AzTrials
AzTrials

Neuropathic PainSCS-PHYSIONCT03740763

Spinal Cord Stimulation and Physiotherapy for Treatment of Neuropathic Pain

A study testing Spinal Cord Stimulation (SCS) and Physiotherapy in people with Neuropathic Pain, run by Göteborg University at 1 site in Sweden.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
Search all trials

Trial summary

The study evaluates the combined effect of optimized pharmacological treatment, spinal cord stimulation and physiotherapy on pain relief, health-related quality of life and physical function in patients with neuropathic pain. Read more about this study

Who is it for?
Ages 18 to 99 years
Conditions the study is for
Neuropathic Pain
What is being tested?
Spinal Cord Stimulation (SCS) and Physiotherapy
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
48 participants
Where
1 siteSweden
Study dates
9 May 2018to 22 Nov 2023
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 99 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Neuropathic pain > 6 months
  • Pain intensity ≥ 5 according to NRS (for neuropathic pain component to be treated with SCS)
  • Known cause of the pain
  • Neuroanatomical correlation to the pain
  • ≥50% of the painful area is to be treated with SCS
  • The patient has a physical and psychological health status that allows the patient to participate in physiotherapy and undergo SCS implantation.

Who cannot join

  • Not able to undergo SCS implantation
  • Inadequate knowledge of the Swedish language
  • Alcohol or substance abuse
  • Severe untreated psychiatric disorders including psychiatric disease and/or psychological conditions which are the primary determinant to the patient's pain condition
  • Incapacitating pain conditions of other causes than neuropathic pain
  • Pregnancy
  • Insufficient compliance
  • Malignant disease with short expected survival

Trial locations and contacts

1 site in 1 country.

Sweden1 site
  • Pain center, Sahlgrenska University Hospital

    Gothenburg, 416 50

Other trials in Sweden

About this study

Official title: Treatment of Neuropathic Pain With Spinal Cord Stimulation and Physiotherapy for More Effective Pain Relief, Increased Physical Activity and Improved Health Related Quality of Life

The study evaluates the combined effect of optimized pharmacological treatment, spinal cord stimulation and physiotherapy on pain relief, health-related quality of life and physical function in patients with neuropathic pain. All patients will receive optimized pharmacological treatment before start of spinal cord stimulation treatment. Half of the participants will be randomized to physiotherapy before start of spinal cord stimulation treatment while the other half will start physiotherapy after spinal cord stimulation treatment.

Read the detailed description

Previous studies have indicated that almost half of the patients with moderate-severe pain receive inadequate pain relief. Neuropathic pain is a common pain condition, affecting 1.5-8% of the population. Conventional pharmacological treatment reduces pain but is often insufficient. Spinal cord stimulation (SCS) is associated with improved pain relief and health-related quality of life compared to conventional medical management. Despite SCS treatment, only half of the patients report >50% pain relief. Other studies have indicated that active, specific physiotherapy led by professionals reduces pain in chronic pain conditions. The aim of the study is to access the combined effect of optimized pharmacological treatment, SCS and physiotherapy on pain relief, health-related quality of life and physical function in patients with neuropathic pain. Furthermore, the study evaluates when it is most effective to start the physiotherapy.

Being tested
Spinal Cord Stimulation (SCS), Physiotherapy
Keywords
Pain, Quality of Life, Electric Stimulation Therapy, Physiotherapy
Medical subject headings
Neuralgia, Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Spinal Cord Stimulation (SCS)Device

    SCS for treatment of neuropathic pain

  • PhysiotherapyOther

    Physiotherapy 2 hours/week with physiotherapist and physical activity counseling for treatment of neuropathic pain

Study groups in NCT03740763
Study groupRoleWhat they receive
Spinal Cord Stimulation (SCS)Active comparatorSpinal Cord Stimulation (SCS) 1. Pharmacological analgetic treatment and treatment with SCS for 3 months 2. Add-on physiotherapy for 6 months to SCS and pharmacological analgetic treatment 3. Pharmacological analgetic treatment, SCS treatment and add-on self management physical activity for 12 months
Receives: Device: Spinal Cord Stimulation (SCS); Other: Physiotherapy
PhysiotherapyActive comparatorPhysiotherapy 1. Pharmacological analgetic treatment for 3 months 2. Physiotherapy for 3 months and pharmacological analgetic treatment 3. Add-on SCS in combination with physiotherapy and pharmacological analgetic treatment for 3 months 4. Pharmacological analgetic treatment, SCS treatment and add-on self management physical activity for 12 months
Receives: Device: Spinal Cord Stimulation (SCS); Other: Physiotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Pain intensity according to numeric rating scale (NRS)

    Number of patients who report ≥50% pain reduction (pain intensity) according to numeric rating scale (score from 0 to 10, where 0 is described as "no pain" and 10 as "worst pain imaginable") with regard to neuropathic pain.

    Measured: 3 months after implantation

Secondary outcomes (37)
  1. Pain intensity according to NRS

    Number of patients who report ≥50% pain reduction (pain intensity) according to numeric rating scale (score from 0 to 10, where 0 is described as "no pain" and 10 as "worst pain imaginable") with regard to neuropathic pain.

    Measured: 9 months after implantation

  2. Pain intensity according to NRS

    Number of patients who report ≥50% pain reduction (pain intensity) according to numeric rating scale (score from 0 to 10, where 0 is described as "no pain" and 10 as "worst pain imaginable") with regard to neuropathic pain.

    Measured: 6 months after implantation

  3. Pain intensity according to NRS

    Number of patients who report ≥50% pain reduction (pain intensity) according to numeric rating scale (score from 0 to 10, where 0 is described as "no pain" and 10 as "worst pain imaginable") with regard to neuropathic pain.

    Measured: 12 months after implantation

  4. Pain intensity according to NRS

    Number of patients who report ≥50% pain reduction (pain intensity) according to numeric rating scale (score from 0 to 10, where 0 is described as "no pain" and 10 as "worst pain imaginable") with regard to neuropathic pain.

    Measured: 15 months after implantation

  5. Pain intensity according to NRS

    Number of patients who report ≥50% pain reduction (pain intensity) according to numeric rating scale (score from 0 to 10, where 0 is described as "no pain" and 10 as "worst pain imaginable") with regard to neuropathic pain.

    Measured: 21 months after implantation

  6. Health Related Quality of Life (HRQL) according to SF36

    Assessed with RAND Short Form 36 (SF36). The 36 items in the questionnaire are grouped into eight subscale scores: physical functioning, role limitations caused by physical problems, bodily pain, general health, energy/vitality, social functioning, role limitations caused by emotional problems and mental health. The subscale scores range from 0-100, the higher score, the better health related quality of life.

    Measured: 3 months after implantation

  7. Health Related Quality of Life (HRQL) according to SF36

    Assessed with RAND Short Form 36 (SF36). The 36 items in the questionnaire are grouped into eight subscale scores: physical functioning, role limitations caused by physical problems, bodily pain, general health, energy/vitality, social functioning, role limitations caused by emotional problems and mental health. The subscale scores range from 0-100, the higher score, the better health related quality of life.

    Measured: 6 months after implantation

  8. Health Related Quality of Life (HRQL) according to SF36

    Assessed with RAND Short Form 36 (SF36). The 36 items in the questionnaire are grouped into eight subscale scores: physical functioning, role limitations caused by physical problems, bodily pain, general health, energy/vitality, social functioning, role limitations caused by emotional problems and mental health. The subscale scores range from 0-100, the higher score, the better health related quality of life.

    Measured: 9 months after implantation

  9. Health Related Quality of Life (HRQL) according to SF36

    Assessed with RAND Short Form 36 (SF36). The 36 items in the questionnaire are grouped into eight subscale scores: physical functioning, role limitations caused by physical problems, bodily pain, general health, energy/vitality, social functioning, role limitations caused by emotional problems and mental health. The subscale scores range from 0-100, the higher score, the better health related quality of life.

    Measured: 12 months after implantation

  10. Health Related Quality of Life (HRQL) according to SF36

    Assessed with RAND Short Form 36 (SF36). The 36 items in the questionnaire are grouped into eight subscale scores: physical functioning, role limitations caused by physical problems, bodily pain, general health, energy/vitality, social functioning, role limitations caused by emotional problems and mental health. The subscale scores range from 0-100, the higher score, the better health related quality of life.

    Measured: 15 months after implantation

  11. Health Related Quality of Life (HRQL) according to SF36

    Assessed with RAND Short Form 36 (SF36). The 36 items in the questionnaire are grouped into eight subscale scores: physical functioning, role limitations caused by physical problems, bodily pain, general health, energy/vitality, social functioning, role limitations caused by emotional problems and mental health. The subscale scores range from 0-100, the higher score, the better health related quality of life.

    Measured: 21 months after implantation

  12. Health Related Quality of Life (HRQL) assessed with EQ-5D

    Assessed with EQ-5D-5L. The questionnaire comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.

    The EQ VAS records the patient's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. The VAS can be used as a quantitative measure of health outcome that reflect the patient's own judgement.

    Measured: 3 months after implantation

  13. Health Related Quality of Life (HRQL) assessed with EQ-5D

    Assessed with EQ-5D-5L. The questionnaire comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.

    The EQ VAS records the patient's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. The VAS can be used as a quantitative measure of health outcome that reflect the patient's own judgement.

    Measured: 6 months after implantation

  14. Health Related Quality of Life (HRQL) assessed with EQ-5D

    Assessed with EQ-5D-5L. The questionnaire comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.

    The EQ VAS records the patient's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. The VAS can be used as a quantitative measure of health outcome that reflect the patient's own judgement.

    Measured: 9 months after implantation

  15. Health Related Quality of Life (HRQL) assessed with EQ-5D

    Assessed with EQ-5D-5L. The questionnaire comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.

    The EQ VAS records the patient's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. The VAS can be used as a quantitative measure of health outcome that reflect the patient's own judgement.

    Measured: 12 months after implantation

  16. Health Related Quality of Life (HRQL) assessed with EQ-5D

    Assessed with EQ-5D-5L. The questionnaire comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.

    The EQ VAS records the patient's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. The VAS can be used as a quantitative measure of health outcome that reflect the patient's own judgement.

    Measured: 15 months after implantation

  17. Health Related Quality of Life (HRQL) assessed with EQ-5D

    Assessed with EQ-5D-5L. The questionnaire comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.

    The EQ VAS records the patient's self-rated health on a vertical visual analogue scale, where the endpoints are labelled 'The best health you can imagine' and 'The worst health you can imagine'. The VAS can be used as a quantitative measure of health outcome that reflect the patient's own judgement.

    Measured: 21 months after implantation

  18. Physical activity

    Assessed with accelerometer

    Measured: 3 months

  19. Physical activity

    Assessed with accelerometer

    Measured: 6 months

  20. Physical activity

    Assessed with accelerometer

    Measured: 9 months

  21. Physical activity

    Assessed with accelerometer

    Measured: 12 months

  22. Physical activity

    Assessed with accelerometer

    Measured: 15 months

  23. Physical activity

    Assessed with accelerometer

    Measured: 21 months

  24. Return to work

    Number of patients who return to work part time or full time.

    Measured: 9 months

  25. Return to work

    Number of patients who return to work part time or full time.

    Measured: 21 months

  26. Days of sick-leave

    Number of days of sick-leave

    Measured: 9 months

  27. Days of sick-leave

    Number of days of sick-leave

    Measured: 21 months

  28. Medicine consumption

    Number of pills and dosage.

    Measured: 9 months

  29. Medicine consumption

    Number of pills and dosage.

    Measured: 21 months

  30. Number of hospital and primary care visits

    Number of hospital and primary care visits

    Measured: 9 months

  31. Number of hospital and primary care visits

    Number of hospital and primary care visits

    Measured: 21 months

  32. Patient treatment satisfaction according to NRS

    Self-reported treatment satisfaction with regard to pain relief, how acceptable the patient finds the treatment and hospital care. Numeric rating scale (score from 0 to 10, where 0 is described as "not satisfied at all" and 10 as "very satisfied") and numeric rating scale (score from 0 to 10, where 0 is described as "not acceptable at all" and 10 as "very acceptable").

    Measured: 3 months after implantation

  33. Patient treatment satisfaction according to NRS

    Self-reported treatment satisfaction with regard to pain relief, how acceptable the patient finds the treatment and hospital care. Numeric rating scale (score from 0 to 10, where 0 is described as "not satisfied at all" and 10 as "very satisfied") and numeric rating scale (score from 0 to 10, where 0 is described as "not acceptable at all" and 10 as "very acceptable").

    Measured: 6 months after implantation

  34. Patient treatment satisfaction according to NRS

    Self-reported treatment satisfaction with regard to pain relief, how acceptable the patient finds the treatment and hospital care. Numeric rating scale (score from 0 to 10, where 0 is described as "not satisfied at all" and 10 as "very satisfied") and numeric rating scale (score from 0 to 10, where 0 is described as "not acceptable at all" and 10 as "very acceptable").

    Measured: 9 months after implantation

  35. Patient treatment satisfaction according to NRS

    Self-reported treatment satisfaction with regard to pain relief, how acceptable the patient finds the treatment and hospital care. Numeric rating scale (score from 0 to 10, where 0 is described as "not satisfied at all" and 10 as "very satisfied") and numeric rating scale (score from 0 to 10, where 0 is described as "not acceptable at all" and 10 as "very acceptable").

    Measured: 12 months after implantation

  36. Patient treatment satisfaction according to NRS

    Self-reported treatment satisfaction with regard to pain relief, how acceptable the patient finds the treatment and hospital care. Numeric rating scale (score from 0 to 10, where 0 is described as "not satisfied at all" and 10 as "very satisfied") and numeric rating scale (score from 0 to 10, where 0 is described as "not acceptable at all" and 10 as "very acceptable").

    Measured: 15 months after implantation

  37. Patient treatment satisfaction according to NRS

    Self-reported treatment satisfaction with regard to pain relief, how acceptable the patient finds the treatment and hospital care. Numeric rating scale (score from 0 to 10, where 0 is described as "not satisfied at all" and 10 as "very satisfied") and numeric rating scale (score from 0 to 10, where 0 is described as "not acceptable at all" and 10 as "very acceptable").

    Measured: 21 months after implantation

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted14 Nov 2018
  2. Study start9 May 2018
  3. Primary completion25 May 2022
  4. Study completion22 Nov 2023

Why it stopped: The study was terminated prematurely due to slow inclusion rate due to the COVID-19 pandemic.

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
48 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03740763
Sponsor's protocol ID
VGRFOU-216271
Acronym
SCS-PHYSIO
Status last verified
May 2025
First submitted
9 May 2018
Last updated
23 May 2025
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Gottfridsson R, Varkey E, Wolf A, Gatzinsky K, Liljencrantz J, Thorn SE, Borjesson M, Arvidsson D, Andrell P. Effects of spinal cord stimulation on pain, physical activity, and self-efficacy among patients with neuropathic pain. Pain Manag. 2026 Mar;16(3):185-199. doi: 10.1080/17581869.2025.2608572. Epub 2026 Jan 7.

    PubMed 41503863
  • O'Connell NE, Ferraro MC, Gibson W, Rice AS, Vase L, Coyle D, Eccleston C. Implanted spinal neuromodulation interventions for chronic pain in adults. Cochrane Database Syst Rev. 2021 Dec 2;12(12):CD013756. doi: 10.1002/14651858.CD013756.pub2.

    PubMed 34854473

Questions about this trial

What is this clinical trial studying?

A study testing Spinal Cord Stimulation (SCS) and Physiotherapy in people with Neuropathic Pain, run by Göteborg University at 1 site in Sweden.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 23 May 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study was stopped early (reason given: The study was terminated prematurely due to slow inclusion rate due to the COVID-19 pandemic.). Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Pain intensity according to numeric rating scale (NRS) (time frame: 3 months after implantation). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03740763, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 23 May 2025.

Free account

Log in to keep searching

You’ve used your 3 free searches. AzTrials is free: log in or create a free account to keep searching clinical trials and save the ones you want to follow.

Create a free accountLog in