Usability of a Multimodal External Neuromodulatory Device to Relieve Acute Low Back Pain
Study Details
Study Description
Brief Summary
Ten patients with acute or chronic low back pain will be invited to try a multimodal device for 20 minutes. Pain will be recorded prior to and after use, and feedback on the device will be elicited.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
To facilitate data collection of a short-term intervention, the investigators chose to enroll patients from a mixed physical therapy/chiropractic practice with demographic and economic diversity in the metro Washington area. The neuromodulatory device will have patient controlled frequencies at 50Hz, 100Hz, and 180Hz attached to a 12 x 22 cm metal plate ergonomically curved to fit the low back. The device will be wearable with a neoprene belt on both sides for patients to adjust pressure. The metal pocket in our device holds a 221g clay pack capable of being frozen to 15F or heated to 110F or patient tolerance, with 30 minute thermal capacity. A convenience sample of 10 patients at the clinic was invited to give feedback on the prototype device after informed consent. Changes suggested were incorporated and after informed consent a second group of ten gave will give feedback with the production-ready device.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: DuoTherm VibraCool Back Device Patients will be offered a pain relief belt device incorporating multiple speeds of vibration and optional heat, cold, and pressure delivered through a sculpted metal plate. They will be able to choose from 8 patterns of vibration with the multiple motors (50, 100, 200Hz), and hot or cold, and will wear the device for 20 minutes. |
Device: Duotherm VibraCool Back Device
Low back plate belt with mechanicothermal and pressure intervention options.
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Outcome Measures
Primary Outcome Measures
- Change in pain: 10cm Visual Analog Scale (VAS) printed on paper from 0 (no pain) to 10 (most pain) [30 minutes]
Difference between initial VAS and VAS after use of device
- Participants' choice in thermal options [30 minutes]
One of four options: hot, cold, none, both
- Would you recommend [After 30 minutes]
Binary approval or disapproval of device
Secondary Outcome Measures
- Subjective pain relief [30 minutes]
7-item Likert scale of 1 (much worse) to 7 (much better) pain relief over the time of the study
Eligibility Criteria
Criteria
Inclusion Criteria:
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Acute or chronic low back pain as chief complaint
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Capacity to understand all relevant risks and potential benefits of the study (informed consent);
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Willingness to communicate information
Exclusion Criteria:
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Radicular pain likely reflecting a surgical or mechanical problem
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BMI greater than 30 (device won't fit)
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Sensitivity to cold or vibration (e.g Raynaud's or Sickle Cell Disease)
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Diabetic neuropathy rendering a patient unable to determine if the device is too hot
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New neurologic deficits
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Skin lesions over the low back area
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Contraindication to any medication for pain management that would impact analgesic use record
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Inability to apply DuoTherm
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Sport and Spine Rehab Clinic | Rockville | Maryland | United States | 20852 |
Sponsors and Collaborators
- MMJ Labs LLC
- Sport and Spine Rehab Clinical Research Foundation
Investigators
- Principal Investigator: Amy Baxter, MD, MMJ Labs LLC
Study Documents (Full-Text)
None provided.More Information
Publications
- Ballard A, Khadra C, Adler S, Trottier ED, Le May S. Efficacy of the Buzzy Device for Pain Management During Needle-related Procedures: A Systematic Review and Meta-Analysis. Clin J Pain. 2019 Jun;35(6):532-543. doi: 10.1097/AJP.0000000000000690.
- Darnall BD, Colloca L. Optimizing Placebo and Minimizing Nocebo to Reduce Pain, Catastrophizing, and Opioid Use: A Review of the Science and an Evidence-Informed Clinical Toolkit. Int Rev Neurobiol. 2018;139:129-157. doi: 10.1016/bs.irn.2018.07.022. Epub 2018 Aug 6. Review.
- Davis CS, Lieberman AJ, Hernandez-Delgado H, Suba C. Laws limiting the prescribing or dispensing of opioids for acute pain in the United States: A national systematic legal review. Drug Alcohol Depend. 2019 Jan 1;194:166-172. doi: 10.1016/j.drugalcdep.2018.09.022. Epub 2018 Nov 3.
- Lurie RC, Cimino SR, Gregory DE, Brown SHM. The effect of short duration low back vibration on pain developed during prolonged standing. Appl Ergon. 2018 Feb;67:246-251. doi: 10.1016/j.apergo.2017.10.007. Epub 2017 Nov 1.
- Stumbo SP, Yarborough BJ, McCarty D, Weisner C, Green CA. Patient-reported pathways to opioid use disorders and pain-related barriers to treatment engagement. J Subst Abuse Treat. 2017 Feb;73:47-54. doi: 10.1016/j.jsat.2016.11.003. Epub 2016 Nov 15.
- Ueki S, Yamagami Y, Makimoto K. Effectiveness of vibratory stimulation on needle-related procedural pain in children: a systematic review. JBI Database System Rev Implement Rep. 2019 Jul;17(7):1428-1463. doi: 10.11124/JBISRIR-2017-003890.
- UsabilityDuoTherm