At a glance
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Corticospinal and Motor Behavior Responses After 6-week Transcranial Direct Current Stimulation and Neuromuscular Electrical Stimulation Combined With Motor Control Exercises in Patients With Chronic Low Back Pain
In Brief
A clinical study evaluating Active-tDCS priming MCE, Sham-tDCS priming MCE, and 2 other interventions for Low Back Pain. Completed, enrolled 96 participants across 1 site.
Detailed Summary
This study aims to 1) determine the immediate effects of transcranial direct current stimulation (tDCS) on corticospinal excitability, lumbar multifidus muscle (LM) activation, as well as lumbar stability in patients with chronic low back pain (CLBP), 2) determine the immediate effects of neuromuscular electrical stimulation (NMES) on corticospinal excitability, LM activation, as well as lumbar stability in patients with CLBP, 3) compare the effectiveness of 6-week intervention program among tDCS priming with motor control exercise (MCE), NMES priming with MCE, and MCE alone in patients with CLBP, and 4) determine the associations among corticospinal excitability, LM activation, lumbar stability, movement patterns, and clinical outcomes in patients with CLBP.
Study Details
Timeline
Interventions
tDCS is used to enhance cortical excitability before motor control exercises.
tDCS will be set at 0 mA for 20 minutes before motor control exercise.
NMES is used to enhance lumbar multifidus motor unit recruitment before motor control exercise.
Conventional physical therapy includes modality for pain control, general exercise to improve muscle strength, endurance, and flexibility, and functional training (sit to stand, walking, etc.).