- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05308641
Effectiveness of Radial Extracorporeal Shockwave Therapy in Patients With Chronic Low Back Pain (ShockEffect)
Effectiveness of Radial Extracorporeal Shockwave Therapy in Patients With Chronic Low Back Pain - Randomized Controlled Trial
Study Overview
Status
Conditions
Detailed Description
Radial shock wave therapy is an approved pain therapy procedure that has been used in various degenerative orthopedic diseases for years. There are a few studies on the subject of chronic back pain. Some studies suggest that this method can be used sensibly. A direct comparison of different therapy protocols has not been carried out so far.
As part of inpatient multimodal pain therapy (including infiltration and physiotherapy) in patients with chronic lumbar back pain with or without degenerative surgery in the area of the lumbar spine radial shock wave therapy after a specific protocol is used. Only inpatients will be admitted to the study. All patients are informed verbally and give their written consent. Comprehensive patient information will be provided before the start of the study, handed out and explained as part of the information discussion. There will be 2 groups ((a) patients with previous degenerative surgery in the area of the lumbar spine, (b) patients without such a pre-operation) examined each with 4 sub-groups depending of the different therapy protocols.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Tobias Lange, MD
- Phone Number: +49 234 509 6502
- Email: tobias.lange@klinikum-bochum.de
Study Contact Backup
- Name: Lisa Rehbein
- Phone Number: +49 234 509 6510
- Email: lisa.rehbein@klinikum-bochum.de
Study Locations
-
-
-
Hattingen, Germany, 45527
- Recruiting
- Klinik Blankenstein
-
Contact:
- Sylvia Schreyer, MD
-
Principal Investigator:
- Sylvia Schreyer, MD
-
Principal Investigator:
- Tayna Greiling
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- chronic lumbar back pain of min 3 months duration
Exclusion Criteria:
- radicular pain of higher intensity than chronic low back pain (cLBP)
- new neurologic deficits
- anticoagulant therapy
- new trauma to the lumbar spine
- spine bacterial infection
- spine tumor
- pregnancy
- coagulation disorder
- previous infiltration to the lumbar spine within 6 weeks prior to study inclusion
- fibromyalgia
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: PreviousSurgery(PrevSurg)_YES/rESWT_4000
Previous Surgery on degenerative pathology in lumbar spine: YES rESWT: 4000 pulse, 20 Hz
|
application of radial extracorporeal shockwave therapy (rESWT) with 4000 pulses and 20 Hz
standard multimodal pain therapy
|
Active Comparator: PrevSurg_YES/rESWT_500
Previous Surgery on degenerative pathology in lumbar spine: YES rESWT: 500 pulse, 2 Hz
|
standard multimodal pain therapy
application of radial extracorporeal shockwave therapy (rESWT) with 500 pulses and 2 Hz
|
Active Comparator: PrevSurg_YES/rESWT_no
Previous Surgery on degenerative pathology in lumbar spine: YES rESWT: no
|
standard multimodal pain therapy
|
Active Comparator: PrevSurg_YES/rESWT_deny
Previous Surgery on degenerative pathology in lumbar spine: YES rESWT: denied
|
standard multimodal pain therapy
|
Active Comparator: PrevSurg_NO/rESWT_4000
Previous Surgery on degenerative pathology in lumbar spine: NO rESWT: 4000 pulse, 20 Hz
|
application of radial extracorporeal shockwave therapy (rESWT) with 4000 pulses and 20 Hz
standard multimodal pain therapy
|
Active Comparator: PrevSurg_NO/rESWT_500
Previous Surgery on degenerative pathology in lumbar spine: NO rESWT: 500 pulse, 2 Hz
|
standard multimodal pain therapy
application of radial extracorporeal shockwave therapy (rESWT) with 500 pulses and 2 Hz
|
Active Comparator: PrevSurg_NO/rESWT_no
Previous Surgery on degenerative pathology in lumbar spine: NO rESWT: no
|
standard multimodal pain therapy
|
Active Comparator: PrevSurg_NO/rESWT_deny
Previous Surgery on degenerative pathology in lumbar spine: NO rESWT: denied
|
standard multimodal pain therapy
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
change in Numeric Rating Scale (NRS)
Time Frame: pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
Pain intensity measured by Numeric Rating Scale (NRS) - 11-point scale / min. 0 (better outcome) / max. 10 (worse outcome) |
pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
change in Oswestry Disability Index (ODI)
Time Frame: pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
Oswestry Disability Index (ODI)
|
pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
change in European Quality of Life 5 Dimensions (EQ5D)
Time Frame: pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
European Quality of Life 5 Dimensions (EQ5D)
|
pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
change in Pain Self-Efficacy Questionnaire (PSEQ)
Time Frame: pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
Pain Self-Efficacy Questionnaire (PSEQ)
|
pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
change in Patient Health Questionnaire-9 (PHQ-9)
Time Frame: pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
Patient Health Questionnaire-9 (PHQ-9)
|
pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
change in Perseverative Thinking Questionnaire (PTQ)
Time Frame: pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
Perseverative Thinking Questionnaire (PTQ)
|
pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
change in Patient Specific Functional Scale (PSFS)
Time Frame: pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
Patient Specific Functional Scale (PSFS)
|
pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
change in The World Health Organisation- Five Well-Being Index (WHO-5)
Time Frame: pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
The World Health Organisation- Five Well-Being Index (WHO-5)
|
pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
change in Big Five Inventory-SocioOeconomicPanel (BFI-S)
Time Frame: pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
Big Five Inventory-SocioOeconomicPanel (BFI-S)
|
pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
change in Questionnaire Subgroups for Targeted Treatment (STarT-G)
Time Frame: pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
Subgroups for Targeted Treatment (STarT-G)
|
pre-intervention, 2 weeks, 1 month, 3 months, 6 months
|
Collaborators and Investigators
Sponsor
Investigators
- Study Director: Tobias L Schulte, Prof, Department of Orthopaedics and Trauma Surgery, St. Josef-Hospital, Ruhr-University Bochum
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1_1
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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.
Clinical Trials on Chronic Low-back Pain (cLBP)
-
Dow University of Health SciencesRecruitingLow Back Pain | Chronic Low-back Pain | Low Back Pain, Mechanical | Mechanical Low Back Pain | Pain, Chronic | Pain, Back | Lower Back Pain Chronic | CLBP - Chronic Low Back PainPakistan
-
King Saud UniversityActive, not recruitingCLBP - Chronic Low Back PainSaudi Arabia
-
NIBS NeuroScience TechnologiesUnknownChronic Low Back Pain (CLBP)
-
joimax, Inc.MileStone Research OrganizationTerminatedChronic Lower Back Pain (CLBP) | SIJ ArthropathyUnited States
-
ZetrOZ, Inc.CompletedIntervertebral Disc Displacement | Chronic Low Back Pain (CLBP)United States
-
Iran University of Medical SciencesNot yet recruitingLow Back Pain | Chronic Low-back Pain | Chronic Non-specific Low Back Pain | Cupping Therapy
-
Federal University of Minas GeraisRecruitingBack Pain | Low Back Pain | Chronic Low-back Pain | Back Pain Lower Back ChronicBrazil
-
University of Colorado, BoulderNational Institutes of Health (NIH); Radiological Society of North America; Psychophysiologic... and other collaboratorsCompletedChronic Pain | Back Pain Lower Back Chronic | Back Pain, LowUnited States
-
Federal University of ParaíbaCompletedChronic Low Back Pain | Nonspecific Chronic Low Back Pain
-
Faculdade de Ciências Médicas da Santa Casa de...CompletedLow Back Pain, Mechanical | Low Back Pain, Postural | Lower Back Pain Chronic | Low Back Pain, Posterior CompartmentBrazil
Clinical Trials on radial extracorporeal shockwave therapy_4000_20
-
Hyunjoong KimNot yet recruitingHealthyKorea, Republic of
-
Cairo UniversityRecruiting
-
Sahmyook UniversityCompletedPain, Postoperative | Rotator Cuff Injuries | Tissue AdhesionKorea, Republic of
-
Ullevaal University HospitalUniversity of Oslo; South Eastern Area Health ServiceUnknown
-
Chang Gung Memorial HospitalCompletedLateral Epicondylitis | Tennis Elbow | Lateral EpicondylosisTaiwan
-
Rizky Kusuma WardhaniCompletedCerebral Palsy | Spasticity, Muscle | Child; SpasticIndonesia
-
Marta ImamuraCompleted
-
Rizky Kusuma WardhaniCompletedCerebral Palsy | Spasticity, Muscle | Child; SpasticIndonesia
-
University of JaenCompletedNeck Pain | Musculoskeletal Manipulations | Extracorporeal Shockwave TherapySpain
-
Loewenstein HospitalUniversity of Melbourne; James Cook University, Queensland, Australia; MedispecCompleted