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Transcranial Direct Current Stimulation Combined With Therapeutic Exercise in Chronic Low Back Pain: Protocol of a Randomized Controlled Trial.
Cavalcante, Polyanna Gomes Lacerda; Baptista, Abrahão Fontes; Cardoso, Vinícius Saura; Filgueiras, Marcelo de Carvalho; Hasue, Renata Hydee; João, Silvia Maria Amado; Hazime, Fuad Ahmad.
Afiliación
  • Cavalcante PGL; Department of Physical Therapy, Biomedical Master Science Program, Universidade Federal do Piaui, Parnaíba, PI - Brazil.
  • Baptista AF; Center for Mathematics, Computation and Cognition, Universidade Federal do ABC, São Bernardo do Campo, SP - Brazil.
  • Cardoso VS; Department of Physical Therapy, Biomedical Master Science Program, Universidade Federal do Piaui.
  • Filgueiras MC; Department of Physical Therapy, Biomedical Master Science Program, Universidade Federal do Piaui.
  • Hasue RH; Department of Physical Therapy, Communication Sciences and Disorders, and Occupational Therapy, Doctoral Programs in Rehabilitation Sciences, Faculdade de Medicina da Universidade de São Paulo - USP, São Paulo, SP - Brazil.
  • João SMA; Department of Physical Therapy, Communication Sciences and Disorders, and Occupational Therapy, Doctoral Programs in Rehabilitation Sciences, Faculdade de Medicina da Universidade de São Paulo.
  • Hazime FA; Department of Physical Therapy, Biomedical Master Science Program, Universidade Federal do Piaui, Parnaíba, Avenida São Sebastião, 2819, CEP: 64202-020 Parnaíba, PI - Brazil.
Phys Ther ; 100(9): 1595-1602, 2020 08 31.
Article en En | MEDLINE | ID: mdl-32526017
OBJECTIVE: Although some studies have shown the clinical benefits of therapeutic exercise in chronic nonspecific low back pain, the effect sizes are generally small to moderate and recurrence rates are high. Transcranial direct current stimulation (tDCS) has been used to modulate pain-processing systems and motor outputs and has the potential to optimize the clinical benefits of therapeutic exercise. However, evidence for this combination is still lacking. The purpose of this protocol for a randomized clinical trial is to investigate whether the combination of tDCS and therapeutic exercise is more effective in relieving pain than therapeutic exercise alone. METHODS: This 2-arm, randomized controlled clinical trial will take place at the Federal University of Piauí, Brazil. Sixty patients will be randomized into 2 groups to receive tDCS (real/sham) + exercise therapies for 12 sessions over a period of 4 weeks. Pain intensity, sensory and affective aspects of pain, physical functioning, kinesiophobia, and global perceived effect will be recorded before treatment and at 4 weeks, 3 months, and 6 months after randomization. Data will be collected by an examiner unaware of (blind to) the treatment allocation. IMPACT: This trial can potentially provide important information and assist in clinical decision-making on the combined use of tDCS to optimize the clinical benefits of therapeutic exercise in patients with chronic nonspecific low back pain.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ensayos Clínicos Controlados Aleatorios como Asunto / Dolor de la Región Lumbar / Terapia por Ejercicio / Dolor Crónico / Estimulación Transcraneal de Corriente Directa Tipo de estudio: Clinical_trials / Guideline / Prognostic_studies Límite: Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: Phys Ther Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ensayos Clínicos Controlados Aleatorios como Asunto / Dolor de la Región Lumbar / Terapia por Ejercicio / Dolor Crónico / Estimulación Transcraneal de Corriente Directa Tipo de estudio: Clinical_trials / Guideline / Prognostic_studies Límite: Humans País/Región como asunto: America do sul / Brasil Idioma: En Revista: Phys Ther Año: 2020 Tipo del documento: Article Pais de publicación: Estados Unidos