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A randomized trial comparing the Tennant Biomodulator to transcutaneous electrical nerve stimulation and traditional Chinese acupuncture for the treatment of chronic pain in military service members
- Source :
- Military Medical Research, Vol 6, Iss 1, Pp 1-10 (2019), Military Medical Research
- Publication Year :
- 2019
- Publisher :
- Springer Science and Business Media LLC, 2019.
-
Abstract
- Background The present investigation tested the efficacy of the Tennant Biomodulator, a novel pain management intervention that uses biofeedback-modulated electrical stimulation, to reduce chronic pain and its psychosocial sequelae in a sample of current and former military service members. The Tennant Biomodulator used on its most basic setting was compared to two commonly used, non-pharmacological pain treatments—traditional Chinese acupuncture and transcutaneous electrical nerve stimulation (TENS)—in a comparative efficacy, randomized, open-label trial. Methods Participants included 100 active duty and retired service men and women with chronic pain undergoing treatment at the Brooke Army Medical Center in Texas, USA, randomly assigned to receive six, weekly sessions of either Tennant Biomodulator treatment, traditional Chinese acupuncture, or TENS, in addition to usual care. Recruitment was conducted between May 2010 to September 2013. Outcome measures were collected at intake, before and after each treatment session, and at a 1-month follow-up. Intent-to-treat analyses were used throughout, with mixed models used to investigate main effects of group, time, and group × time interactions with consideration given to quadratic effects. Outcomes measured included ratings of chronic pain, pain-related functional disability, and symptoms of post-traumatic stress disorder (PTSD) and depression. Results On average, regardless of their treatment group, participants exhibited a 16% reduction in pain measured by the Brooke Army Medical Center’s Clinic Pain Log [F(1, 335) = 55.7, P F(1, 84) = 28.3, P Conclusions Findings build on previous work suggesting that traditional Chinese acupuncture and TENS can reduce pain and its functional sequelae without risks associated with pharmacological pain management. The Tennant Biomodulator used on its most basic setting performs as well as these other interventions. Based on the present findings, large, randomized controlled trials on the Tennant Biomodulator are indicated. Future work should test this device using its full range of settings for pain-related psychological health. Trial registration Clincialtrials.gov (NCT01752010); registered December 14, 2012.
- Subjects :
- Adult
Male
medicine.medical_specialty
Visual Analog Scale
Visual analogue scale
Acupuncture Therapy
Psychological intervention
Chronic pain
Transcutaneous electrical nerve stimulation
law.invention
Stress Disorders, Post-Traumatic
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
Military service members
law
Acupuncture
Humans
Pain Management
Medicine
030212 general & internal medicine
Depression (differential diagnoses)
lcsh:R5-920
lcsh:Military Science
Depression
business.industry
Research
lcsh:U
General Medicine
Middle Aged
medicine.disease
Texas
Tennant biomodulator
Military Personnel
Treatment Outcome
Linear Models
Quality of Life
Transcutaneous Electric Nerve Stimulation
Physical therapy
Female
lcsh:Medicine (General)
business
Psychosocial
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 20549369
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- Military Medical Research
- Accession number :
- edsair.doi.dedup.....37d9b1a97d5991536a97e15aaedfcf67
- Full Text :
- https://doi.org/10.1186/s40779-019-0227-4