About this trial
Shifting away from a medication-centered approach is a major public health priority, particularly in chronic pain management, where non-pharmacological therapies are recommended despite barriers such as limited evidence and low prescriber awareness.
SCENAR (Self-Controlled Energo-Neuro Adaptive Regulation), an electrotherapy device, lacks robust randomized controlled trial data. A prior study showed effects in both active and placebo groups after a single session, supporting further investigation.
This study aims to assess whether repeated SCENAR sessions improve disability, mobility, and pain in patients with chronic neck pain.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Male or female participants aged 18 years or older
Patients with chronic non-specific cervical spine pain, including cervicobrachial neuralgia, persisting for at least 3 months, with no identifiable underlying cause requiring specific treatment.
Patients who attended a pain clinic consultation or were referred to a pain specialist during hospitalization.
Neck Disability Index (NDI) score of at least 30% (≥15 points).
Disqualifiers
Pregnant women
Skin conditions preventing SCENAR use (wounds, recent scars, skin infections)
Initiation or change of analgesic treatment within 15 days prior to inclusion or during the study
Cervical pain related to inflammatory (spondyloarthropathy, rheumatoid arthritis, chondrocalcinosis), traumatic (fractures, dislocations), tumor-related (metastases, myeloma), infectious (spondylodiscitis), or neurological (intramedullary or posterior fossa tumor) causes
Trial design
Parallel
Treatments tested in this trial
Active SCENAR device therapy
DeviceThe session consists of applying the SCENAR device to the neck and surrounding cervical muscles.The device will be moved over the painful cervical area, with intensity adjusted according to patient feedback, in non-invasive sessions typically lasting 20 minutes.
Sham SCENAR device Therapy
DeviceThe SCENAR device will be applied to the painful cervical area without deliver electrical impulses.
Treatment groups
Trial outcomes
Primary outcomes
Change from baseline in Neck Disability Index (NDI) score
Change from baseline in the Neck Disability Index (NDI) score, assessed using the Neck Disability Index questionnaire. The NDI score is expressed as a percentage from 0% to 100%, with higher scores indicating greater neck-related disability.
Secondary outcomes
Change from baseline in pain intensity at rest
Change from baseline in pain intensity at rest, assessed using the Numeric Rating Scale (NRS). Pain intensity is rated from 0 ("no pain") to 10 ("worst imaginable pain"), with higher scores indicating greater pain intensity.
Change from baseline in pain intensity during movement
Change from baseline in pain intensity during movement, assessed using the Numeric Rating Scale (NRS). Pain intensity is rated from 0 ("no pain") to 10 ("worst imaginable pain"), with higher scores indicating greater pain intensity.
Change from baseline in average pain intensity over the previous week
Change from baseline in the average pain intensity over the previous week, assessed using the Numeric Rating Scale (NRS). Pain intensity is rated from 0 ("no pain") to 10 ("worst imaginable pain"), with higher scores indicating greater pain intensity.
Patient Global Impression of Change (PGIC) score
Patient Global Impression of Change (PGIC) score assessed 2 weeks after the last SCENAR session using a 0-to-10 numeric rating scale version of the PGIC questionnaire. Scores range from 0 ("markedly better") to 10 ("markedly worse"), with lower scores indicating greater perceived improvement.
Sponsors and contacts
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Hopital Foch
Lead sponsor
Fondation Apicil
Collaborator