Effectiveness of PEMF in Patients With Chronic Radicular Pain Due to Lomber Disc Herniation
Primary Purpose
Lumbar Disc Herniation
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
PEMF
Hot pack
TENS
Sham PEMF
Sponsored by
About this trial
This is an interventional treatment trial for Lumbar Disc Herniation
Eligibility Criteria
Inclusion Criteria:
- Age 18-65
- Unilateral radicular pain for at least 3 months
- Severity of radicular pain with Visual Analog Score of at least 4/10
- Written informed consent
Exclusion Criteria:
- Pregnancy or lactation
- Cardiac pacemaker, or any metal implants or electronic devices anywhere in the body
- History of surgery or algological procedure of the lumbar region
- Physical therapy within the last year due to back pain
- Previous PEMF treatment
- Malignancy or suspicion
- Polyneuropathy (diabetic or other)
- Connective tissue disease
- Presence of inflammatory joint pain
- Fibromyalgia
- Presence of open surface wound
- Tuberculosis, mycosis, or viral disease
- Presence of pain in another region of the body with higher severity than radicular back pain
- Use of drugs other than paracetamol-derivative simple analgesics (Nonsteroidal Aanti inflammatuar, central effective, or narcotic analgesics), or less than three weeks since the discontinuation of these drugs
- Advanced mood disorder
- Radiographic evidence of Grade 2 spondylolisthesis, presence of spinal instability, and advanced degenerative spondylarthrosis
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Sham Comparator
Arm Label
Pulsed electromagnetic field (PEMF) treatment Group
Sham PEMF treatment Group
Arm Description
Group received routine hot pack, Transcutaneous electrical nerve stimulation (TENS) and PEMF treatment.
Group received routine hot pack, TENS and sham PEMF treatment.
Outcomes
Primary Outcome Measures
10 cm Pain Visual Analogue Scale (VAS)
The patient is asked to indicate their perceived pain intensity along a 10cm horizontal line, where '0' represents 'no pain' and '10', 'unbearable pain'.
10 cm Pain Visual Analogue Scale (VAS)
The patient is asked to indicate their perceived pain intensity along a 10 cm horizontal line, where '0' represents 'no pain' and '10', 'unbearable pain'.
Secondary Outcome Measures
Disability; Roland-Morris Disability Questionnaire (RMDQ)
RMDQ has 24 yes/no questions. Scoring is between 0-24. A score of 0: no disability, score of >1 indicates disability.
Disability; Roland-Morris Disability Questionnaire (RMDQ)
RMDQ has 24 yes/no questions. Scoring is between 0-24. A score of 0: no disability, score of >1 indicates disability.
Nottingham Health Profile (NHP)
Nottingham Health Profile (NHP) is a questionnaire designed to measure a patient's view of their own health status, in a number of areas.
The NHP consists of two parts. The first part focuses on health and comprises 38 items which deal with pain, energy, sleep, mobility, emotional reaction and social isolation. All questions have only yes/no answer options and each section score is weighted. The higher the score, the greater the number and severity of problems. The highest score in any section is 100.
Nottingham Health Profile (NHP)
Nottingham Health Profile (NHP) is a questionnaire designed to measure a patient's view of their own health status, in a number of areas.
The NHP consists of two parts. The first part focuses on health and comprises 38 items which deal with pain, energy, sleep, mobility, emotional reaction and social isolation.All questions have only yes/no answer options and each section score is weighted. The higher the score, the greater the number and severity of problems. The highest score in any section is 100.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04049812
Brief Title
Effectiveness of PEMF in Patients With Chronic Radicular Pain Due to Lomber Disc Herniation
Official Title
Effectiveness of Pulse Electromagnetic Field Therapy (PEMF) on Pain, Functional Status, and Quality of Life in Patients With Chronic Radicular Pain Due to Lumbar Disc Herniation
Study Type
Interventional
2. Study Status
Record Verification Date
August 2019
Overall Recruitment Status
Completed
Study Start Date
March 1, 2016 (Actual)
Primary Completion Date
February 28, 2018 (Actual)
Study Completion Date
March 31, 2018 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor-Investigator
Name of the Sponsor
Birkan Sonel Tur
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
The aim of this study is to investigate the effectiveness of pulse magnetic field therapy on pain, functional status, and quality of life in patients with chronic radicular pain due to lumbar disc herniation.
Detailed Description
Pulsed Electromagnetic Field Therapy (PEMF) is a non-invasive, painless treatment for various injuries, bone related conditions and pains. However, further studies on PEMF effects on low back and radicular pain is needed due to lack of studies in this area.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Lumbar Disc Herniation
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
50 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Pulsed electromagnetic field (PEMF) treatment Group
Arm Type
Active Comparator
Arm Description
Group received routine hot pack, Transcutaneous electrical nerve stimulation (TENS) and PEMF treatment.
Arm Title
Sham PEMF treatment Group
Arm Type
Sham Comparator
Arm Description
Group received routine hot pack, TENS and sham PEMF treatment.
Intervention Type
Device
Intervention Name(s)
PEMF
Intervention Type
Device
Intervention Name(s)
Hot pack
Intervention Type
Device
Intervention Name(s)
TENS
Intervention Type
Device
Intervention Name(s)
Sham PEMF
Primary Outcome Measure Information:
Title
10 cm Pain Visual Analogue Scale (VAS)
Description
The patient is asked to indicate their perceived pain intensity along a 10cm horizontal line, where '0' represents 'no pain' and '10', 'unbearable pain'.
Time Frame
3 weeks
Title
10 cm Pain Visual Analogue Scale (VAS)
Description
The patient is asked to indicate their perceived pain intensity along a 10 cm horizontal line, where '0' represents 'no pain' and '10', 'unbearable pain'.
Time Frame
one month after treatment
Secondary Outcome Measure Information:
Title
Disability; Roland-Morris Disability Questionnaire (RMDQ)
Description
RMDQ has 24 yes/no questions. Scoring is between 0-24. A score of 0: no disability, score of >1 indicates disability.
Time Frame
3 weeks
Title
Disability; Roland-Morris Disability Questionnaire (RMDQ)
Description
RMDQ has 24 yes/no questions. Scoring is between 0-24. A score of 0: no disability, score of >1 indicates disability.
Time Frame
One month after treatment
Title
Nottingham Health Profile (NHP)
Description
Nottingham Health Profile (NHP) is a questionnaire designed to measure a patient's view of their own health status, in a number of areas.
The NHP consists of two parts. The first part focuses on health and comprises 38 items which deal with pain, energy, sleep, mobility, emotional reaction and social isolation. All questions have only yes/no answer options and each section score is weighted. The higher the score, the greater the number and severity of problems. The highest score in any section is 100.
Time Frame
3 weeks
Title
Nottingham Health Profile (NHP)
Description
Nottingham Health Profile (NHP) is a questionnaire designed to measure a patient's view of their own health status, in a number of areas.
The NHP consists of two parts. The first part focuses on health and comprises 38 items which deal with pain, energy, sleep, mobility, emotional reaction and social isolation.All questions have only yes/no answer options and each section score is weighted. The higher the score, the greater the number and severity of problems. The highest score in any section is 100.
Time Frame
One month after treatment
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Age 18-65
Unilateral radicular pain for at least 3 months
Severity of radicular pain with Visual Analog Score of at least 4/10
Written informed consent
Exclusion Criteria:
Pregnancy or lactation
Cardiac pacemaker, or any metal implants or electronic devices anywhere in the body
History of surgery or algological procedure of the lumbar region
Physical therapy within the last year due to back pain
Previous PEMF treatment
Malignancy or suspicion
Polyneuropathy (diabetic or other)
Connective tissue disease
Presence of inflammatory joint pain
Fibromyalgia
Presence of open surface wound
Tuberculosis, mycosis, or viral disease
Presence of pain in another region of the body with higher severity than radicular back pain
Use of drugs other than paracetamol-derivative simple analgesics (Nonsteroidal Aanti inflammatuar, central effective, or narcotic analgesics), or less than three weeks since the discontinuation of these drugs
Advanced mood disorder
Radiographic evidence of Grade 2 spondylolisthesis, presence of spinal instability, and advanced degenerative spondylarthrosis
12. IPD Sharing Statement
Learn more about this trial
Effectiveness of PEMF in Patients With Chronic Radicular Pain Due to Lomber Disc Herniation
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