Effect of Functional Magnetic Therapy on Constipation Predominant- Irritable Bowel Syndrome (IBS-C)

The aim of this study is to evaluate the potential benefits of functional magnetic therapy on constipation improvement and related symptoms in patients with IBS-C, including abdominal pain, bloating, bowel habits, and quality of life, as well as to assess patient satisfaction and experience with the therapy.

Study Overview

• Status: Not yet recruiting
• Conditions: Irritable Bowel Syndrome
• Intervention / Treatment: Device: Functional magnetic stimulation (FMS); Drug: Conventional pharmacological therapy

Detailed Description

Functional magnetic stimulation (FMS) has emerged as a promising non-invasive therapeutic approach for managing irritable bowel syndrome (IBS) with predominant constipation, operating through the application of electromagnetic fields that induce electrical currents to modulate neural activity and gastrointestinal function.

Previous research has demonstrated multiple therapeutic benefits of FMS including enhanced bowel motility, increased rectal pain thresholds leading to reduced abdominal pain, improved visceral hypersensitivity, and alleviation of associated psychological symptoms such as anxiety and depression in patients with functional bowel disorders.

The TESLA Former is a high-intensity Functional Magnetic Stimulation (FMS) device, that operates through multiple therapeutic mechanisms in treating IBS with predominant constipation: it delivers electromagnetic pulses to strengthen pelvic floor muscles and enhance defecation dynamics while modulating the brain-gut axis through stimulation of pudendal and sacral nerves (S2-S4); additionally, it influences the enteric nervous system (ENS) to normalize gut peristalsis and bowel transit, while simultaneously reducing inflammation and stress response through autonomic nervous system modulation, ultimately addressing both the physical and psychological components of IBS by improving muscle coordination, reducing visceral hypersensitivity, and promoting a balanced gut microbiota environment.

Research has demonstrated that the TESLA Former delivers significant therapeutic outcomes in treating IBS, including improved bowel function with increased frequency and ease of bowel movements, reduced abdominal discomfort manifested through diminished bloating and visceral pain, and enhanced quality of life (QOL) through reduced laxative dependency and improved symptom control; notably, this non-invasive therapy demonstrates excellent safety and tolerability profile.

• Study Type: Interventional
• Enrollment (Estimated): 50
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Amira Ali Gaber Ali, B.Sc; Phone Number: +20 102 366 0326; Email: Amira.ali_2160218@student.deraya.edu.eg
• Study Contact Backup: Name: Tamer I Abo Elyazed, PhD

Study Locations

• Egypt
  • Banī Suwayf, Egypt
    • Beni-Suef University
    • Contact: Amira Ali Gaber Ali; Phone Number: +20 102 366 0326; Email: Amira.ali_2160218@student.deraya.edu.eg

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

1. Diagnosis of IBS-C based on Rome IV criteria.
2. Age: Adults aged 18-65 years.
3. Symptom Duration: Symptoms present for at least 6 months before diagnosis.
4. Ability to Consent: Patients must be able to provide informed consent and comply with study requirements.

Exclusion Criteria:

1. Presence of Alarm Features or Red Flags:

   • Unexplained weight loss.
   • Blood in stool or rectal bleeding.
   • Anaemia (iron deficiency anaemia).
   • Persistent vomiting.

2. Underlying Organic Diseases:

   - Conditions such as inflammatory bowel disease (IBD), celiac disease, colorectal cancer, or other structural gastrointestinal abnormalities.

3. Pregnancy or Lactation.
4. Surgery or Anatomic Alterations: History of major gastrointestinal surgeries (e.g., bowel resection) that could affect bowel function.

5. Contraindications to the Procedure:

   • Patients with pacemaker
   • Condition that can compromise increased abdominal pressure, such as hernia.
   • Condition that can prevent adequate performance of abdominal muscle tension.
   • Recent thoracic or abdominal surgery precluding the use of functional magnetic therapy.
   • Rib fractures

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Functional magnetic stimulation (FMS) + Conventional pharmacological therapy; It will receive Trans-abdominal FMS plus the conventional pharmacological therapy for 8 weeks.	Device: Functional magnetic stimulation (FMS); Every patient will receive 20-minute FMS sessions on the TESLA FORMER device. Each treatment session will consist of one cycle (20 minutes each) based on the treatment area's size and the investigator's discretion. Treatment will be administered by a single applicator secured directly over the abdominal muscles. The device's output intensity will be escalated to a tolerable level depending on patient feedback, with average maximum intensities ranging from 98% to 100% across treatment sessions. The treatment will be 20 minutes long, with several steps including different frequency modulations to achieve stimulation of different muscle fibres.; Drug: Conventional pharmacological therapy; Every patient in both groups will receive conventional pharmacological therapy for 8 weeks.
Other: Conventional pharmacological therapy; It will receive the conventional pharmacological therapy for 8 weeks.	Drug: Conventional pharmacological therapy; Every patient in both groups will receive conventional pharmacological therapy for 8 weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
IBS Severity Scoring System (IBS-SSS)	It is a tool used to assess the severity of symptoms in patients with irritable bowel syndrome (IBS). It consists of five key questions that measure the intensity and impact of symptoms such as abdominal pain, bloating, bowel movement frequency, and the overall effect of IBS on QOL. Each symptom is rated on a scale from 0 to 100, and the total score ranges from 0 to 500. The total score helps categorize the severity of IBS as mild (75-175), moderate (175-300), or severe (300-500). The IBS-SSS is valuable for clinicians to monitor symptom progression, evaluate treatment effectiveness, and track the impact of IBS on a patient's daily life.	8 weeks
Complete Spontaneous Bowel Movements (CSBMs)	A complete spontaneous bowel movement (CSBM) is defined as a natural, voluntary bowel movement without the need for medical intervention, medications, or external aids. It involves the elimination of waste with a feeling of complete evacuation, occurring regularly (from three times a week to three times a day). CSBM typically is accompanied by the sensation of complete emptying and occurs without laxative use in the previous 24 hours, indicating normal gastrointestinal health and function. It is used as a clinical marker to evaluate digestive health, particularly in assessing conditions like irritable bowel syndrome.	8 weeks
Bristol Stool Scale Assessment (BSS)	It is a medical tool used to classify stool consistency and type, helping in assessing bowel health. The scale consists of seven types of stool, ranging from Type 1 (hard and lumpy) to Type 7 (liquid and watery). Types 3 and 4 are generally considered normal, with Type 3 resembling a sausage shape with cracks and Type 4 being smooth and soft, similar to a sausage or snake. It helps in monitoring bowel function, determining the effectiveness of treatments, and providing insight into gastrointestinal health.	8 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
The Visual Analog Scale (VAS)	The VAS consists of a straight line, typically 10 cm in length, where one end represents "no pain" and the other end represents "worst possible pain". Patients will be asked to mark a point on the line that represents the severity of their pain, with the position of the mark indicating their pain level. The scale is then measured in centimetres or millimeters, with higher values indicating more intense pain.	8 weeks
Pain Interference with Activities	It refers to the interference of pain with different activities such as walking, sitting, working light or heavy work and It grades from (None □ Mild □ Moderate □ Severe Complete).	8 weeks
Patient Assessment of Constipation Quality of Life (PAC-QOL )	It is a self-reported questionnaire designed to assess the impact of constipation on a patient's quality of life. It helps evaluate the psychological, social, and physical effects of constipation on daily living. The questionnaire consists of a series of statements that the patient rates based on their experiences over the past week, with responses typically ranging from "not at all" to "very much. The PAC-QOL is divided into four domains.	8 weeks

Collaborators and Investigators

• Sponsor: Beni-Suef University
• Investigators: Study Chair: Tamer I Abo Elyazed, PhD, Assistant Professor, Beni-Suef University; Study Director: Ragaey Ahmad Eid, PhD, Assistant Professor, Beni-Suef University; Study Director: Marwa Mohamed Eleawa, Lecturer, Beni-Suef University

Study record dates

Study Major Dates

• Study Start (Estimated): November 28, 2025
• Primary Completion (Estimated): January 28, 2026
• Study Completion (Estimated): February 14, 2026

Study Registration Dates

• First Submitted: November 20, 2025
• First Submitted That Met QC Criteria: November 20, 2025
• First Posted (Actual): December 1, 2025

Study Record Updates

• Last Update Posted (Actual): December 1, 2025
• Last Update Submitted That Met QC Criteria: November 20, 2025
• Last Verified: November 1, 2025

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Intestinal Diseases; Digestive System Diseases; Gastrointestinal Diseases; Colonic Diseases; Colonic Diseases, Functional; Irritable Bowel Syndrome
• Other Study ID Numbers: FPTBSUREC/0204/2225

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No