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Effectiveness of Transcutaneous Electrical Nerve Stimulation and Interferential Current in Chronic Neck Pain

20. August 2026 aktualisiert von: Busra Sirin, Beylikduzu State Hospital

Comparison of the Therapeutic Effectiveness of Transcutaneous Electrical Nerve Stimulation and Interferential Current in Patients With Chronic Neck Pain: A Prospective, Randomized, Double-Blind Study

The aim of this study was to determine and compare the efficacy of transcutaneous electrical nerve stimulation (TENS), interferential current (IFC), and sham therapy in patients with chronic neck pain.

A total of 57 patients diagnosed with chronic mechanical neck pain were included in the study. Patients were randomized into three groups. Each group received 10 sessions of physiotherapy over a two-week period: one group received conventional TENS, one group received IFC, and one group received sham therapy. Pain was assessed using the Visual Analog Scale (VAS), disability and functionality using the Copenhagen Neck Disability Index, quality of life using the SF-36, depression using the Beck Depression Inventory (BDI), and pain characteristics using the SF-McGill Pain Questionnaire.

Studienübersicht

Status

Abgeschlossen

Bedingungen

Studientyp

Interventionell

Einschreibung (Tatsächlich)

57

Phase

  • Unzutreffend

Teilnahmekriterien

Forscher suchen nach Personen, die einer bestimmten Beschreibung entsprechen, die als Auswahlkriterien bezeichnet werden. Einige Beispiele für diese Kriterien sind der allgemeine Gesundheitszustand einer Person oder frühere Behandlungen.

Zulassungskriterien

Studienberechtigtes Alter

  • Erwachsene

Akzeptiert gesunde Freiwillige

Ja

Beschreibung

The inclusion criteria:

  • having neck pain for more than six months,
  • being between 18 and 60 years of age,
  • having sufficient cognitive capacity to complete the study questionnaires,
  • being functionally able to participate in an outpatient physical therapy program
  • voluntarily agreeing to participate in the study.

The exclusion criteria:

  • the presence of motor deficits due to neurological involvement;
  • neurological conditions causing dizziness or balance loss;
  • congenital pathology of the cervical spine;
  • uncontrolled diabetes mellitus or hypertension; any contraindication to electrotherapy (such as pregnancy, severe arrhythmia, pacemaker, active infection, or skin lesions);
  • having received physical therapy or injection treatment for the neck region within the past year;
  • the presence of any connective tissue or rheumatologic disease (such as seronegative spondyloarthropathies or rheumatoid arthritis);
  • the presence of a mass lesion in the cervical spine or neck region;
  • a history of cervical spine fracture; and
  • the presence of psychiatric or cognitive disorders.

Studienplan

Dieser Abschnitt enthält Einzelheiten zum Studienplan, einschließlich des Studiendesigns und der Messung der Studieninhalte.

Wie ist die Studie aufgebaut?

Designdetails

  • Hauptzweck: Behandlung
  • Zuteilung: Zufällig
  • Interventionsmodell: Parallele Zuordnung
  • Maskierung: Single

Waffen und Interventionen

Teilnehmergruppe / Arm
Intervention / Behandlung
Experimental: patients who received TENS for chronic neck pain
Transcutaneous electrical nerve stimulation (TENS) was applied to the cervical region using four electrodes. Treatment was administered using a FİZYOMED FİZYOTENS-4000 device in conventional mode with a stimulation frequency of 40 Hz and a pulse duration of 100 μs. Each session lasted 20 minutes. Treatment was administered for 10 sessions over 2 weeks. Participants also received a home exercise program and education on protective techniques.
Transcutaneous electrical nerve stimulation (TENS) was applied to the cervical region using four electrodes. Treatment was administered using a FİZYOMED FİZYOTENS-4000 device in conventional mode with a stimulation frequency of 40 Hz and a pulse duration of 100 μs. Each session lasted 20 minutes. Treatment was administered for 10 sessions over 2 weeks. Participants also received a home exercise program and education on protective techniques.
Experimental: patients who received IFC for chronic neck pain
Interferential current (IFC) therapy was applied to the cervical region using four electrodes and an ET 3000 combined electrotherapy device. Treatment was administered with a carrier frequency of 4000 Hz, a stimulation frequency of 40 Hz, and an amplitude-modulated frequency (AMF) of 40 Hz using a 1/1 rectangular spectrum. Each session lasted 20 minutes. Treatment was administered for 10 sessions over 2 weeks. Participants also received a home exercise program and education on protective techniques.
Interferential current (IFC) therapy was applied to the cervical region using four electrodes and an ET 3000 combined electrotherapy device. Treatment was administered with a carrier frequency of 4000 Hz, a stimulation frequency of 40 Hz, and an amplitude-modulated frequency (AMF) of 40 Hz using a 1/1 rectangular spectrum. Each session lasted 20 minutes. Treatment was administered for 10 sessions over 2 weeks. Participants also received a home exercise program and education on protective techniques.
Schein-Komparator: Control
Sham electrotherapy was applied to the cervical region using four electrodes. The electrotherapy device was turned on, but no electrical current was delivered. Each sham treatment session lasted 20 minutes. Treatment was administered for 10 sessions over 2 weeks. Participants also received a home exercise program and education on protective techniques.
Sham electrotherapy was applied to the cervical region using four electrodes. The electrotherapy device was turned on, but no electrical current was delivered. Each sham treatment session lasted 20 minutes. Treatment was administered for 10 sessions over 2 weeks. Participants also received a home exercise program and education on protective techniques.

Was misst die Studie?

Primäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Short-Form McGill Pain Questionnaire (SF-MPQ):
Zeitfenster: Baseline, 3th weeks
The SF-MPQ, developed by Melzack in 1987 and validated in Turkish by Yakut et al., is widely used to assess pain. It evaluates sensory, affective, and total pain dimensions, along with VAS and Present Pain Intensity (PPI). The questionnaire consists of 15 descriptors (11 sensory and 4 affective), each scored from 0 (none) to 3 (severe), yielding sensory, affective, and total pain scores. PPI is assessed using a 6-point Likert scale ranging from 0 (no pain) to 5 (unbearable pain)
Baseline, 3th weeks

Sekundäre Ergebnismessungen

Ergebnis Maßnahme
Maßnahmenbeschreibung
Zeitfenster
Beck Depression Inventory (BDI):
Zeitfenster: Baseline, 3th weeks
The BDI was developed by Beck et al., and its Turkish validity and reliability have been established. The total score ranges from 0 to 63, with 0-21 indicating mild, 21-42 moderate, and 42-63 severe depression.
Baseline, 3th weeks
Copenhagen Neck Functional Disability Index (CNFDI): Copenhagen Neck Functional Disability Index (CNFDI):
Zeitfenster: Baseline, 3th weeks
The CNFDI was developed by Jordan et al. in 1998, and its Turkish version was validated by Yapalı et al. It consists of 15 items assessing pain intensity and its impact on daily activities, social interaction, and functional disability. Total scores range from 0 to 30.
Baseline, 3th weeks
Short Form-36 (SF-36)
Zeitfenster: Baseline, 3th weeks
The Turkish version of SF-36 was validated by Koçyiğit et al. It consists of 36 items and 8 subscales assessing physical and mental health: physical functioning, role physical, bodily pain, general health, vitality, social functioning, role emotional, and mental health.
Baseline, 3th weeks

Mitarbeiter und Ermittler

Hier finden Sie Personen und Organisationen, die an dieser Studie beteiligt sind.

Studienaufzeichnungsdaten

Diese Daten verfolgen den Fortschritt der Übermittlung von Studienaufzeichnungen und zusammenfassenden Ergebnissen an ClinicalTrials.gov. Studienaufzeichnungen und gemeldete Ergebnisse werden von der National Library of Medicine (NLM) überprüft, um sicherzustellen, dass sie bestimmten Qualitätskontrollstandards entsprechen, bevor sie auf der öffentlichen Website veröffentlicht werden.

Haupttermine studieren

Studienbeginn (Tatsächlich)

1. Januar 2015

Primärer Abschluss (Tatsächlich)

1. Mai 2015

Studienabschluss (Tatsächlich)

1. Mai 2015

Studienanmeldedaten

Zuerst eingereicht

15. August 2026

Zuerst eingereicht, das die QC-Kriterien erfüllt hat

20. August 2026

Zuerst gepostet (Tatsächlich)

21. August 2026

Studienaufzeichnungsaktualisierungen

Letztes Update gepostet (Tatsächlich)

21. August 2026

Letztes eingereichtes Update, das die QC-Kriterien erfüllt

20. August 2026

Zuletzt verifiziert

1. August 2026

Mehr Informationen

Begriffe im Zusammenhang mit dieser Studie

Arzneimittel- und Geräteinformationen, Studienunterlagen

Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt

Nein

Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt

Nein

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