Novel Spinal Cord Stimulation Parameters in Patients with Predominant Back Pain
| Autor: | Thomas L. Yearwood, Ricardo Vallejo, Donna M. Morgan, Jeffrey M. Tiede, Lora L. Brown, Gennady Gekht |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous medicine.medical_treatment Stimulation law.invention Cohort Studies law Back pain medicine Humans Neurostimulation Aged Pain Measurement Aged 80 and over Spinal Cord Stimulation Referred pain business.industry General Medicine Middle Aged Low back pain Spinal cord stimulator Neuromodulation (medicine) Treatment Outcome Anesthesiology and Pain Medicine Neurology Back Pain Physical therapy Female Neurology (clinical) medicine.symptom business |
| Zdroj: | Neuromodulation: Technology at the Neural Interface. 16:370-375 |
| ISSN: | 1094-7159 |
| DOI: | 10.1111/ner.12032 |
| Popis: | Objectives To examine the feasibility of novel high-frequency spinal cord stimulation therapy in a cohort of patients with chronic predominant back pain during a four day, percutaneous trial. Design Prospective, multicenter open label pilot trial. Setting and Patients: Twenty-four patients with back pain greater than leg pain who were candidates for spinal cord stimulation were trialed at five U.S. centers. Interventions Patients completed a percutaneous trial with a commercially available spinal cord stimulator. The implanted leads were then connected to the novel external stimulation device and patients were trialed for an additional four days. Outcome Measures Pain intensity ratings, subjective descriptions, and patients' preference. Results There was significant improvement from baseline in overall pain scores (8.68 to 2.03, [p < 0.001]) and back pain scores (8.12 to 1.88, [p < 0.001]) with the investigational stimulation. The investigational stimulation was preferred to the commercially available systems in 21 of 24 patients (88%). Conclusions Patients with predominant back pain reported a substantial reduction in overall pain and back pain when trialed with high-frequency spinal cord stimulation therapy. |
| Databáze: | OpenAIRE |
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