Evidence map›Paper›PMID 31791416›Full record

Trial reportMilitary Medical Research2019

A randomized trial comparing the Tennant Biomodulator to transcutaneous electrical nerve stimulation and traditional Chinese acupuncture for the treatment of chronic pain in military service members.

Kimberly S Peacock, Erika Stoerkel, Salvatore Libretto, Weimin Zhang, Alice Inman, Michael Schlicher, John D Cowsar, David Eddie, Joan Walter

Registry-linked trialOpen access · diamondAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Military Medical Research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01752010 (A Randomized Study Comparing the Tennant BioModulator to Transcutaneous Electrical Nerve Stimulation), which is not on this map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 18% of its field
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.

NCT01752010 nacompletednot on this map

A Randomized Study Comparing the Tennant BioModulator to Transcutaneous Electrical Nerve Stimulation (TENS) and Traditional Chinese Acupuncture for the Symptomatic Treatment of Chronic Pain Among Injured Service Members.

TypeinterventionalSponsorSamueli Institute for Information BiologyRan2010 to 2014Enrolled98ConditionsChronic Pain, Depression, PTSD Symptoms, SleepArmsTraditional Chinese Acupuncture, Tennant™ Biomodulator Treatment, Transcutaneous electrical nerve stimulation (TENS) Treatment
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
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

9 authors at 6 institutions in 1 country.

Kimberly S PeacockUniversity of Texas Health San Antonio, 7703 Floyd Curl Drive, San Antonio, TX, 78229, USA.
Erika StoerkelTLI Foundation, 1750 Tysons Boulevard, McLean, Virginia, 22102, USA.
Salvatore LibrettoHenry M. Jackson Foundation, 6720A Rockledge Drive, Bethesda, MD, 20817, USA.
Weimin ZhangBD Life Sciences, 1 Becton Drive, Franklin Lakes, NJ, 07417, USA.
Alice InmanBrooke Army Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX, 78234, USA.
Michael SchlicherMadigan Army Medical Center, 9040A Jackson Ave, Joint Base Lewis-McChord, WA, 98431, USA.
John D CowsarMedPost Urgent Care Center, 513 Cibolo Valley Drive, Cibolo, TX, 78108, USA.
David EddieMassachusetts General Hospital, Harvard Medical School, 151 Merrimac St. 6th Floor, Boston, MA, 02114, USA. deddie@mgh.harvard.edu.ORCID 0000-0002-0619-7209
Joan WalterH&S Ventures, Samueli Integrative Health Program, 1800 Diagonal Road, Suite 617, Alexandria, VA, 22314, USA.
Brooke Army Medical Center · USHarvard University · USHenry M. Jackson Foundation · USMadigan Army Medical Center · USSamueli Institute · USThe University of Texas Health Science Center at San Antonio · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe present investigation tested the efficacy of the Tennant Biomodulator, a novel pain management intervention that uses biofeedback-modulated electrical stimulation, to reduce chronic pain and its psychosocial sequelae in a sample of current and former military service members. The Tennant Biomodulator used on its most basic setting was compared to two commonly used, non-pharmacological pain treatments-traditional Chinese acupuncture and transcutaneous electrical nerve stimulation (TENS)-in a comparative efficacy, randomized, open-label trial.

methodsParticipants included 100 active duty and retired service men and women with chronic pain undergoing treatment at the Brooke Army Medical Center in Texas, USA, randomly assigned to receive six, weekly sessions of either Tennant Biomodulator treatment, traditional Chinese acupuncture, or TENS, in addition to usual care. Recruitment was conducted between May 2010 to September 2013. Outcome measures were collected at intake, before and after each treatment session, and at a 1-month follow-up. Intent-to-treat analyses were used throughout, with mixed models used to investigate main effects of group, time, and group × time interactions with consideration given to quadratic effects. Outcomes measured included ratings of chronic pain, pain-related functional disability, and symptoms of post-traumatic stress disorder (PTSD) and depression.

resultsOn average, regardless of their treatment group, participants exhibited a 16% reduction in pain measured by the Brooke Army Medical Center's Clinic Pain Log [F(1, 335) = 55.7, P <  0.0001] and an 11% reduction in pain-related disability measured by the Million Visual Analog Scale [MVAS: F(1, 84) = 28.3, P <  0.0001] from baseline to the end of treatment, but no one treatment performed better than the other, and the reductions in pain and pain-related disability were largely lost by 1-month follow-up. Symptoms of PTSD and depression did not change significantly as a function of time or group.

conclusionsFindings build on previous work suggesting that traditional Chinese acupuncture and TENS can reduce pain and its functional sequelae without risks associated with pharmacological pain management. The Tennant Biomodulator used on its most basic setting performs as well as these other interventions. Based on the present findings, large, randomized controlled trials on the Tennant Biomodulator are indicated. Future work should test this device using its full range of settings for pain-related psychological health.

trial registrationClincialtrials.gov (NCT01752010); registered December 14, 2012.

Indexed as

Acupuncture TherapyMilitary PersonnelTranscutaneous Electric Nerve StimulationAdultChronic PainDepressionFemaleHumansLinear ModelsMaleMiddle AgedPain ManagementQuality of LifeStress Disorders, Post-TraumaticTexasTreatment OutcomeAcupunctureChronic painMilitary service membersTennant biomodulatorTranscutaneous electrical nerve stimulation

Identifiers

PMID31791416
PMCPMC6886190
OpenAlexW2991227340

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.