Pain Inhibition and Facilitation in Recurrent Low Back Pain
Pro-Nociceptive and Anti-Nociceptive Mechanisms Across an Episode of Recurrent Low Back Pain
1 other identifier
observational
60
1 country
1
Brief Summary
This study evaluates psychophysical measures of pain inhibition and facilitation, along with cortical responses to different sensory stimuli, in patients with recurrent low back pain and matched healthy individuals.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for all trials
Started Apr 2018
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
March 7, 2018
CompletedFirst Posted
Study publicly available on registry
March 13, 2018
CompletedStudy Start
First participant enrolled
April 10, 2018
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 14, 2018
CompletedStudy Completion
Last participant's last visit for all outcomes
December 14, 2019
CompletedDecember 11, 2020
December 1, 2020
8 months
March 7, 2018
December 10, 2020
Conditions
Outcome Measures
Primary Outcomes (2)
Conditioned Pain Modulation
Pressure pain threshold (kPa) as test stimulus before compared to during a pressure conditioning stimulus on the lower leg
Day 0 vs. Day 28
Temporal Summation of Pain
Pain rating (VAS) change over a series of 10 repeated mechanical stimuli
Day 0 vs. Day 28
Secondary Outcomes (5)
Pressure Pain Thresholds
Day 0 vs. Day 28
Thermal Pain Thresholds
Day 0 vs. Day 28
Two Point Discrimination
Day 0 vs. Day 28
Proprioceptive Weighting
Day 0 vs. Day 28
Sensory Evoked Potentials
Day 0 vs. Day 28
Other Outcomes (2)
Affective Regulation
Day 0 vs. Day 28
Attentional Regulation
Day 0 vs. Day 28
Study Arms (2)
Recurrent Low Back Pain Patients
Participants experiencing a current episode of their recurrent non-specific low back pain at the time of recruitment.
Healthy Volunteers
Participants matched in age and gender to one of the recurrent low back pain patients, with no significant past low back pain, chronic pain or other relevant medical disorders.
Eligibility Criteria
Population recruited from university, college, and wider Aalborg community
You may qualify if:
- Healthy men and women
- Aged 18-60 years
- No previous back pain OR \>1 previous episode of low back pain in past 12 months
- No current back pain OR Pain in the region posteriorly between the inferior border of the 12th rib and the lower gluteal fold (low back pain) at time of recruitment lasting \>24 hours
- Able to speak, read and understand English
You may not qualify if:
- Pregnancy
- First episode of low back pain
- Low back pain associated with menstruation
- Chronic low back pain (continuous pain episode for \>3 months)
- Currently seeking active treatment for low back pain
- Red flags symptoms
- Drug addiction defined as the use of cannabis, opioids or other drugs
- Current or previous neurologic, musculoskeletal, mental, or other illnesses which may affect the trial
- Current or previous chronic or recurrent pain condition other than low back pain
- Current regular use of analgesic or other medication which may affect the trial
- Lack of ability to cooperate
- Recent history of acute pain particularly in the lower limbs (unless related to LBP)
- Abnormally disrupted sleep in 24 hours preceding experiment
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
CNAP, SMI, Aalborg University
Aalborg, 9000, Denmark
Related Publications (1)
McPhee ME, Graven-Nielsen T. Positive affect and distraction enhance whereas negative affect impairs pain modulation in patients with recurrent low back pain and matched controls. Pain. 2022 May 1;163(5):887-896. doi: 10.1097/j.pain.0000000000002442.
PMID: 34382603DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Megan E McPhee, BPhty MSc
Aalborg University
Study Design
- Study Type
- observational
- Observational Model
- CASE CONTROL
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- PhD Fellow
Study Record Dates
First Submitted
March 7, 2018
First Posted
March 13, 2018
Study Start
April 10, 2018
Primary Completion
December 14, 2018
Study Completion
December 14, 2019
Last Updated
December 11, 2020
Record last verified: 2020-12