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Chronic Low-back PainNCT04483128

Electrical Stimulation With Interferential Current in the Non-especific Chronic Low Back Pain: Effects on the Autonomic Nervous System.

A study testing Electrical stimulation: Interferential Current (IFC): Experimental Group in people with Chronic Low-back Pain and Chronic Pain, run by University of Seville 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
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Trial summary

The aim of this study it's to analyze the relationship between autonomic nervous system balance (ANSb) and chronic pain conditions, especially in this case, non-especific chronic low back pain (CLBP). Read more about this study

Who is it for?
Ages 18 to 65 years, men only
What is being tested?
Electrical stimulation: Interferential Current (IFC): Experimental Group
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
56 participants
Where
1 siteSpain
Study dates
1 Jun 2020to 10 Dec 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 65 years
  • Men only
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects diagnosed with cronic low back pain with at least 3 months of evolution.
  • Subjects with a minimal pain of 3/10 according to NPRS
  • Subjects with informed consent read and signed.
  • Subjects not undergoing any other physical therapy intervention.

Who cannot join

  • Any uncontrolled neurological or cardiac disorder.
  • Personal Psychological Apprehension Scale (PPAS) score higher than 37.5.
  • Contraindication for electrical stimulation.
  • Any regular use of medications known to affect the function of the autonomic nervous system (ANS) or pain perception, including antidepressant, benzodiazepines, anti-inflammatory drugs and beta-blockers, 2 weeks before participating in this study.
  • Ineligibility to participate determined by the researches.
  • Neurological, musculoskeletal or sensory affectations.
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  • Evidence of infectious process, fever or hypotension.
  • Metallic implants in low back area or treated area
  • No surgical interventions in low back area
  • Not being under pharmacological treatment with influence in Autonomic Nervous System like antidepressants.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Manuel Albornoz Cabello

    Seville

Other trials in Spain

About this study

The aim of this study it's to analyze the relationship between autonomic nervous system balance (ANSb) and chronic pain conditions, especially in this case, non-especific chronic low back pain (CLBP).

Most of physiotherapy approaches focus only in biomechanical aspects, leaving aside what kind of factors could perpetuate CLBP. Since 1985, ANSb was studied due to its potential contribution to chronic pain.

Read more

Electrical stimulation, through interferential currents (IFC), it's a safe and well-known therapy used in CLBP with good outcomes regarding pain relief.

The main objective of this study it's to quantify the association between CLBP and ANSb alterations. In second place, the research team aims to record the influence of IFC over pain and ANSb in those subjects.

Read the detailed description

In the first place, a meeting will be organized with the patients to resolve any doubt about the study and its process. The investigators will make sure every instruction is understandable, giving enough time to read and ask pertinent questions.

Secondly, patients will be provided of an informed consent specific for the present study, according to the legal forms. Participants must agree with all the information and sign the document.

At this point, patients will be interviewed individually by a researcher to collect all the data regarding to the Clinical History in Physiotherapy.

In the next step, patients will be randomized into two different groups by choosing one opaque envelope, containing a number for the allocation. A researcher will make the final allocation depending on the number. Patients were unaware of the group allocation for masking.

This study has to possible groups with a common indication for both:

  1. Experimental group: Patients allocated in this group will receive one single session of interferential current (IFC). Current used a carrier frequency of 4.000 Hz, 65Hz of amplitude modulated frequency (AMF) with sweep frecuency of 95Hz in a 1:1 swing pattern (quadripolar technique). Intensity was adjusted according to patient's tolerance without visible muscle twitches. The session will last 25 min.
  2. Control group: This group will receive the same intervention than experimental one but with no intensity, for 25 minutes. Patients will keep his general practitioner's indications about pharmacology.
  3. Common indication: Both groups will get instructions to perform a set of home-based exercises for core strengthening after variable collecting.

Before and after the session, all the variable measurements will be collected in the same environmental conditions by the same researcher. Basal measurement (before intervention) will be recorded 15 minutes before session for 10 minutes. The second measurement will be taken while the patient recieves the intervention for 20 minutes.

Being tested
Electrical stimulation: Interferential Current (IFC): Experimental Group, Electrical stimulation: Interferential Current (IFC): Control Group
Keywords
electrical stimulation, interferential current, autonomic balance, chronic low back pain
Medical subject headings
Chronic Pain

What participants receive

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

  • Electrical stimulation: Interferential Current (IFC): Experimental GroupDevice

    Application of IFC with Sonopuls 692® (Enraf-Nonius BV, Rotterdam, The Netherlands) device. Parameters:

    1. Carrier frequency of 4000 Hz
    2. Amplitude modulated frequency of 65 Hz (AMF)
    3. Sweep frequency of 95 Hz of modulation with a 1:1 swing pattern, in a quadripolar technique.
    4. Intensity will depend on subjet's tolerance but without generate visible muscle twitches.
    5. Session duration: 25 minutes
  • Electrical stimulation: Interferential Current (IFC): Control GroupDevice

    Application of IFC with Sonopuls 692® (Enraf-Nonius BV, Rotterdam, The Netherlands) device. Parameters:

    1. Carrier frequency of 4000 Hz
    2. Amplitude modulated frequency of 65 Hz (AMF)
    3. Sweep frequency of 95 Hz of modulation with a 1:1 swing pattern, in a quadripolar technique.
    4. NO intensity (0 mA)
    5. Session duration: 25 minutes
Study groups in NCT04483128
Study groupRoleWhat they receive
Sham IFC therapy: Control groupSham comparatorThis group will recieve also instructions for core strengthening exercises and a single session of interferential current (IFC). IFC parameters: 1. Carrier frequency of 4000 Hz 2. Amplitude modulated frequency of 65 Hz (AMF) 3. Sweep frequency of 95 Hz of modulation with a 1:1 swing pattern, in a quadripolar technique. 4. NO intensity (0 mA) 5. Session duration: 25 minutes
Receives: Device: Electrical stimulation: Interferential Current (IFC): Control Group
IFC therapy: Experimental groupExperimentalThis group will recieve also instructions for core strengthening exercises and a single session of interferential current (IFC). IFC parameters: 1. Carrier frequency of 4000 Hz 2. Amplitude modulated frequency of 65 Hz (AMF) 3. Sweep frequency of 95 Hz of modulation with a 1:1 swing pattern, in a quadripolar technique. 4. Intensity will depend on subjet's tolerance but without generating visible muscle twitches. 5. Session duration: 25 minutes
Receives: Device: Electrical stimulation: Interferential Current (IFC): Experimental Group

What is being measured

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

  1. Heart Rate variability (HRV-a)

    Heart Rate variability (HRV) is measured by calculating mean HR, maximum HR and minimum HR. First Beat Bodyguard2 device will be used to collect HRV.

    Measured: Evaluation before intervention (basal): 15 minutes before intervention, for 10 minutes.

  2. Heart Rate variability (HRV-b)

    Heart Rate variability (HRV) is measured by calculating mean HR, maximum HR and minimum HR. First Beat Bodyguard2 device will be used to collect HRV.

    Measured: Evaluation during the intervention: For 20 minutes, while the interferential current (intervention) is being applied.

  3. Root-mean-square differences of successive heartbeat intervals (RMSSD-a)

    RMSSD it's an indirect indicator of parasympathic nervous system level of activity. First Beat Bodyguard2 device will be used to collect RMSSD.

    Measured: Evaluation before intervention (basal): 15 minutes before intervention, for 10 minutes.

  4. Root-mean-square differences of successive heartbeat intervals (RMSSD-b)

    RMSSD it's an indirect indicator of parasympathic nervous system level of activity. First Beat Bodyguard2 device will be used to collect RMSSD.

    Measured: Evaluation during the intervention: For 20 minutes, while the interferential current (intervention) is being applied.

  5. Standard Deviation 1 (SD1-a)

    SD1 is an indicator of the autonomic nervous balance. First Beat Bodyguard2 device will be used to collect it.

    Measured: Evaluation before intervention (basal): 15 minutes before intervention, for 10 minutes.

  6. Standard Deviation 1 (SD1-b)

    SD1 is an indicator of the autonomic nervous balance. First Beat Bodyguard2 device will be used to collect it.

    Measured: Evaluation during the intervention: For 20 minutes, while the interferential current (intervention) is being applied.

  7. Standard Deviation 2 (SD2-a)

    SD2 is an indicator of the autonomic nervous balance. First Beat Bodyguard2 device will be used to collect it.

    Measured: Evaluation before intervention (basal): 15 minutes before intervention, for 10 minutes.

  8. Standard Deviation 2 (SD2-b)

    SD2 is an indicator of the autonomic nervous balance. First Beat Bodyguard2 device will be used to collect it.

    Measured: Evaluation during the intervention: For 20 minutes, while the interferential current (intervention) is being applied.s.

  9. Stress Index (SS-a)

    SS it's an indicator of sympathetic nervous system level of activation. First Beat Bodyguard2 device will be used to collect SS.

    Measured: Evaluation before intervention (basal): 15 minutes before intervention, for 10 minutes.

  10. Stress Index (SS-b)

    SS it's an indicator of sympathetic nervous system level of activation. First Beat Bodyguard2 device will be used to collect SS.

    Measured: Evaluation during the intervention: For 20 minutes, while the interferential current (intervention) is being applied.s.

  11. Sympathetic / Parasympathetic Ratio (S/PS Ratio-a)

    S/PS Ratio it's an indicator of autonomic nervous system balance. First Beat Bodyguard2 device will be used to collect S/PS Ratio.

    Measured: Evaluation before intervention (basal): 15 minutes before intervention, for 10 minutes.

  12. Sympathetic / Parasympathetic Ratio (S/PS Ratio-b)

    S/PS Ratio it's an indicator of autonomic nervous system balance. First Beat Bodyguard2 device will be used to collect S/PS Ratio.

    Measured: Evaluation during the intervention: For 20 minutes, while the interferential current (intervention) is being applied.s.

  13. Numeric Pain Rating Scale (NPRS-a)

    NPRS it's an scale used to measure with ease, patient's perceived pain with a scoring of 0 (no pain) and 10 (maximum pain).

    Measured: Evaluation before intervention (basal): 15 minutes before intervention.

  14. Numeric Pain Rating Scale (NPRS-b)

    NPRS it's an scale used to measure with ease, patient's perceived pain with a scoring of 0 (no pain) and 10 (maximum pain).

    Measured: Evaluation immediately after treatment session.

Secondary outcomes (4)
  1. Roland Morris Questionnaire (RMQ-a)

    RMQ it's a questionnaire used to measure an individual level of disability related to low back pain, with a scoring of 0 (no disability at all) and 24 (maximum disability).

    Measured: Evaluation before intervention (basal): 15 minutes before intervention.

  2. Roland Morris Questionnaire (RMQ-b)

    RMQ it's a questionnaire used to measure an individual level of disability related to low back pain, with a scoring of 0 (no disability at all) and 24 (maximum disability).

    Measured: Evaluation immediately after treatment session.

  3. Scale for Personal Psychological Apprehension (SPPA)

    SPPA it's a questionnaire made to measure subject's susceptibility to receive electrical stimulation. A scoring of >45 points indicates that subject shouldnt be treated with electrical therapy.

    Measured: Evaluation before intervention (basal): 15 minutes before intervention.

  4. Dosimetry achieved with electrical stimulation

    Maximal dosimetry reached during the session will be recorded in mA.

    Measured: Recorded immediately after treatment session.

Timeline

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

  1. First posted23 Jul 2020
  2. Study start1 Jun 2020
  3. Primary completion1 Nov 2020
  4. Study completion10 Dec 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
Basic science
Allocation
Randomised
Intervention model
Parallel groups
Model description
Participants diagnosed with chronic low back pain will be divided into two different groups with 28 patients each: * Experimental group: Participants in this group will receive electrical stimulation with interferential current. They will get also instructions to perform core strengthening exercises at home, after variable collection. * Control group: Participants in this group will recieve the same electrical stimulation than in the experimental group but with no intensity. This group will get too instructions to perform core strengthening exercises at home (after variable collection) and follow General Practitioner indications about pharmacology.
Masking
Single blind
Who is masked
Participant
Enrolment
56 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04483128
Sponsor's protocol ID
CIFSNA2020
Status last verified
Jun 2021
First submitted
14 Jul 2020
Last updated
2 Jul 2021
Results posted
No
Data monitoring committee
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 Electrical stimulation: Interferential Current (IFC): Experimental Group in people with Chronic Low-back Pain and Chronic Pain, run by University of Seville 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 4 inclusion and 10 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 2 Jul 2021. 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?

Heart Rate variability (HRV-a) (time frame: Evaluation before intervention (basal): 15 minutes before intervention, for 10 minutes.). The study lists 14 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 2 Jul 2021.

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