

    Muscle strength will be measured with a dynamometer and will be expressed in Kgs.

    Measured: Immediately after treatment at 20 minutes

  20. Antidromic median sensory nerve action potential

    The recording electrodes were placed on the second finger and the stimulus will be applied on the median nerve (above the elbow joint). The stimulus will consist of a train of 10 pulses (100 μs width), applied at supramaximal stimulation, presented at 1 Hz (DS7A, Digitimer Ltd). Negative peak latency (NPL), positive peak latency (PPL), and peak-to-peak amplitude (PPA) will be registered with a specific software (Signal software, CED).

    Measured: Immediately after treatment at 30 minutes

  21. Tactile Threshold

    The tactile threshold will be measured with Von Frey filaments and will be expressed in millinewton

    Measured: Immediately after treatment at 30 minutes

  22. Oscillation Frequency of tissue assessed by MyotonPro

    This outcome measure is obtained by a device named MyotonPro. The frequency of the damped oscillations characterizes the muscle tone. The muscle will be assessed is opponens pollicis muscle

    Measured: Immediately after treatment at 30 minutes

  23. Stiffness of tissue assessed by MyotonPro

    This outcome measure is obtained by a device named MyotonPro. Stiffness reflects the resistance of the muscle to the force deforming the muscle. The muscle will be assessed is opponens pollicis muscle

    Measured: Immediately after treatment at 30 minutes

  24. Decrement (elasticity) of tissue assessed by MyotonPro

    This outcome measure is obtained by a device named MyotonPro. The logarithmic decrement of the damping oscillations characterizes muscle elasticity which is the ability of the muscle to restore its initial shape after contraction. The muscle will be assessed is opponens pollicis muscle

    Measured: Immediately after treatment at 30 minutes

  25. Pressure Pain Threshold

    The PPT will be measured with an algometer and will be expressed in Newtons

    Measured: Immediately after treatment at 30 minutes

  26. Muscle strength

    Muscle strength will be measured with a dynamometer and will be expressed in Kgs.

    Measured: Immediately after treatment at 30 minutes

Secondary outcomes (6)
  1. Baseline nerve temperature

    Nerve temperature will be measured using a termodoppler (Celsius degrees)

    Measured: Baseline at 0 minutes, at 15 minutes, immediately after treatment at 20 minutes, and immediately after treatment at 30 minutes

  2. Baseline flux temperature

    Flux will be measured using a termodoppler

    Measured: Baseline at 0 minutes, at 15 minutes, immediately after treatment at 20 minutes, and immediately after treatment at 30 minutes

  3. Numerical Discomfort Rate Score

    the possible discomfort caused by the interventions will be assess by a numerical rate score. The NRS consists of a scale from 0 (no discomfort) to 10 (worst possible discomfort)

    Measured: After the intervention at 35 minutes

  4. Numerical Pain Rate Score

    The NRS consists of a scale from 0 (no pain) to 10 (worst possible pain)

    Measured: After the intervention at 35 minutes

  5. Number of participants with intervention-related adverse effects

    the possible adverse effects caused by the interventions will be assess by a questionnaire

    Measured: After the intervention at 35 minutes

  6. Blinding success

    Blinding of subjects and researchers will be assessed using the James Index

    Measured: After the intervention at 35 minutes

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted15 Apr 2020
  2. Study start1 Jun 2020
  3. Primary completion17 Nov 2020
  4. Study completion17 Nov 2020

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Outcomes assessor
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04346719
Sponsor's protocol ID
Neuromodest-pHFAC
Status last verified
Nov 2020
First submitted
2 Apr 2020
Last updated
18 Nov 2020
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing 10 kHz stimulation (Myomed 932, Enraf-Nonius) and 20 kHz stimulation (Myomed 932, Enraf-Nonius) in people with Electrical Stimulation and Neuromodulation, run by University of Castilla-La Mancha at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 11 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 18 Nov 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Antidromic median sensory nerve action potential (time frame: Baseline at 0 minutes). The study lists 26 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Nov 2020.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in