[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"acute-back-pain\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:acute-back-pain":27},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,2,0,[8,44],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":15,"eligibilityCriteria":16,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":28,"overallStatus":31,"whyStopped":4,"lastUpdateSubmitDate":32,"lastUpdatePostDateStruct":33,"startDateStruct":36,"completionDateStruct":38,"leadSponsor":40,"locationsCount":43},"100652157","battlefield-acupressure-for-acute-back-pain-management-in-the-emergency-department-100652157",false,"NCT07771686","Battlefield Acupressure for Acute Back Pain Management in the Emergency Department","Battlefield Acupressure for Acute Back Pain Management in the Emergency Department: Evaluating Whether Auricular Acupressure Can Reduce Opiate Administration for Painful Conditions","ED","Inclusion Criteria:\n\n* Adult patient (Age ≥ 18) presenting to the ED\n* Chief complaint of back pain and\u002For low back pain\n* Pain score ≥ 4 on 0-10 NRS\n\nExclusion Criteria:\n\n* Pregnancy\n* Known allergy to adhesive\n* Presence of cochlear implants\n* Piercings at one or more of the BAA or sham sites\n* Having received analgesic medications within 4 hours of arrival to the ED or prior to intervention\n* Preferred language other than Spanish or English\n* Presence of a wound, sore, or active infection on the surface of the ear","ALL","18 Years",{"count":20,"type":21},50,"ESTIMATED","INTERVENTIONAL",[24],"NA","Patients frequently present to the emergency department for treatment of acute pain. In the emergency department, analgesic medications, particularly opiates, are most often the primary and only means of treatment. Alternative therapies such as traditional acupuncture have been studied and utilized in acute care settings; however, the need for extensive training, the use of needles, and state-specific acupuncture licensing requirements have been barriers to widespread use. Battlefield Auricular Acupressure (BAA) is a needle-free five-point technique on the outer ear that has been developed and employed by the military for a variety of painful conditions.\n\nThe primary objective of this study is to determine if battlefield auricular acupressure (BAA), compared to a sham procedure, results in a reduction in pain score at 30 minutes and 60 minutes post-intervention, by at least 2 Numerical Rating Scale (NRS) points below their baseline pain score, compared to participants receiving a sham procedure, for adults who present to the emergency department with a chief complaint of back pain and\u002For low back.",[27],"Acute Back Pain",[27,29,30],"Battlefield Acupressure","Auricular Acupressure","NOT_YET_RECRUITING","2026-08-13",{"date":34,"type":35},"2026-08-18","ACTUAL",{"date":37,"type":21},"2026-09-10",{"date":39,"type":21},"2028-09-10",{"name":41,"class":42},"Hackensack Meridian Health","OTHER",1,{"id":45,"slug":46,"hasResults":11,"nctId":47,"briefTitle":48,"officialTitle":48,"acronym":49,"eligibilityCriteria":50,"healthyVolunteers":11,"sex":17,"minAge":18,"maxAge":4,"enrollmentInfo":51,"targetDuration":4,"studyType":22,"phases":53,"briefSummary":54,"conditions":55,"keywords":4,"overallStatus":31,"whyStopped":4,"lastUpdateSubmitDate":57,"lastUpdatePostDateStruct":58,"startDateStruct":60,"completionDateStruct":62,"leadSponsor":64,"locationsCount":4},"100607024","treatment-of-acute-low-back-pain-with-transcutaneous-electrical-neurostimulation-at-the-emergency-department-a-randomized-controlled-trial-100607024","NCT07183176","Treatment of Acute Low Back Pain With Transcutaneous Electrical Neurostimulation at the Emergency Department: a Randomized Controlled Trial","TENS BACK PAIN","Inclusion Criteria:\n\n* All patients admitted to the emergency department and aged over 18 years with pain (EN \\> 3) related to acute low back pain.\n\nThe lumbar region is defined as the anatomical area between the costal margin and the gluteal fold.\n\nAcute low back pain is defined by the World Health Organisation, and by part of the literature, as a low back pain that appeared less than 6 weeks ago.\n\nExclusion Criteria:\n\nRefusal to participate in study, refusal to sign informed consent\n\n* Consent is impossible to obtain (cognitive impairment, language barrier, etc.)\n* Patients with low back pain lasting more than \\> 6 weeks\n* Pregnant women\n* Patient requiring immediate medical attention (vital distress).\n* Patient already treated with a TENS\n* Patient with a body temperature \\> 38°C\n* Patient known to have a spinal infection\n* Lumbar pain linked to trauma\n* Patient with known systemic or spinal rheumatological disease\n* Patient with a known systemic inflammatory disease\n* A patient with a known chronic pain condition such as fibromyalgia\n* Patient with pain radiating into the lower limb along the course of one of the following nerves (L3-L4-L5- S1)",{"count":52,"type":21},250,[24],"Acute low back pain is a frequent cause of emergency department admissions (4.39% \\[95% CI: 3.67-5.18\\])1. Drug therapeutic options are limited and ineffective. Paracetamol and opioids are no better than placebo for acute low-back pain 2,3. Only NSAIDs and muscle relaxants have a slightly beneficial effect on pain, but muscle relaxants have an unfavorable risk-benefit balance.2 In this situation, it is necessary to turn to new non-drug therapeutic options to relieve pain of these patients. Transcutaneous electrical nerve stimulation (TENS) is a non-drug therapy that involves applying an electrical current through the skin. Through one or two pairs of electrodes stuck to the skin, TENS delivers painless, low-intensity electrical impulses to a painful area or a nerve pathway.\n\nTENS acts by selectively activating large-diameter non-nociceptive afferent fibers to induce segmental analgesia4. In addition, TENS increases the concentration of endorphins in the bloodstream and cerebrospinal fluid5.\n\nThe use of TENS has been studied mainly in chronic low-back pain. A 2007 Cochrane systematic review concluded that TENS appears to reduce pain and improve range of motion for subjects with chronic low back pain6.\n\nThe use of TENS in emergency departments has been little studied. A 2018 pilot study of 110 patients admitted to the emergency department with acute or chronic pain observed a reduction in pain (from an average of 8.50 on the numerical pain scale \\[EN\\] \\[7.52 - 9.48\\] to 4.67 \\[3.51 - 5.89\\]) after TENS use and functional improvement in 83% of patients7.\n\nThe Gulacti study, carried out in 2022, investigated the use of TENS to treat pain of patients admitted to the emergency department with a renal colic attack : the mean reduction in VAS score at 15 and 30 minutes was significantly greater for the TENS group than for the placebo group (mean reduction in VAS score at 15 minutes was 33.3 ± 17.6 (95% CI : 28.3 to 38.3) for the TENS group and 14.9 ± 11.6 (95% CI: 11.6 to 18.2) for the placebo group \\[mean difference: 18.4 (95% CI: 12.5 to 24.4, P \\\u003C 0.0001)\\]. The mean reduction in VAS score after 30 minutes was 63.7 ± 21.1 (95% CI: 57.7 to 69.7) for the TENS group and 14.9 ± 16.2 (95% CI: 19.5 to 10.3) for the placebo group (mean difference: 48.8, 95% CI: 41.4 to 56.3, P \\\u003C 0.0001)8.\n\nA single study of 76 patients focused on acute low-back pain during patient transport to emergency departments. The authors recorded a significant reduction (p= 0.01) in pain during transport of the TENS group (79.2 ± 6.5 mm VAS to 48.9 ± 8.2 0 mm VAS), while pain scores remained unchanged for the placebo group (75.9 ± 16.4 mm VAS and 77.1 ± 11.2 mm VAS)9.\n\nTo our knowledge, there is no high-quality study of TENS versus placebo for acute low back pain of patients admitted to an emergency department.\n\n1. Primary objective:\n\n   Study the analgesic efficacy of TENS compared to placebo in the treatment of acute low back pain at the emergency department.\n2. Secondary objective:\n\n1\\. Compare the number of patients who will show a \\> 50% reduction of their initial pain.\n\n2\\. Compare the number of patients requiring rescue treatment. 3. Compare the occurrence of side effects among groups. 4. Compare patient satisfaction after 30 minutes. 5. Compare patient comfort level after 30 minutes.\n\nMain criterion:\n\nComparison of the proportion of patients with \\>30% reduction of initial pain after 30 minutes of treatment\n\nSecondary criterion:\n\n1. Proportion of patients with \\> 50% reduction of their initial pain after 30 minutes of treatment.\n2. Proportion of patients requiring morphine titration for pain relief.\n3. The rate of side-effects associated with the use of TENS.\n4. The level of satisfaction measured by numerical satisfaction scale ranging from 0 (not at all satisfied) to 10 (extremely satisfied) EN. A patient will be considered very satisfied if he\u002Fshe presents a satisfaction level ≥ 8.\n5. The level of comfort will be assessed by a comfort scale ranging from 0 (not at all comfortable) to 10 (very comfortable patient).",[27,56],"Emergency Department Patient","2025-09-12",{"date":59,"type":35},"2025-09-19",{"date":61,"type":21},"2025-09-15",{"date":63,"type":21},"2026-09-15",{"name":65,"class":42},"Cliniques universitaires Saint-Luc- Université Catholique de Louvain"]