- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01132300
Efficacy Study Image Guided, Auto-Targeted Neurostimulation for the Treatment of Non-Specific Low Back Pain
An Open Trial Evaluating Efficacy of NeMa-st - A Computerized, Image Guided, Auto-Targeted Neurostimulation Device for the Treatment of Non Specific Low Back Pain
The purpose of this study is:
- Initial evaluation of the clinical effectiveness of Image Guided Transcutaneous Electrical Stimulation (TENS) device for treatment of non-specific low back pain.
- To assess the tolerability and acceptability of the device by the caregiver ("User Friendly").
- To evaluate patients' tolerance by monitoring side effects and tolerability during treatment.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Transcutaneous electrical nerves stimulation (TENS) devices are a drug-free alternative for managing pain. For the past thirty years, doctors have been prescribing FDA approved TENS worldwide as an effective way to relieve pain. TENS device currently utilized includes a variety of types of devices and pulse modulations. Most of these devices are applied on large surface areas, and are designed to block the pain signal (gate mechanism) to the brain. Others manual TENS devices are applied to small surface areas to stimulate peripheral nerve ends, and by that causing the release of endorphins with a significantly superior clinical outcome. Such treatments are time consuming and cumbersome and requires previous knowledge of location of nerve ends.
A novel device capable of scanning a large skin surface area, automatically locating nerve ends responsible for pain relief by utilizing skin impedance measurements and image processing with anatomical matching will be tested for stimulating these peripheral nerve ends (NeMa-st, Nervomatrix Ltd., Netanya, Israel).
For this purpose an open study to initially evaluate safety and efficacy of the intervention is designed. 20 patients will undergo 2 treatment sessions per week for a period of 4 weeks, while maintaining their pain relief medication treatment regime.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Haifa, Israel, 31048
- Bnai Zion Medical Center
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Non-specific low back pain persisted at least 1 month and no longer than 12 month before the study
- Patients must have a baseline score>40 mm on the VAS pain scale
- If taking analgesics, patients must agree to maintain a steady regimen for the duration of the study.
- Able to provide written and verbal informed consent.
Exclusion Criteria:
- Sciatica
- Diagnosed spinal stenosis
- Back Pain potentially attributable to specific underlying diseases or conditions (e.g. pregnancy, metastatic cancer, spondylolisthesis, fractured bones, dislocated joints, disc eruption).
- Unstable medical or severe psychiatric conditions or dementia.
- Previous Back surgery
- Physically unable to undergo treatment
- Patients receiving workers compensation or those involved in litigation
- Minimal pain - less than 40mm score on VAS scale
- History of pacemaker , implantable devices, history of cardiac arrhythmias
- Allergy or intolerance to adhesive materials
- Clinical evidence of cardiovascular, pulmonary, renal, hepatic, neurological , hematological or endocrine abnormalities.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Treatment
|
Patients will undergo 2 treatments per week during 4 weeks using the device.
During the study Patients are allowed to maintain/continue taking medications/ analgesics for pain relief prescribed to them before the study.
Medication use will be recorded.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Visual Analogue Scale Pain Questionnaire (VAS)
Time Frame: Baseline, before, and two hours after treatment session, 2 times a week, up to 5 weeks
|
Baseline, before, and two hours after treatment session, 2 times a week, up to 5 weeks
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Oswestry Disability Questionnaire
Time Frame: once a week during the study, up to 5 weeks
|
once a week during the study, up to 5 weeks
|
Side effect record
Time Frame: after each treatment session, 2 times a week, up to 5 weeks
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after each treatment session, 2 times a week, up to 5 weeks
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Range of Motion - lower back and pelvic forward flexion
Time Frame: Baseline, once a week, up to 5 weeks
|
Baseline, once a week, up to 5 weeks
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Elad Schiff, MD, Bnai Zion Medical Center
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- Approval Pending
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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