AzTrials
AzTrials

Radiculopathy LumbarNCT06421558

Impact of Direct Current Electrical Stimulation on Treatment of Lumbosacral Radiculopathy

A study testing Neubie Direct Current Electrical Stimulation Device and Transcutaneous Electrical Stimulation in people with Radiculopathy Lumbar and Radiculopathy Sacral, run by NeuFit - Neurological Fitness and Education at 16 sites in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
Search all trials

Trial summary

This study will compare two methods of electrical stimulation (alternating current and direct current) as an adjunctive therapy to treating lumbosacral radiculopathy. Both types of electrical stimulation have been used in clinical practice for physical therapy, however direct current stimulation is much less common… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
Neubie Direct Current Electrical Stimulation Device and Transcutaneous Electrical Stimulation
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
150 participants
Where
16 sitesUnited States
Study dates
1 Apr 2024to 1 Aug 2025
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 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Must show evidence of lumbo-sacral radiculopathy as determined by EMG and straight leg raise test.
  • Must be able to attend weekly sessions for the 6-week period of the study (no extended travel)
  • Must be at least 18 years old.

Who cannot join

  • Currently pregnant
  • Cardiac pacemaker
  • Active or recent cancer
  • Active or recent blood clots
  • History of epilepsy
  • Open wounds
  • Spinal fusion surgery

Trial locations and contacts

16 sites in 1 country.

Dimitrios Kostopoulos, MD, PhD, DPT contact

9175382242

dimi@handsonpt.org

Ramona von Leden, PhD contact

5303832292

ramona.vonleden@neu.fit

16 sites in 1 country

United States16 sites, 16 recruiting
  • Hands On Physical Therpay

    Astoria, New York, 11106

    Dimitrios Kostopoulos, MD, PhD, DPT, 917-538-2242, dimi@handsonpt.com

    Recruiting
  • KORT Bardstown

    Bardstown, Kentucky, 40004

    Dimitrios Kostopolous, dimi@handsonpt.com

    Recruiting
  • APEX Physical Therapy

    Cape Coral, Florida, 33991

    Dimitrios Kostopolous, dimi@handsonpt.com

    Recruiting
  • Catalyst Physical Therapy

    Clearwater, Florida, 33756

    Dimitrios Kostopolous, dimi@handsonpt.com

    Recruiting
  • WellHealth Physical Therapy

    Deer Park, New York, 11729

    Dimitrios Kostopolous, dimi@handsonpt.com

    Recruiting
  • Courcier Clinic

    Edmond, Oklahoma, 73013

    Dimitrios Kostopolous, dimi@handsonpt.com

    Recruiting
  • Spine & Rehab Specialists

    El Paso, Texas, 79925

    Dimi Kostopolous, dimi@handsonpt.com

    Recruiting
  • Spine & Rehab Specialists

    El Paso, Texas, 79936

    Dimitrios Kostopoulos, dimi@handsonpt.org

    Recruiting
  • NCEPT Physical Therapy

    Escondido, California, 92025

    Dimitrios Kostopolous, dimi@handsonpt.com

    Recruiting
  • APEX Physical Therapy

    Fort Myers, Florida, 33908

    Dimitrios Kostopolous, dimi@handsonpt.com

    Recruiting
  • Kinetix Haile Plantation

    Gainesville, Florida, 32608

    Dimitrios Kostopolous, dimi@handsonpt.com

    Recruiting
  • Kinetix Arbor Greens - Jonesville

    Gainesville, Florida, 32669

    Dimitrios Kostopolous, dimi@handsonpt.com

    Recruiting
  • WellHealth Physical Therapy

    Hicksville, New York, 11801

    Dimitrios Kostopolous, dimi@handsonpt.com

    Recruiting
  • Adams Physical Therapy Services

    Portland, Indiana, 47371

    Dimitrios Kostopolous, dimi@handsonpt.com

    Recruiting
  • Hands On Physical Therapy of Queens Village

    Queens Village, New York, 11428

    Dimitrios Kostopolous, MD, PhD, DPT, 917-538-2242, dimi@handsonpt.com

    Recruiting
  • KORT Sheperdsville

    Shepherdsville, Kentucky, 40165

    Dimitrios Kostopolous, dimi@handsonpt.com

    Recruiting

Other trials in United States

About this study

Official title: Impact of Direct Current Neuromuscular Electrical Stimulation on Physical Therapy Treatment of Lumbosacral Radiculopathy

This study will compare two methods of electrical stimulation (alternating current and direct current) as an adjunctive therapy to treating lumbosacral radiculopathy. Both types of electrical stimulation have been used in clinical practice for physical therapy, however direct current stimulation is much less common and there is less known about its impact on physical therapy outcomes. The aim of this project is to show the efficacy of a novel device, the Neubie direct current device, compared to traditional TENS unit in clinical physical therapy treatment of radiculopathy. Outcomes measured will include: pain intensity, functional status, neurological status, electrophysiological changes and patient satisfaction.

Read the detailed description

To determine the efficacy of direct current electrical stimulation (the Neubie device) on long-term symptoms and severity of lumbosacral and thoracic radiculopathy, participants will enroll in a 6-week treatment regimen at one of 16 Hands-On Physical Therapy associated clinic sites listed included in application. The first session will consist of an intake evaluation session that will include: Numeric Pain Scale for pain, Oswestry Disability Index questionnaire to assess functional disability, Straight Leg Raise Test to address nerve root irritation or compression, and Electrophysiological evaluation to determine the nerve function. These tests will serve as baseline (and a within subject control) for the intervention.

Participants will then undergo a specialized radiculopathy protocol that includes traditional PT therapy as well as treatment with the Neubie (or traditional electrical stimulation) both during PT exercises and as additional treatment after sessions. Subjects receive an evaluation session that includes Numeric Pain Scale for pain, Oswestry Disability Index questionnaire to assess functional disability, Straight Leg Raise Test to address nerve root irritation or compression, and Electrophysiological evaluation to determine the nerve function.

The experimental group subjects follow with 12 sessions of physical therapy over a 6-week period which include 30 min of various physical therapy exercises with the Neubie.

The control group subjects follow with 12 sessions of physical therapy over a 6-week period which include: a 30-min of various physical therapy exercises with TENS application.

At the end of the 12 sessions of treatment, subjects receive an evaluation session that includes Numeric Pain Scale for pain, Oswestry Disability Index questionnaire to assess functional disability, Straight Leg Raise Test to address nerve root irritation or compression, Electrophysiological evaluation to determine the nerve function, and a patient satisfaction questionnaire to assess patient satisfaction with the treatment. Participants will receive 12 treatments over 6 weeks. Measurement of these variables will provide both quantitative and qualitative data on the severity of radiculopathy symptoms (see "Tools for data collection" below).

If symptoms of radiculopathy are still present at the 6 week assessment, participants will have the option to continue treatment for up to an additional 12 sessions over 6 more weeks, to a possible maximum of 24 sessions in 12 weeks. Participants will receive a final outcome evaluation session that includes Numeric Pain Rating Scale for pain, Oswestry Disability Index questionnaire to assess functional disability, Straight Leg Raise Test to address nerve root irritation or compression, Electrophysiological evaluation to determine the nerve function, and a patient satisfaction questionnaire to assess patient satisfaction with the treatment.

Being tested
Neubie Direct Current Electrical Stimulation Device, Transcutaneous Electrical Stimulation
Keywords
electrical stimulation, direct current, e-stim, neubie, emg

What participants receive

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

  • Neubie Direct Current Electrical Stimulation DeviceDevice

    Direct Current Electrical Stimulation Device that uses electrodes non-invasively on the skin to stimulate muscle fibers.

  • Transcutaneous Electrical StimulationDevice

    Also called TENS

    Transcutaneous Electrical Nerve Stimulation device - uses alternating current delivered through electrodes on the skin.

Study groups in NCT06421558
Study groupRoleWhat they receive
Neubie Direct Current Electrical Stimulation DeviceExperimentalThe experimental group subjects follow with 12 sessions of physical therapy over a 6-week period which include 30 min of various physical therapy exercises with the Neubie.
Receives: Device: Neubie Direct Current Electrical Stimulation Device
Transcutaneous Electrical StimulationOtherThe control group subjects follow with 12 sessions of physical therapy over a 6-week period which include: a 30-min of various physical therapy exercises with TENS application.
Receives: Device: Transcutaneous Electrical Stimulation

What is being measured

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

  1. H-Reflex

    Electrodes on the skin release tiny electric shocks to stimulate nerves; the amplitude of the nerve signal will be measured for the H-Reflex.

    Measured: Pre-intervention

  2. H-Reflex

    Electrodes on the skin release tiny electric shocks to stimulate nerves; the amplitude of the nerve signal will be measured for the H-Reflex.

    Measured: 6 weeks

  3. H-Reflex

    Electrodes on the skin release tiny electric shocks to stimulate nerves; the amplitude of the nerve signal will be measured for the H-Reflex.

    Measured: 12 weeks

  4. EMG detection of spontaneous electrical activity

    EMG detection of presence of degree of spontaneous electrical activity such as fibrillation potentials and positive sharp waves of muscles innervated by L4, L5, and S1 nerve roots

    Measured: Pre-intervention

  5. EMG detection of spontaneous electrical activity

    EMG detection of presence of degree of spontaneous electrical activity such as fibrillation potentials and positive sharp waves of muscles innervated by L4, L5, and S1 nerve roots

    Measured: 6 weeks

  6. EMG detection of spontaneous electrical activity

    EMG detection of presence of degree of spontaneous electrical activity such as fibrillation potentials and positive sharp waves of muscles innervated by L4, L5, and S1 nerve roots

    Measured: 12 weeks

  7. Straight Leg Raise Test

    Straight Leg Raise Test degrees of movement

    Measured: Pre-intervention

  8. Straight Leg Raise Test

    Straight Leg Raise Test degrees of movement

    Measured: 6 weeks

  9. Straight Leg Raise Test

    Straight Leg Raise Test degrees of movement

    Measured: 12 weeks

  10. Oswestry Disability Index

    Oswestry Disability Index Questionnaire Score

    Measured: Pre-intervention

  11. Oswestry Disability Index

    Oswestry Disability Index Questionnaire Score

    Measured: 6 weeks

  12. Oswestry Disability Index

    Oswestry Disability Index Questionnaire Score

    Measured: 12 weeks

  13. Numeric Pain Rating Scale

    Numeric Pain Rating scale for pain

    Measured: Pre-intervention

  14. Numeric Pain Rating Scale

    Numeric Pain Rating Scale for pain

    Measured: 6 weeks

  15. Numeric Pain Rating Scale

    Numeric Pain Rating Scale for pain

    Measured: 12 weeks

Timeline

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

  1. First posted20 May 2024
  2. Study start1 Apr 2024
  3. Primary completion1 May 2025 (estimated)
  4. Study completion1 Aug 2025 (estimated)

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
Model description
Study will be divided into two randomly assigned groups - control and experimental. Control group will receive traditional e-stim treatment with TENS plus physical therapy. Experimental group will receive direct current e-stim treatment with the Neubie device plus physical therapy.
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
150 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06421558
Sponsor's protocol ID
Pro00077736
Status last verified
Jul 2024
First submitted
8 Apr 2024
Last updated
29 Jul 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
Yes
Individual data sharing
No

Publications

  • Berry JA, Elia C, Saini HS, Miulli DE. A Review of Lumbar Radiculopathy, Diagnosis, and Treatment. Cureus. 2019 Oct 17;11(10):e5934. doi: 10.7759/cureus.5934.

    PubMed 31788391
  • Tarulli AW, Raynor EM. Lumbosacral radiculopathy. Neurol Clin. 2007 May;25(2):387-405. doi: 10.1016/j.ncl.2007.01.008.

    PubMed 17445735
  • Sharma H, Lee SW, Cole AA. The management of weakness caused by lumbar and lumbosacral nerve root compression. J Bone Joint Surg Br. 2012 Nov;94(11):1442-7. doi: 10.1302/0301-620X.94B11.29148.

    PubMed 23109619
  • Lewis R, Williams N, Matar HE, Din N, Fitzsimmons D, Phillips C, Jones M, Sutton A, Burton K, Nafees S, Hendry M, Rickard I, Chakraverty R, Wilkinson C. The clinical effectiveness and cost-effectiveness of management strategies for sciatica: systematic review and economic model. Health Technol Assess. 2011 Nov;15(39):1-578. doi: 10.3310/hta15390. No abstract available.

    PubMed 22078311
  • Aono H, Iwasaki M, Ohwada T, Okuda S, Hosono N, Fuji T, Yoshikawa H. Surgical outcome of drop foot caused by degenerative lumbar diseases. Spine (Phila Pa 1976). 2007 Apr 15;32(8):E262-6. doi: 10.1097/01.brs.0000259922.82413.72.

    PubMed 17426622
  • Girardi FP, Cammisa FP Jr, Huang RC, Parvataneni HK, Tsairis P. Improvement of preoperative foot drop after lumbar surgery. J Spinal Disord Tech. 2002 Dec;15(6):490-4. doi: 10.1097/00024720-200212000-00010.

    PubMed 12468976
  • Bauer P, Krewer C, Golaszewski S, Koenig E, Muller F. Functional electrical stimulation-assisted active cycling--therapeutic effects in patients with hemiparesis from 7 days to 6 months after stroke: a randomized controlled pilot study. Arch Phys Med Rehabil. 2015 Feb;96(2):188-96. doi: 10.1016/j.apmr.2014.09.033. Epub 2014 Oct 18.

    PubMed 25449195
  • Glaser JA, Baltz MA, Nietert PJ, Bensen CV. Electrical muscle stimulation as an adjunct to exercise therapy in the treatment of nonacute low back pain: a randomized trial. J Pain. 2001 Oct;2(5):295-300. doi: 10.1054/jpai.2001.25523.

    PubMed 14622808
  • Sluka KA, Walsh D. Transcutaneous electrical nerve stimulation: basic science mechanisms and clinical effectiveness. J Pain. 2003 Apr;4(3):109-21. doi: 10.1054/jpai.2003.434.

    PubMed 14622708
  • Peters EJ, Armstrong DG, Wunderlich RP, Bosma J, Stacpoole-Shea S, Lavery LA. The benefit of electrical stimulation to enhance perfusion in persons with diabetes mellitus. J Foot Ankle Surg. 1998 Sep-Oct;37(5):396-400; discussion 447-8. doi: 10.1016/s1067-2516(98)80048-3.

    PubMed 9798171
  • Gilcreast DM, Stotts NA, Froelicher ES, Baker LL, Moss KM. Effect of electrical stimulation on foot skin perfusion in persons with or at risk for diabetic foot ulcers. Wound Repair Regen. 1998 Sep-Oct;6(5):434-41. doi: 10.1046/j.1524-475x.1998.60505.x.

    PubMed 9844163
  • da Silva MP, Liebano RE, Rodrigues VA, Abla LE, Ferreira LM. Transcutaneous electrical nerve stimulation for pain relief after liposuction: a randomized controlled trial. Aesthetic Plast Surg. 2015 Apr;39(2):262-9. doi: 10.1007/s00266-015-0451-6. Epub 2015 Feb 10.

    PubMed 25665520
  • Ordog GJ. Transcutaneous electrical nerve stimulation versus oral analgesic: a randomized double-blind controlled study in acute traumatic pain. Am J Emerg Med. 1987 Jan;5(1):6-10. doi: 10.1016/0735-6757(87)90281-6.

    PubMed 3545246
  • Zhao M, Bai H, Wang E, Forrester JV, McCaig CD. Electrical stimulation directly induces pre-angiogenic responses in vascular endothelial cells by signaling through VEGF receptors. J Cell Sci. 2004 Jan 26;117(Pt 3):397-405. doi: 10.1242/jcs.00868. Epub 2003 Dec 16.

    PubMed 14679307
  • Kanno S, Oda N, Abe M, Saito S, Hori K, Handa Y, Tabayashi K, Sato Y. Establishment of a simple and practical procedure applicable to therapeutic angiogenesis. Circulation. 1999 May 25;99(20):2682-7. doi: 10.1161/01.cir.99.20.2682.

    PubMed 10338463

Questions about this trial

What is this clinical trial studying?

A study testing Neubie Direct Current Electrical Stimulation Device and Transcutaneous Electrical Stimulation in people with Radiculopathy Lumbar and Radiculopathy Sacral, run by NeuFit - Neurological Fitness and Education at 16 sites in United States.

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 3 inclusion and 7 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: status not confirmed, as of the sponsor's last update on 29 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 16 sites in United States. 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?

Results are not available in the source record.

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

Contact Dimitrios Kostopoulos, MD, PhD, DPT (9175382242, dimi@handsonpt.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

H-Reflex (time frame: Pre-intervention). The study lists 15 primary outcomes in all. 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 NCT06421558, which also lists 24 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 29 Jul 2024.

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