Evidence map›Paper›PMID 33308274›Full record

Trial reportTrials2020

Quantitative response of healthy muscle following the induction of capsaicin: an exploratory randomized controlled trial.

Valerie Evans, Michael Behr, Kei Masani, Dinesh Kumbhare

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

Trial report in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03944889 (Quantitative Response of Healthy Muscle Following the Induction of Capsaicin), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.1field-weighted citation impact, top 54% 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.

NCT03944889 early_phase1completednot on this map

Quantitative Response of Healthy Muscle Following the Induction of Capsaicin

TypeinterventionalSponsorToronto Rehabilitation InstituteRan2019 to 2020Enrolled20ConditionsCentral SensitisationArmsCapsaicin, Delsys Trigno Galileo System, Cadwell Sierra Wave, Sonosite Ultrasound Machine, Goniometer
3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

4 authors at 1 institution in 1 country.

Valerie EvansInstitute of Biomaterials and Biomedical Engineering (IBBME), University of Toronto, Toronto, Ontario, Canada.
Michael BehrToronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.
Kei MasaniInstitute of Biomaterials and Biomedical Engineering (IBBME), University of Toronto, Toronto, Ontario, Canada.
Dinesh KumbhareInstitute of Biomaterials and Biomedical Engineering (IBBME), University of Toronto, Toronto, Ontario, Canada. dinesh.kumbhare@uhn.ca.ORCID http://orcid.org/0000-0003-3889-7557
University Health Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyofascial pain syndrome (MPS) is a prevalent chronic pain disorder primarily characterized by myofascial trigger points (MTrPs). There is limited knowledge on the pathophysiology and mechanisms underlying MTrP and its development. Research has previously demonstrated the identification of MTrPs using ultrasound and vibration sonoelastography, although there is some contradictory evidence regarding if MTrPs present as hyper or hypoechoic regions. Electromyography (EMG) investigations of MTrP have demonstrated that MTrPs are usually located proximal to innervation zones where the peak surface EMG signals are obtained from. Central sensitization has been proposed as the primary mechanism underlying MTrP development. Central sensitization is associated with hyperexcitability of neuronal responses to normal or noxious stimuli. There is a need for a study that measures ultrasound image textural changes and motor unit activity responses in the muscle following sensitization. The purpose of this study is to determine whether sensitizing healthy muscle using capsaicin induces a regional change in image texture variables within the specific and surrounding muscles, as well as the motor unit frequency and amplitude changes that accompany them. This is an exploratory trial that aims to provide preliminary evidence on whether central sensitization is a direct cause of taut band and MTrP development.

methodsEthical approval was obtained from the University Health Network (UHN) Research Ethics Board. This proposed study is a single centered, factorial, randomized placebo-controlled trial with two independent variables, depth of capsaicin application and dose of capsaicin, for a total of six treatment arms and three control treatment groups. DISCUSSION: This will be the first study that assesses the B-mode ultrasound image texture of induced sensitized muscles and will provide more evidence on muscle motor unit activity and regional changes of central sensitization. Findings from this study may support one of few hypotheses proposed delineating the involvement of central sensitization in the development of trigger points.

trial registrationNational Institutes of Health ClinicalTrials.gov NCT03944889 . Registered on May 07, 2019.

Indexed as

Elasticity Imaging TechniquesMyofascial Pain SyndromesCapsaicinElectromyographyHumansMuscle, SkeletalTrigger PointsCapsaicinCentral sensitizationElectromyographyImage textureMyofascial pain syndromeTrigger pointsUltrasound

Identifiers

PMID33308274
PMCPMC7731533
OpenAlexW3112471775

What OpenQuestion holds

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LicenceCC BY
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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.