Observation et Analyse Des Effets de la Stimulation transcrânienne à Courant Continu en Milieu Clinique Pour Soulager la Douleur Chronique Chez Les Travailleurs Vieillissants
试验速览
- 阶段
- 不适用
- 入组人数
- 24
- 试验地点
- 2
- 主要终点
- Pain intensity
研究概览
简要总结
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).
详细描述
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).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 56 Years 至 —(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •To be more than 55 years old
- •To have chronic pain
- •To have employment relationship
- •To have pain that interferes with work tasks
排除标准
- •- tDCS contraindications (epilepsy, metallic implant in the head, pacemaker, cochlear implant)
研究组 & 干预措施
Standard protocol
5 tDCS sessions in 1 week
干预措施: transcranial direct current stimulation (Device)
Enhanced protocol
11 tDCS sessions devised in 4 weeks
干预措施: transcranial direct current stimulation (Device)
结局指标
主要结局
Pain intensity
时间窗: 4 weeks after the last tDCS session
0-10 Numerical rating scale
Disability
时间窗: 4 weeks after the last tDCS session
Pain Disability Index
Depression
时间窗: 4 weeks after the last tDCS session
Beck depression inventory
Impression of change
时间窗: 4 weeks after the last tDCS session
Patient Global impression of change
Work role functioning
时间窗: 4 weeks after the last tDCS session
Work Role Functioning Questionnaire
Physical Functioning
时间窗: 4 weeks after the last tDCS session
Brief Pain Inventory
Anxiety
时间窗: 4 weeks after the last tDCS session
Beck anxiety inventory
Central sensitization
时间窗: 4 weeks after the last tDCS session
central sensitization inventory
Disability
时间窗: 4 weeks
Pain Disability Index
Anxiety
时间窗: Before tDCS
Beck anxiety inventory
Anxiety
时间窗: 1 week
Beck anxiety inventory
Pain intensity
时间窗: Before tDCS
0-10 Numerical rating scale
Pain intensity
时间窗: 1 week
0-10 Numerical rating scale
Pain intensity
时间窗: 4 weeks
0-10 Numerical rating scale
Disability
时间窗: Before tDCS
Pain Disability Index
Disability
时间窗: 1 week
Pain Disability Index
Work role functioning
时间窗: Before tDCS
Work Role Functioning Questionnaire
Work role functioning
时间窗: 1 week
Work Role Functioning Questionnaire
Work role functioning
时间窗: 4 weeks
Work Role Functioning Questionnaire
Physical Functioning
时间窗: Before tDCS
Brief Pain Inventory
Physical Functioning
时间窗: 1 week
Brief Pain Inventory
Physical Functioning
时间窗: 4 weeks
Brief Pain Inventory
Anxiety
时间窗: 4 weeks
Beck anxiety inventory
Depression
时间窗: Before tDCS
Beck depression inventory
Depression
时间窗: 1 week
Beck depression inventory
Depression
时间窗: 4 weeks
Beck depression inventory
Impression of change
时间窗: 1 week
Patient Global impression of change
Impression of change
时间窗: 4 weeks
Patient Global impression of change
Central sensitization
时间窗: Before tDCS
central sensitization inventory
Central sensitization
时间窗: 1 week
central sensitization inventory
Central sensitization
时间窗: 4 weeks
central sensitization inventory
次要结局
- Recruitment(through study completion, about 2 years)
- Security(through study completion, about 2 years)
- Intervention(through study completion, about 2 years)
研究者
Guillaume Léonard
Professor
Université de Sherbrooke
