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Effects on perceived pain and somatosensory function after transcutaneous neuromodulation in patients with chronic low back pain: a quasi-experimental study with a crossover intervention.

作者信息

Selva-Sarzo Francisco, Sánchez Romero Eleuterio A, Cuenca-Zaldívar Juan Nicolás, García-Haba Beatriz, Akiyama Claudio, Sillevis Rob, Fernández-Carnero Samuel

机构信息

Francisco Selva Physiotherapy Clinic, Valencia, Spain.

Physiotherapy Faculty, Universitat de València, Valencia, Spain.

出版信息

Front Pain Res (Lausanne). 2025 Apr 15;6:1525964. doi: 10.3389/fpain.2025.1525964. eCollection 2025.


DOI:10.3389/fpain.2025.1525964
PMID:40303317
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12037630/
Abstract

BACKGROUND: Transcutaneous magnetic neuromodulation is a noninvasive technique that may influence pain perception and mobility by modulating epidermal afferents and autonomic nervous system activity. However, its effects on chronic non-specific low back pain (CNSLBP) remain unclear. OBJECTIVE: This study evaluated the effects of transcutaneous neuromodulation applied to the lumbar spine on the pressure pain threshold (PPT) and ankle dorsiflexion range of motion (DROM) in patients with chronic non-specific low back pain. METHODS: A single-group prospective cohort study with crossover intervention was conducted from June to December 2021. A convenience sample of 39 patients with CNSLBP was included in this study. Each participant received two interventions in a randomized sequence: transcutaneous neuromodulation tape with magnetic particles (TMP) and placebo kinesiology tape (KT). A one-week washout period was implemented between the interventions. TMP was applied at the lumbar spinal levels for 48 h, following standard recommendations for neuromodulation frequency (constant exposure via magnetic particles), intensity (low-energy field), and time (continuous exposure over two days). The primary outcome measure was PPT assessed using algometry, and the secondary outcome was DROM assessed using the Lunge Test. This study adhered to the STROBE guidelines for observational studies. RESULTS: The Lunge test revealed no significant group-time interaction [F(2, 152) = 0.132,  = 0.752], with a small effect size [F(1, 76) = 0.699,  = 0.406]. The main effect group showed a small non-significant effect [  = 0.009 (0, 0.091)]. However, the main effect of time was significant [F(2, 152) = 147.669,  = 0.001] with a large effect size [  = 0.66 (0.54, 0.735)]. Pairwise leg comparisons were not significant ( > 0.05). For the pressure pain threshold, significant differences ( < 0.05) with moderate to large effect sizes were observed. PPTs varied by vertebral level, with significant differences in site-specific comparisons between specific levels. CONCLUSIONS: Transcutaneous neuromodulation using TMP applied to the lumbar spine reduces perceived pain and increases ankle dorsiflexion range of motion in patients with CNSLBP. These findings suggest that epidermal afferent modulation may contribute to pain relief and motor function enhancement, providing a novel approach for noninvasive pain management.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3368/12037630/2e5011eae18e/fpain-06-1525964-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3368/12037630/9003b694a68e/fpain-06-1525964-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3368/12037630/bc1e46ce0aff/fpain-06-1525964-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3368/12037630/c10b1bc6a07c/fpain-06-1525964-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3368/12037630/288ee246da84/fpain-06-1525964-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3368/12037630/2e5011eae18e/fpain-06-1525964-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3368/12037630/9003b694a68e/fpain-06-1525964-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3368/12037630/bc1e46ce0aff/fpain-06-1525964-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3368/12037630/c10b1bc6a07c/fpain-06-1525964-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3368/12037630/288ee246da84/fpain-06-1525964-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3368/12037630/2e5011eae18e/fpain-06-1525964-g005.jpg

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引用本文的文献

[1]
Mechanosensitivity and Adipose Thickness as Determinants of Pressure to Reach Deep Fasciae in Cervical and Thoracolumbar Regions.

Sensors (Basel). 2025-8-15

[2]
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BMC Musculoskelet Disord. 2025-7-4

本文引用的文献

[1]
Effect of transcutaneous neuromodulation on normalization of dermal body temperature and pain in a tender scar in the presence of low back pain: An update and case report.

SAGE Open Med Case Rep. 2024-5-14

[2]
Cutaneous-immuno-neuro-endocrine (CINE) system: A complex enterprise transforming skin into a super organ.

Exp Dermatol. 2024-3

[3]
The functional and anatomical characterization of three spinal output pathways of the anterolateral tract.

Cell Rep. 2024-3-26

[4]
A brief overview of pilot studies and their sample size justification.

Fertil Steril. 2024-6

[5]
Effects of a Gait Training Program on Spinal Cord Injury Patients: A Single-Group Prospective Cohort Study.

J Clin Med. 2023-11-21

[6]
Functional Anatomy of the Spinal Tracts Based on Evolutionary Perspectives.

Korean J Neurotrauma. 2023-9-12

[7]
Effectiveness of Transcutaneous Neuromodulation on Abductor Muscles Electrical Activity in Subjects with Chronic Low Back Pain: A Randomized, Controlled, Crossover Clinical Trial.

J Pain Res. 2023-7-24

[8]
Neuromodulation of the Autonomic Nervous System in Chronic Low Back Pain: A Randomized, Controlled, Crossover Clinical Trial.

Biomedicines. 2023-5-26

[9]
Effects of Orthopedic Manual Therapy on Pain Sensitization in Patients With Chronic Musculoskeletal Pain: An Umbrella Review With Meta-Meta-analysis.

Am J Phys Med Rehabil. 2023-10-1

[10]
Anatomical contacts between sensory neurons and epidermal cells: an unrecognized anatomical network for neuro-immuno-cutaneous crosstalk.

Br J Dermatol. 2023-2-10

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