Using a TENS System (Transcutaneous Electrical Noninvasive Stimulation) to Improve Pain Related to Fibromyalgia (EXOFIB)
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Fibromyalgia, Primary
- Sponsor
- Institut De La Colonne Vertebrale Et Des Neurosciences
- Enrollment
- 33
- Locations
- 1
- Primary Endpoint
- Change in the Visual Analogue Scale for Pain
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Fibromyalgia is a debilitating pain condition that is characterized by the chronic occurrence of pain affecting the musculoskeletal system, a sensitivity to pressure stimuli, and a low threshold to noxious stimuli. The topography of pain is widespread, although it could be more pronounced in some bodily regions. Besides pain, patients suffer from a wide range of symptoms, including fatigue, anxiety and depression manifestations, and altered quality of life. Facing these debilitating symptoms, the available therapeutic strategies for treating pain and associated manifestations are usually faced with limited efficacy and numerous side effects. For these reasons, non-invasive stimulation techniques, namely transcutaneous stimulation by means of Exopulse Mollii suit, might be of help in this context.
The investigators designed a randomized sham controlled double-blind trial to demonstrate the improvement of pain, quality of life, fatigue and mood in adult patients with fibromyalgia following a 2-week intervention of "active" versus "sham" Exopulse Mollii suit. A 2-week washout period should be enough to prevent a potential carry over effect. After this phase (phase 1), a second open label phase (phase 2) will be proposed for patients to understand the effects of Exopulse Mollii suit employed for 4 weeks (7 sessions per week) on the studied outcomes.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Patients aged between 18 and 75 years, with a definite diagnosis of fibromyalgia according to the American College of Rheumatology (ACR) 2010 criteria, set for at least one month
- •Patients should be French speakers, able to understand verbal instructions, and affiliated to the national health insurance
Exclusion Criteria
- •Patient with VAS \< 4
- •Patient included in another research protocol during the study period
- •Patient unable to undergo medical monitor for the study purposes due to geographical or social reasons
- •Patient with contraindication to wearing Exopulse Mollii suit (e.g., cardiac stimulator, a ventriculoperitoneal shunt, intrathecal baclofen pump, pregnancy, and/or body mass index above 35 kg/m2)
- •Patient with other somatic or psychiatric diagnoses other than anxiety and depression (e.g., arrhythmias, uncontrolled epilepsy, other diseases causing osteoarticular and muscular pain)
- •Any change in the pharmacological therapy in the last three months
- •Introduction of a medical device other than Exopulse Mollii suit during the study period
- •Patient under juridical protection (" mesure de protection judiciare : tutelle, curatelle, sauvegarde de justice ")
Outcomes
Primary Outcomes
Change in the Visual Analogue Scale for Pain
Time Frame: This be assessed at baseline (before intervention) then at 2 weeks, 4 weeks, 6 weeks, 8 weeks and 12 weeks later
VAS consists of rating the symptom on a 10 cm horizontal line going from "no pain" to "worst pain imaginable".
Secondary Outcomes
- Pain Catastrophizing Scale (PCS)(This be assessed at baseline (before intervention) then at 2 weeks, 4 weeks, 6 weeks, 8 weeks and 12 weeks later)
- Hospital Anxiety and Depression Scale (HADS)(This be assessed at baseline (before intervention) then at 2 weeks, 4 weeks, 6 weeks, 8 weeks and 12 weeks later)
- Short Form 36 Health Survey (SF-36)(This be assessed at baseline (before intervention) then at 2 weeks, 4 weeks, 6 weeks, 8 weeks and 12 weeks later)
- Brief Pain Inventory(This be assessed at baseline (before intervention) then at 2 weeks, 4 weeks, 6 weeks, 8 weeks and 12 weeks later)
- Visual Analogue Scale (VAS) for fatigue(This be assessed at baseline (before intervention) then at 2 weeks, 4 weeks, 6 weeks, 8 weeks and 12 weeks later)
- Fibromyalgia Impact Questionnaire (FIQ)(This be assessed at baseline (before intervention) then at 2 weeks, 4 weeks, 6 weeks, 8 weeks and 12 weeks later)