Evidence map›Paper›PMID 28674829›Full record

Trial reportSchmerz (Berlin, Germany)2017

[Neuromodulation using matrix stimulation : A treatment for acute pain?]

M Mücke, H Schulze, L Radbruch, M Marinova, H Cuhls, D Kravchenko, R Conrad, R Rolke

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Schmerz (Berlin, Germany), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

M MückeKlinik für Palliativmedizin, Universitätsklinikum Bonn, Bonn, Deutschland. martin.muecke@ukb.uni-bonn.de.
H SchulzeKlinik für Palliativmedizin, Universitätsklinikum Bonn, Bonn, Deutschland.
L RadbruchKlinik für Palliativmedizin, Universitätsklinikum Bonn, Bonn, Deutschland.
M MarinovaRadiologische Klinik, Universitätsklinikum Bonn, Bonn, Deutschland.
H CuhlsKlinik für Palliativmedizin, Universitätsklinikum Bonn, Bonn, Deutschland.
D KravchenkoKlinik für Palliativmedizin, Universitätsklinikum Bonn, Bonn, Deutschland.
R ConradKlinik und Poliklinik für Psychosomatische Medizin und Psychotherapie, Universitätsklinikum Bonn, Bonn, Deutschland.
R RolkeKlinik für Palliativmedizin, Uniklinik RWTH Aachen, Aachen, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is currently a lack of studies that evaluate the effects of matrix electrode neuromodulation on acute pain. In this prospective and randomized cross-over study, we investigated the efficacy of 4 Hz-matrix stimulation on venipuncture-induced pain in 30 healthy subjects.

methodsWe compared two conditions of neurostimulation: in EC1 (experimental condition 1), we performed venipuncture during stimulation, with 2.5 min of prestimulation with 600 stimuli; in EC2 (experimental condition 2), the length of stimulation was 5 min, at 1200 stimuli, with subsequent venipuncture. A group with no stimulation was used as control condition.

resultsThe EC2 group did not only show a 77% reduction in puncture pain when compared to the control group (p < 0.001; effect size [ES] d = 1.45), but also had a significant effect compared with EC1 (p < 0.001; ES d = 1.33). EC1, on the other hand, did not demonstrate a significant difference to the control group. The status of the veins was evaluated based on visibility and did not differ significantly between the conditions.

conclusionThe results of this study showed for the first time that pre-emptive matrix stimulation could be an effective way to reduce acute pain. The duration of stimulation seems to play a key role in the effectiveness of the neurophysiological mechanism of action. Matrix stimulation is a therapeutic intervention with very few side effects, which could, in the future, expand our pain-management options for the treatment of acute pain.

Indexed as

Acute PainElectric Stimulation TherapyPain ManagementCross-Over StudiesHumansProspective StudiesAcute painLong-term depression (LTD)Matrix stimulationNeuromodulation

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.