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Transcranial Direct Current Stimulation in Clinical Setting to Reduce Pain in Older Workers

Not Applicable
Recruiting
Conditions
Aging
Chronic Pain
Interventions
Device: transcranial direct current stimulation
Registration Number
NCT05370833
Lead Sponsor
Université de Sherbrooke
Brief Summary

Chronic pain is one of the main factors influencing workers' retention at work. Considering that the prevalence of suffering from chronic pain increases with age, older workers are most likely to be absent from work because of their pain.

Transcranial direct current stimulation (tDCS) is a treatment option to reduce chronic pain.

This study aims to document the effect of tDCS on pain and work retention in older workers and to compare the traditional tDCS protocol (5 sessions) with an enhanced protocol (11 sessions).

Detailed Description

Chronic pain affects many spheres of the lives of affected individuals and those around them. In Canada, the prevalence of chronic pain is estimated at 15% of adults aged 18 and over. Among seniors, the prevalence of this health problem can reach up to 50% and affect one in two seniors. Chronic pain is one of the leading causes of work disability. In this context, pain reduction remains one of the most effective methods to enable the worker to stay at work. Considering the aging Quebec population, labor needs and the average retirement age which is increasingly postponed, it becomes crucial to take an interest in aging workers and their continued employment.

Transcranial direct current stimulation (tDCS) is a non-invasive neurostimulation method that has shown promise in reducing chronic pain. Recently, several research teams have shown that tDCS has beneficial effects on pain, physical function and social participation in seniors. Despite all these recent advances, very few studies have focused on optimizing tDCS treatment modalities and no studies have focused on the impact of tDCS on return to work or retention. The vast majority of studies using tDCS to reduce pain give one tDCS session per day for 5 consecutive days. This study aims to document the effect of tDCS on pain and work retention in older workers and to compare the traditional tDCS protocol (5 sessions) with an enhanced protocol (11 sessions).

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
24
Inclusion Criteria
  • To be more than 55 years old
  • To have chronic pain
  • To have employment relationship
  • To have pain that interferes with work tasks
Exclusion Criteria
  • tDCS contraindications (epilepsy, metallic implant in the head, pacemaker, cochlear implant)

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Standard protocoltranscranial direct current stimulation5 tDCS sessions in 1 week
Enhanced protocoltranscranial direct current stimulation11 tDCS sessions devised in 4 weeks
Primary Outcome Measures
NameTimeMethod
Pain intensity4 weeks after the last tDCS session

0-10 Numerical rating scale

Disability4 weeks after the last tDCS session

Pain Disability Index

Depression4 weeks after the last tDCS session

Beck depression inventory

Impression of change4 weeks after the last tDCS session

Patient Global impression of change

Work role functioning4 weeks after the last tDCS session

Work Role Functioning Questionnaire

Physical Functioning4 weeks after the last tDCS session

Brief Pain Inventory

Anxiety4 weeks after the last tDCS session

Beck anxiety inventory

Central sensitization4 weeks after the last tDCS session

central sensitization inventory

Secondary Outcome Measures
NameTimeMethod
Recruitmentthrough study completion, about 2 years

Feasibility of the study

Securitythrough study completion, about 2 years

Feasibility of the study

Interventionthrough study completion, about 2 years

Feasibility of the study

Trial Locations

Locations (2)

Clinique régionale de la gestion de la douleur - CISSSAT

🇨🇦

Rouyn-Noranda, Quebec, Canada

Centre de Recherche sur le Vieillissement

🇨🇦

Sherbrooke, Quebec, Canada

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