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Effects of pulsed low-frequency magnetic field therapy on pain intensity in patients with musculoskeletal chronic low back pain: study protocol for a randomised double-blind placebo-controlled trial
  1. Fuad A Abdulla1,
  2. Saad Alsaadi1,
  3. MIR Sadat-Ali2,
  4. Fahd Alkhamis3,
  5. Hani Alkawaja1,
  6. Serigne Lo4,5
  1. 1 Department of Physical Therapy, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  2. 2 Department of Orthopedic Surgery, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  3. 3 Department of Neurology, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  4. 4 Institute of Research and Medical Consultation, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia
  5. 5 Melanoma Institute Australia, North Sydney, New South Wales, Australia
  1. Correspondence to Prof. Fuad A Abdulla; faabdullah{at}iau.edu.sa

Abstract

Introduction The aim of the present study is to investigate the effectiveness of pulsed low-frequency magnetic field (PLFMF) on the management of chronic low back pain (CLBP).

Methods and analysis A randomised double-blinded controlled clinical trial will be conducted, involving 200 patients with CLBP. Participants will be randomised in a 1:1 ratio to receive either active PLFMF (experimental arm) or sham treatment (control arm) using a permuted-block design which will be stratified according to three subtypes of musculoskeletal CLBP (nociceptive, peripheral neuropathic or central sanitisation). The intervention consists of three sessions/week for 6 weeks. The primary outcome is the percentage change in Numerical Rating Scale (NRS) pain at week 24 after treatment completion with respect to the baseline. Secondary outcomes include percentage NRS pain during treatment and early after treatment completion, short form 36 quality of life, Roland and Morris Disability Questionnaire; Depression Anxiety Stress Scale 21, Patient Specific Functional Scale, Global perceived effect of condition change, Pittsburgh Sleep Quality Index and Modified Fatigue Impact Scale. Measures will be taken at baseline, 3 and 6 weeks during the intervention and 6, 12 and 24 weeks after completing the intervention. Adverse events between arms will be evaluated. Data will be analysed on an intention-to-treat basis.

Ethics and dissemination The study is funded by Imam Abdulrahman Bin Faisal University (IAU). It has been approved by the institutional review board of IAU (IRB‐ 2017‐03–129). The study will be conducted at King Fahd Hospital of the University and will be monitored by the Hospital monitoring office for research and research ethics. The trial is scheduled to begin in September 2018. Results obtained will be presented in international conferences and will be published in peer-reviewed journals.

Trial registration number ACTRN12618000921280, prospectively.

  • low back pain
  • pulsed low-frequency magnetic field
  • randomised double-blinded controlled clinical trial
  • efficacy
  • safety

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

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Footnotes

  • Contributors Study concept, design and drafting of the manuscript: FAA and SA. Critical revision of the manuscript for important intellectual content: MSA, FA and HK. SL contributed to the statistical design and data analysis. All authors critically read and approved the final version of the manuscript.

  • Funding This work was supported by Deanship of Research, Imam Abdulrahman Bin Faisal University Grant Number 2017-308-CAMS.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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