Evidence map›Paper›PMID 32434666›Full record

Trial reportBrazilian journal of physical therapy

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

Lynn Leemans, Ömer Elma, Jo Nijs, Timothy H Wideman, Carolie Siffain, Hester den Bandt, Sven Van Laere, David Beckwée

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03643731 (Pain Relief in Patients With Chronic Low Back Pain Using HeatTens vs. Standard Care.), which is not on this map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 7% 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.

NCT03643731 nacompletednot on this map

Pain Relief in Patients With Chronic Low Back Pain Using HeatTens vs. Standard Care.

TypeinterventionalSponsorVrije Universiteit BrusselRan2018 to 2019Enrolled50ConditionsChronic Low Back Pain, Movement Evoked PainArmsHeatTens (HV-F311-E)
3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Effects of Personal Low-Frequency Stimulation Device on Myalgia: A Randomized Controlled Trial.International journal of environmental research and public health · 2022
    Trial
  7. Observational
  8. Article
  9. Review
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Muscle contraction exercise for low back pain.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2023
    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

8 authors at 6 institutions in 3 countries.

Lynn LeemansRehabilitation Research Department, Vrije Universiteit Brussel, Brussels, Belgium; Pain in Motion International Research Group, Belgium. Electronic address: Lynn.Leemans@vub.be.
Ömer ElmaPain in Motion International Research Group, Belgium.
Jo NijsPain in Motion International Research Group, Belgium; Department of Physical Medicine and Physiotherapy, University Hospital Brussels, Belgium.
Timothy H WidemanSchool of Physical and Occupational Therapy, McGill University, Canada.
Carolie SiffainRehabilitation Research Department, Vrije Universiteit Brussel, Brussels, Belgium; Pain in Motion International Research Group, Belgium.
Hester den BandtPain in Motion International Research Group, Belgium; Department of Physiotherapy, University of Applied Sciences Rotterdam, Rotterdam, The Netherlands.
Sven Van LaereInterfaculty Center Data Processing and Statistics, Vrije Universiteit Brussel, Belgium.
David BeckwéeRehabilitation Research Department, Vrije Universiteit Brussel, Brussels, Belgium; Frailty in Ageing Research Department, Vrije Universiteit Brussel, Brussels, Belgium; Department of Rehabilitation Sciences and Physiotherapy, Faculty of Medicine and Health Sciences, University of Antwerp, Belgium.
Pain in Motion · BEVrije Universiteit Brussel · BEAntwerp University Hospital · BEMcGill University · CARotterdam University of Applied Sciences · NLUniversity of Antwerp · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

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

objectivesThe 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.

methodsFifty 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.

resultsFifty 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.

conclusionThe 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).

Indexed as

Central Nervous System SensitizationChronic PainHot TemperatureHumansLow Back PainPain ManagementPain ThresholdPersons with DisabilitiesQuality of LifeTranscutaneous Electric Nerve StimulationChronic painLow back painMovement-evoked painMusculoskeletal painTENS

Identifiers

PMID32434666
PMCPMC7817858
OpenAlexW3024677964

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.