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Pulsed Shortwave Therapy Treatment for Chronic Musculoskeletal Low Back Pain (PSWT)

Primary Purpose

Chronic Low Back Pain

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Pulsed Shortwave Therapy
Sponsored by
BioElectronics Corporation
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional other trial for Chronic Low Back Pain

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Participant is willing and able to give informed consent for participation in the trial.
  • In the Investigator's opinion, is able and willing to comply with all trial requirements.
  • Male or female ages 18 or above with stable chronic lower back pain
  • Females of childbearing must be on birth control or practice abstinence during the study period

    o Women of childbearing age will be screened with a urine pregnancy test. Women of childbearing potential are defined as any female who has experienced menarche and who is not permanently sterile or postmenopausal. Postmenopausal is defined as 12 consecutive months with no menses without an alternative medical cause.

  • ≥3 months duration of chronic low back pain
  • a current VAS pain rating ≥5/10
  • no radiating pain below the knee
  • Most of the pain in the body is present in the lower back or buttock, NOT in the lower extremities, as determined during screening by the principal investigator. The investigator will verbally ask the participant if most of the pain being experienced is in the lower back/buttock area, and rely on the response for inclusion into the study.
  • able to complete and tolerate treatment for the study period.

Exclusion Criteria:

  • Female participant who is pregnant.
  • Significant renal or hepatic impairment confirmed by medical history.
  • Prior home use of pulsed shortwave therapy.
  • Prior history of spinal fusion or failed spinal surgery syndrome.
  • Laminectomy, laminotomy or discectomy within 12 months of enrollment.
  • Diagnostic or interventional injections or any low back surgeries not mentioned above, including radiofrequency neuroablation within 6 months of enrollment.
  • The addition of strong opiates (hydrocodone, oxycodone, morphine), pregabalin and gabapentin to the treatment regime during the course of the trial
  • Current implanted cardiac demand pacemakers, defibrillators, cardiac pumps, spinal stimulators or other implanted electronic devices.
  • Patients using personal home based electrical stimulation devices are excluded
  • Patients with other concomitant illnesses (e.g., malignancy, osteoporosis) which, in the opinion of the investigator, would preclude successful patient participation will also be excluded
  • Active psychiatric disorders will be excluded (e.g. use of antipsychotic medication, bipolar disorder, schizophrenia).
  • Patients diagnosed with history of significant mood disorder will be excluded (e.g., depression or anxiety with adequate control would be acceptable).
  • Scheduled elective surgery or other procedures requiring general anaesthesia during the trial.
  • Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the trial, or may influence the result of the trial, or the participant's ability to participate in the trial.
  • Participants who have participated in another research trial involving an investigational product in the past 12 weeks.

Sites / Locations

  • North Alabama Primary Care

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Study Group

Control Group

Arm Description

Subjects in this group will receive an active pulsed shortwave therapy device.

Subjects in this group will receive a placebo pulsed shortwave device that it does not emit energy.

Outcomes

Primary Outcome Measures

Oswestry Disability Index
Quality of life measure for chronic lower back pain

Secondary Outcome Measures

Visual Analogue Pain score
assessment of pain being experienced
The Pain and Sleep Questionnaire three-item index
Assessment of the impact of pain on the subjects sleep
Analgesic Medication use
Quantify the use of analgesic medications

Full Information

First Posted
August 2, 2017
Last Updated
August 1, 2018
Sponsor
BioElectronics Corporation
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1. Study Identification

Unique Protocol Identification Number
NCT03240146
Brief Title
Pulsed Shortwave Therapy Treatment for Chronic Musculoskeletal Low Back Pain
Acronym
PSWT
Official Title
Pulsed Shortwave Therapy (PSWT) Treatment for Chronic Musculoskeletal Low Back Pain
Study Type
Interventional

2. Study Status

Record Verification Date
August 2018
Overall Recruitment Status
Completed
Study Start Date
September 28, 2017 (Actual)
Primary Completion Date
December 21, 2017 (Actual)
Study Completion Date
December 21, 2017 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
BioElectronics Corporation

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
Yes
Product Manufactured in and Exported from the U.S.
Yes
Data Monitoring Committee
No

5. Study Description

Brief Summary
The ActiPatch is a cutaneous device which is CE marked approved for relief of pain and has FDA clearance as an over the counter device for the adjunctive treatment of osteoarthritis of the knee and plantar fasciitis. It is taped over the affected area and stimulation at a high frequency is reported to alleviate pain with no sensation. By randomising patients between application of an active device or a dummy device and assessment of disability and pain scores at four weeks the efficacy or otherwise can be established. Chronic low back pain is a major health problem and if effective this has major economic implications as the device is cheap and safe.
Detailed Description
Chronic low back pain is a major public heath challenge for a number of reasons including prevalence, seriousness, vulnerable populations, the utility of population health strategies, and the importance of prevention at both the population and individual levels. Its incidence and prevalence are increasing with an aging population and the rise in obesity. When considering the location of chronic pain and its aetiology, back pain was the most common location with arthritis/osteoarthritis being the most common cause. Chronic low back back pain is costly to nations-not just in terms of health care expenditures and disability compensation but also in terms of lost school days, lost productivity and employment, reduced incomes, and lost potential and quality of life.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Low Back Pain

7. Study Design

Primary Purpose
Other
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Masking Description
Devices will be coded, the placebo device is Identical to the active device in all ways except emitting the electromagnetic field. The energy emitted causes no sensation so can not be unmasked by user.
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Study Group
Arm Type
Active Comparator
Arm Description
Subjects in this group will receive an active pulsed shortwave therapy device.
Arm Title
Control Group
Arm Type
Placebo Comparator
Arm Description
Subjects in this group will receive a placebo pulsed shortwave device that it does not emit energy.
Intervention Type
Device
Intervention Name(s)
Pulsed Shortwave Therapy
Intervention Description
Pulsed Shortwave Therapy device
Primary Outcome Measure Information:
Title
Oswestry Disability Index
Description
Quality of life measure for chronic lower back pain
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Visual Analogue Pain score
Description
assessment of pain being experienced
Time Frame
4 weeks
Title
The Pain and Sleep Questionnaire three-item index
Description
Assessment of the impact of pain on the subjects sleep
Time Frame
4 weeks
Title
Analgesic Medication use
Description
Quantify the use of analgesic medications
Time Frame
4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant is willing and able to give informed consent for participation in the trial. In the Investigator's opinion, is able and willing to comply with all trial requirements. Male or female ages 18 or above with stable chronic lower back pain Females of childbearing must be on birth control or practice abstinence during the study period o Women of childbearing age will be screened with a urine pregnancy test. Women of childbearing potential are defined as any female who has experienced menarche and who is not permanently sterile or postmenopausal. Postmenopausal is defined as 12 consecutive months with no menses without an alternative medical cause. ≥3 months duration of chronic low back pain a current VAS pain rating ≥5/10 no radiating pain below the knee Most of the pain in the body is present in the lower back or buttock, NOT in the lower extremities, as determined during screening by the principal investigator. The investigator will verbally ask the participant if most of the pain being experienced is in the lower back/buttock area, and rely on the response for inclusion into the study. able to complete and tolerate treatment for the study period. Exclusion Criteria: Female participant who is pregnant. Significant renal or hepatic impairment confirmed by medical history. Prior home use of pulsed shortwave therapy. Prior history of spinal fusion or failed spinal surgery syndrome. Laminectomy, laminotomy or discectomy within 12 months of enrollment. Diagnostic or interventional injections or any low back surgeries not mentioned above, including radiofrequency neuroablation within 6 months of enrollment. The addition of strong opiates (hydrocodone, oxycodone, morphine), pregabalin and gabapentin to the treatment regime during the course of the trial Current implanted cardiac demand pacemakers, defibrillators, cardiac pumps, spinal stimulators or other implanted electronic devices. Patients using personal home based electrical stimulation devices are excluded Patients with other concomitant illnesses (e.g., malignancy, osteoporosis) which, in the opinion of the investigator, would preclude successful patient participation will also be excluded Active psychiatric disorders will be excluded (e.g. use of antipsychotic medication, bipolar disorder, schizophrenia). Patients diagnosed with history of significant mood disorder will be excluded (e.g., depression or anxiety with adequate control would be acceptable). Scheduled elective surgery or other procedures requiring general anaesthesia during the trial. Any other significant disease or disorder which, in the opinion of the Investigator, may either put the participants at risk because of participation in the trial, or may influence the result of the trial, or the participant's ability to participate in the trial. Participants who have participated in another research trial involving an investigational product in the past 12 weeks.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Chandra Koneru, MD
Organizational Affiliation
North Alabama Primary Care
Official's Role
Principal Investigator
First Name & Middle Initial & Last Name & Degree
Sree Koneru, Ph.D
Organizational Affiliation
BioElectronics Corporation
Official's Role
Study Director
First Name & Middle Initial & Last Name & Degree
Ian Rawe, Ph.D.
Organizational Affiliation
BioElectronics Corporation
Official's Role
Study Chair
Facility Information:
Facility Name
North Alabama Primary Care
City
Athens
State/Province
Alabama
ZIP/Postal Code
35611
Country
United States

12. IPD Sharing Statement

Plan to Share IPD
No

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Pulsed Shortwave Therapy Treatment for Chronic Musculoskeletal Low Back Pain

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