Transcutaneous electrical nerve stimulation and heat to reduce pain in a chronic low back pain population: a randomized controlled clinical trial

Authors: Leemans, L., Elma, Ö., Nijs, J., Wideman, T.H., Siffain, C., den Bandt, H., Van Laere, S. and Beckwée, D.

Journal: Brazilian Journal of Physical Therapy

Volume: 25

Issue: 1

Pages: 86-96

eISSN: 1809-9246

ISSN: 1413-3555

DOI: 10.1016/j.bjpt.2020.04.001

Abstract:

Background: Low back pain is the leading cause of disability worldwide. The therapeutic management of patients with chronic LBP is challenging. Objectives: The aim of this study is to evaluate the effects of heat and transcutaneous electrical nerve stimulation combined on pain relief in participants with chronic low back pain. Methods: Fifty participants with chronic (≥3 months) low back pain were randomly assigned to two groups: HeatTens (n = 25) and control group (n = 25). Primary outcome was pain. Secondary outcomes were pressure pain thresholds, temporal summation, conditioned pain modulation, fear-avoidance and beliefs questionnaire, central sensitization inventory, quality of life, and medication use. The control group received no treatment and continued usual care. After four weeks of treatment, all measurements were repeated. Results: Fifty individuals participated in this study. Significant higher pressure pain threshold measures after both 30 min and 4 weeks for the lower back region and the second plantar toe were found only in the experimental group. Conclusion: The combination of heat and transcutaneous electrical nerve stimulation does not reduce pain scores in patients with chronic low back pain. Pressure pain threshold values significantly improved, showing beneficial effects of the experimental treatment. ClinicalTrials.gov: NCT03643731 (https://clinicaltrials.gov/ct2/show/NCT03643731).

Source: Scopus

Transcutaneous electrical nerve stimulation and heat to reduce pain in a chronic low back pain population: a randomized controlled clinical trial.

Authors: Leemans, L., Elma, Ö., Nijs, J., Wideman, T.H., Siffain, C., den Bandt, H., Van Laere, S. and Beckwée, D.

Journal: Braz J Phys Ther

Volume: 25

Issue: 1

Pages: 86-96

eISSN: 1809-9246

DOI: 10.1016/j.bjpt.2020.04.001

Abstract:

BACKGROUND: Low back pain is the leading cause of disability worldwide. The therapeutic management of patients with chronic LBP is challenging. OBJECTIVES: The aim of this study is to evaluate the effects of heat and transcutaneous electrical nerve stimulation combined on pain relief in participants with chronic low back pain. METHODS: Fifty participants with chronic (≥3 months) low back pain were randomly assigned to two groups: HeatTens (n=25) and control group (n=25). Primary outcome was pain. Secondary outcomes were pressure pain thresholds, temporal summation, conditioned pain modulation, fear-avoidance and beliefs questionnaire, central sensitization inventory, quality of life, and medication use. The control group received no treatment and continued usual care. After four weeks of treatment, all measurements were repeated. RESULTS: Fifty individuals participated in this study. Significant higher pressure pain threshold measures after both 30min and 4 weeks for the lower back region and the second plantar toe were found only in the experimental group. CONCLUSION: The combination of heat and transcutaneous electrical nerve stimulation does not reduce pain scores in patients with chronic low back pain. Pressure pain threshold values significantly improved, showing beneficial effects of the experimental treatment. ClinicalTrials.gov: NCT03643731 (https://clinicaltrials.gov/ct2/show/NCT03643731).

Source: PubMed

Transcutaneous electrical nerve stimulation and heat to reduce pain in a chronic low back pain population: a randomized controlled clinical trial

Authors: Leemans, L., Elma, O., Nijs, J., Wideman, T.H., Siffain, C., den Bandt, H., Van Laere, S. and Beckwee, D.

Journal: BRAZILIAN JOURNAL OF PHYSICAL THERAPY

Volume: 25

Issue: 1

Pages: 86-96

eISSN: 1809-9246

ISSN: 1413-3555

DOI: 10.1016/j.bjpt.2020.04.001

Source: Web of Science (Lite)

Transcutaneous electrical nerve stimulation and heat to reduce pain in a chronic low back pain population: a randomized controlled clinical trial.

Authors: Leemans, L., Elma, Ö., Nijs, J., Wideman, T.H., Siffain, C., den Bandt, H., Van Laere, S. and Beckwée, D.

Journal: Brazilian journal of physical therapy

Volume: 25

Issue: 1

Pages: 86-96

eISSN: 1809-9246

ISSN: 1413-3555

DOI: 10.1016/j.bjpt.2020.04.001

Abstract:

Background

Low back pain is the leading cause of disability worldwide. The therapeutic management of patients with chronic LBP is challenging.

Objectives

The aim of this study is to evaluate the effects of heat and transcutaneous electrical nerve stimulation combined on pain relief in participants with chronic low back pain.

Methods

Fifty participants with chronic (≥3 months) low back pain were randomly assigned to two groups: HeatTens (n=25) and control group (n=25). Primary outcome was pain. Secondary outcomes were pressure pain thresholds, temporal summation, conditioned pain modulation, fear-avoidance and beliefs questionnaire, central sensitization inventory, quality of life, and medication use. The control group received no treatment and continued usual care. After four weeks of treatment, all measurements were repeated.

Results

Fifty individuals participated in this study. Significant higher pressure pain threshold measures after both 30min and 4 weeks for the lower back region and the second plantar toe were found only in the experimental group.

Conclusion

The combination of heat and transcutaneous electrical nerve stimulation does not reduce pain scores in patients with chronic low back pain. Pressure pain threshold values significantly improved, showing beneficial effects of the experimental treatment. ClinicalTrials.gov: NCT03643731 (https://clinicaltrials.gov/ct2/show/NCT03643731).

Source: Europe PubMed Central