The Efficacy of the Kyrobak for Chronic Low Back Pain (LBP-2)

Sponsor
Radiancy (Industry)
Overall Status
Completed
CT.gov ID
NCT02155283
Collaborator
(none)
16
1
1
2
8

Study Details

Study Description

Brief Summary

The purpose of this study is to evaluate the efficacy of the Kyrobak continuous passive motion home-use device in relieving low back pain, improving proprioception (balance and fall prevention) and improving the symmetry of muscle function on either side of the spine.

Condition or Disease Intervention/Treatment Phase
  • Device: Continuous Passive Motion
N/A

Detailed Description

The Kyrobak is an electrically operated, continuous passive motion device including a platform that performs angular oscillations. The Kyrobak is used at home as an aid to relieve mild-to-moderate low back pain.

The study is designed to evaluate the efficacy of daily home use of the Kyrobak for 3 weeks and to assess the sustained efficacy 1 week later.

The evaluation will include the level of pain using the numerical rating scale (NRS), Digital Posturography, Heart Rate Variability (HRV), Static Surface Electromyography (SEMG), a condition-specific low back pain disability status by the Oswestry Disability Index (ODI) and subject satisfaction.

Study Design

Study Type:
Interventional
Actual Enrollment :
16 participants
Allocation:
N/A
Intervention Model:
Single Group Assignment
Masking:
None (Open Label)
Primary Purpose:
Treatment
Official Title:
The Kyrobak Continuous Passive Motion Device for the Treatment of Chronic Low Back Pain: A Pilot Study
Study Start Date :
Oct 1, 2013
Actual Primary Completion Date :
Dec 1, 2013
Actual Study Completion Date :
Dec 1, 2013

Arms and Interventions

Arm Intervention/Treatment
Other: Treatment Continuous Passive Motion

Single-arm; 3-week treatment plan using Kyrobak compared to baseline (before treatment)

Device: Continuous Passive Motion
Daily self-treatments at home for 3 weeks, with up to three 10-minute treatment sessions per day
Other Names:
  • Kyrobak
  • Outcome Measures

    Primary Outcome Measures

    1. Change in Amount of Pain Determined by the NRS at the End of the 3-week Treatment Plan Compared to Baseline (Before Treatment) [3 weeks]

      Pain level will be scored by the subject using the NRS on a 0 to 10 scale where 10 represents the highest level of pain and 0 represents no pain.

    Secondary Outcome Measures

    1. Change in Proprioception and Vestibular Function. [3 weeks, 4 weeks]

      Gather information regarding: Balance and Fall Prevention using digital posturography

    2. Change in Functional Health Status by ODI [3 weeks, 4 weeks]

      Functional health status will be determined by the ODI questionnaire completed by the subject (based upon answers from 10 multiple choice questions)

    3. Change in Symmetry of Muscle Function on Either Side of the Spine [3 weeks, 4 weeks]

      Gather information regarding: Symmetry of muscle function about the spine using static surface electromyography (SEMG)

    4. Change in Heart Rate Variability (and the Autonomic System) [3 weeks, 4 weeks]

      Gather information regarding: Autonomic nervous system activity by measuring heart rate variability (HRV).

    Other Outcome Measures

    1. Change in Amount of Pain Determined by the NRS at the 1-week Follow-up After the End of the 3-week Treatment Plan Compared to Baseline (Before Treatment) [4 weeks]

      Pain level will be scored by the subject using the NRS on a 0 to 10 scale where 10 represents the highest level of pain and 0 represents no pain.

    Eligibility Criteria

    Criteria

    Ages Eligible for Study:
    18 Years and Older
    Sexes Eligible for Study:
    All
    Accepts Healthy Volunteers:
    No
    Inclusion Criteria:
    • Male or female, age 18 or older

    • Level of pain - mild to moderate low back pain (≤5 NRS pain)

    • Chronic - symptoms must have been present for at least 12 weeks or more.

    • Location - lower tip of scapula to back of pelvis

    • Etiology - non-specific

    Exclusion Criteria:
    • Patients who have low back pain due to specific and known causes (infection, tumor, osteoporosis, ankylosing spondylitis, fracture, inflammatory process, radicular syndrome (radiating nerve pain from the spine such as sciatica), cauda equinal syndrome (serious neurological disorder where the spinal nerve roots are compressed which can cause).

    • Weight in excess of 265 lbs. (120.4 kg)

    • Pregnant or breastfeeding

    • Recent history of violent trauma

    • History of previous back surgery

    • Constant progressive, non-mechanical pain (no relief with bed rest)

    • Chronic pain other than low back pain

    • Past medical history of malignant tumor

    • Has taken an investigational drug within the past 30 days prior to entering the study, or currently enrolled in another investigational study

    • Mental disorder that would lead to difficulty in questionnaire completion

    • Any litigation for low back pain

    • Prolonged use of corticosteroids (i.e. used for 3 months or more)

    • Present use of prescription pain medication (i.e. Percocet®, Oxycodone, Vicodin®, etc.)

    • Physical disability that prevents the subject to lie down/get up

    • Drug abuse, immunosuppression, HIV

    • Any other condition which in the physician's opinion would make it unsafe for the subject to be treated.

    Contacts and Locations

    Locations

    Site City State Country Postal Code
    1 New Heights Chiropractic New York New York United States 10033

    Sponsors and Collaborators

    • Radiancy

    Investigators

    • Principal Investigator: Steven G Geanopulos, DC, New Heights Chiropractic

    Study Documents (Full-Text)

    None provided.

    More Information

    Publications

    None provided.
    Responsible Party:
    Radiancy
    ClinicalTrials.gov Identifier:
    NCT02155283
    Other Study ID Numbers:
    • LBP-2
    First Posted:
    Jun 4, 2014
    Last Update Posted:
    Jul 27, 2015
    Last Verified:
    Jun 1, 2014

    Study Results

    Participant Flow

    Recruitment Details
    Pre-assignment Detail
    Arm/Group Title Treatment Continuous Passive Motion
    Arm/Group Description Single-arm; 3-week treatment plan using Kyrobak compared to baseline (before treatment) Continuous Passive Motion: Daily self-treatments at home for 3 weeks, with up to three 10-minute treatment sessions per day
    Period Title: Overall Study
    STARTED 16
    COMPLETED 9
    NOT COMPLETED 7

    Baseline Characteristics

    Arm/Group Title Treatment Continuous Passive Motion
    Arm/Group Description Single-arm; 3-week treatment plan using Kyrobak compared to baseline (before treatment) Continuous Passive Motion: Daily self-treatments at home for 3 weeks, with up to three 10-minute treatment sessions per day
    Overall Participants 16
    Age (years) [Mean (Standard Deviation) ]
    Mean (Standard Deviation) [years]
    53.75
    (14.2)
    Sex: Female, Male (Count of Participants)
    Female
    8
    50%
    Male
    8
    50%
    Region of Enrollment (participants) [Number]
    United States
    16
    100%

    Outcome Measures

    1. Primary Outcome
    Title Change in Amount of Pain Determined by the NRS at the End of the 3-week Treatment Plan Compared to Baseline (Before Treatment)
    Description Pain level will be scored by the subject using the NRS on a 0 to 10 scale where 10 represents the highest level of pain and 0 represents no pain.
    Time Frame 3 weeks

    Outcome Measure Data

    Analysis Population Description
    Completers per protocol
    Arm/Group Title Treatment Continuous Passive Motion
    Arm/Group Description Single-arm; 3-week treatment plan using Kyrobak compared to baseline (before treatment) Continuous Passive Motion: Daily self-treatments at home for 3 weeks, with up to three 10-minute treatment sessions per day
    Measure Participants 9
    Mean (Standard Deviation) [units on a scale]
    -2.87
    (1.71)
    2. Secondary Outcome
    Title Change in Proprioception and Vestibular Function.
    Description Gather information regarding: Balance and Fall Prevention using digital posturography
    Time Frame 3 weeks, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    3. Secondary Outcome
    Title Change in Functional Health Status by ODI
    Description Functional health status will be determined by the ODI questionnaire completed by the subject (based upon answers from 10 multiple choice questions)
    Time Frame 3 weeks, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    4. Secondary Outcome
    Title Change in Symmetry of Muscle Function on Either Side of the Spine
    Description Gather information regarding: Symmetry of muscle function about the spine using static surface electromyography (SEMG)
    Time Frame 3 weeks, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    5. Secondary Outcome
    Title Change in Heart Rate Variability (and the Autonomic System)
    Description Gather information regarding: Autonomic nervous system activity by measuring heart rate variability (HRV).
    Time Frame 3 weeks, 4 weeks

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title
    Arm/Group Description
    6. Other Pre-specified Outcome
    Title Change in Amount of Pain Determined by the NRS at the 1-week Follow-up After the End of the 3-week Treatment Plan Compared to Baseline (Before Treatment)
    Description Pain level will be scored by the subject using the NRS on a 0 to 10 scale where 10 represents the highest level of pain and 0 represents no pain.
    Time Frame 4 weeks

    Outcome Measure Data

    Analysis Population Description
    [Not Specified]
    Arm/Group Title Treatment Continuous Passive Motion
    Arm/Group Description Single-arm; 3-week treatment plan using Kyrobak compared to baseline (before treatment) Continuous Passive Motion: Daily self-treatments at home for 3 weeks, with up to three 10-minute treatment sessions per day
    Measure Participants 9
    Mean (Standard Deviation) [units on a scale]
    -2.61
    (1.51)

    Adverse Events

    Time Frame
    Adverse Event Reporting Description
    Arm/Group Title Treatment Continuous Passive Motion
    Arm/Group Description Single-arm; 3-week treatment plan using Kyrobak compared to baseline (before treatment) Continuous Passive Motion: Daily self-treatments at home for 3 weeks, with up to three 10-minute treatment sessions per day
    All Cause Mortality
    Treatment Continuous Passive Motion
    Affected / at Risk (%) # Events
    Total / (NaN)
    Serious Adverse Events
    Treatment Continuous Passive Motion
    Affected / at Risk (%) # Events
    Total 0/0 (NaN)
    Other (Not Including Serious) Adverse Events
    Treatment Continuous Passive Motion
    Affected / at Risk (%) # Events
    Total 0/0 (NaN)

    Limitations/Caveats

    [Not Specified]

    More Information

    Certain Agreements

    Principal Investigators are NOT employed by the organization sponsoring the study.

    There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.

    Results Point of Contact

    Name/Title Dr. Daniele Perl-Treves, Clinical Director
    Organization Radiancy Ltd
    Phone 972-97757556
    Email daniele@radiancy.com
    Responsible Party:
    Radiancy
    ClinicalTrials.gov Identifier:
    NCT02155283
    Other Study ID Numbers:
    • LBP-2
    First Posted:
    Jun 4, 2014
    Last Update Posted:
    Jul 27, 2015
    Last Verified:
    Jun 1, 2014