Artigo Acesso aberto Produção Nacional Revisado por pares

Analgesic efficacy of cerebral and peripheral electrical stimulation in chronic nonspecific low back pain: a randomized, double-blind, factorial clinical trial

2015; BioMed Central; Volume: 16; Issue: 1 Linguagem: Inglês

10.1186/s12891-015-0461-1

ISSN

1471-2474

Autores

Fuad Ahmad Hazime, Diego Galace de Freitas, Renan Lima Monteiro, Rafaela Lasso Maretto, Nilza Aparecida de Almeida Carvalho, Renata Hydeé Hasue, Sílvia Maria Amado João,

Tópico(s)

Transcranial Magnetic Stimulation Studies

Resumo

Chronic non-specific low back pain is a major socioeconomic public health issue worldwide and, despite the volume of research in the area, it is still a difficult-to-treat condition. The conservative analgesic therapy usually comprises a variety of pharmacological and non-pharmacological strategies, such as transcutaneous electrical nerve stimulation. The neuromatrix pain model and the new findings on the process of chronicity of pain point to a higher effectiveness of treatments that address central rather than peripheral structures. The transcranial direct current stimulation is a noninvasive technique of neuromodulation that has made recent advances in the treatment of chronic pain. The simultaneous combination of these two electrostimulation techniques (cerebral and peripheral) can provide an analgesic effect superior to isolated interventions. However, all the evidence on the analgesic efficacy of these techniques, alone or combined, is still fragmented. This is a protocol for a randomized clinical trial to investigate whether cerebral electrical stimulation combined with peripheral electrical stimulation is more effective in relieving pain than the isolated application of electrical stimulations in patients with chronic nonspecific low back pain.

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