Trial Outcomes & Findings for Effect of Peripheral Magnetic Stimulation in Patients With Chronic Lower Back Pain (NCT NCT07243548)

NCT ID: NCT07243548

Last Updated: 2026-02-25

Results Overview

Disease-specific questionnaire measuring functional disability (0=no disability, 100=complete disability)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

40 participants

Primary outcome timeframe

Baseline and immediately post-treatment (after 10 sessions over 2 weeks)

Results posted on

2026-02-25

Participant Flow

Individuals with chronic low back pain with a score between 40 and 80 on the Oswestry scale were selected for care at the Physiotherapy School Clinic of the Federal University of Alfenas - MG and Egas Moniz University Clinic - CUEM. Subjects were divided into 2 groups: the control group and the intervention group. Inclusion: Adults with chronic low back pain, no major spinal pathology, normal neuro exam. Exclusion: Trauma, prior surgery, neurological symptoms, systemic disease

Due to slower-than-expected recruitment rates despite extensive advertising and referral strategies, only 40 participants (20 per group) met all eligibility criteria. This adjusted sample size remained adequate for the pilot nature of the study, as it exceeded the minimum required per group (n=15) specified in the protocol for detecting meaningful effect sizes with acceptable power.

Participant milestones

Participant milestones
Measure
rPMS Controle
For patients in the rPMS control group, also in the prone position, the coil will be applied in a transverse orientation to the most painful lumbar region. This position of the coil, at a 90° angle to the body surface, will minimize the effects of the magnetic stimulation applied to the area.
rPMS Intervention
For patients in the rPMS intervention group - in the prone position - the coil will be placed in a flat tangential orientation targeting the most painful lumbar region. This will allow the coil to be positioned parallel to the body surface, thus maximizing the effects of the magnetic stimulation applied to the area.
Pre Intervention
STARTED
20
20
Pre Intervention
COMPLETED
20
20
Pre Intervention
NOT COMPLETED
0
0
Post intevention
STARTED
20
20
Post intevention
COMPLETED
20
20
Post intevention
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Sex/Gender data were not collected from any participant.

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
rPMS Control
n=20 Participants
For patients in the rPMS control group, also in the prone position, the coil will be applied in a transverse orientation to the most painful lumbar region. This position of the coil, at a 90° angle to the body surface, will minimize the effects of the magnetic stimulation applied to the area.
rPMS Intervention
n=20 Participants
For patients in the rPMS intervention group - in the prone position - the coil will be placed in a flat tangential orientation targeting the most painful lumbar region. This will allow the coil to be positioned parallel to the body surface, thus maximizing the effects of the magnetic stimulation applied to the area.
Total
n=40 Participants
Total of all reporting groups
Age, Customized
18 years and older
20 Participants
n=20 Participants
20 Participants
n=20 Participants
40 Participants
n=40 Participants
Sex/Gender, Customized
Sex/Gender data were not collected
0 Participants
Sex/Gender data were not collected from any participant.
0 Participants
Sex/Gender data were not collected from any participant.
0 Participants
Sex/Gender data were not collected from any participant.
Race and Ethnicity Not Collected
0 Participants
Race and Ethnicity were not collected from any participant.
Oswestry Disability Index (ODI)
15.1 Scores on a scale
STANDARD_DEVIATION 5.2 • n=20 Participants
15.0 Scores on a scale
STANDARD_DEVIATION 5.4 • n=20 Participants
15.05 Scores on a scale
STANDARD_DEVIATION 5.3 • n=40 Participants
Pain intensity at rest (VAS)
3.2 Scores on a scale
STANDARD_DEVIATION 2.3 • n=20 Participants
3.4 Scores on a scale
STANDARD_DEVIATION 2.4 • n=20 Participants
3.3 Scores on a scale
STANDARD_DEVIATION 2.35 • n=40 Participants
Pain intensity during activity (VAS)
5.3 Scores on a scale
STANDARD_DEVIATION 2.6 • n=20 Participants
5.4 Scores on a scale
STANDARD_DEVIATION 2.7 • n=20 Participants
5.35 Scores on a scale
STANDARD_DEVIATION 2.65 • n=40 Participants
Pressure pain threshold right lumbar region
5600 grams (g)
STANDARD_DEVIATION 2400 • n=20 Participants
5700 grams (g)
STANDARD_DEVIATION 2500 • n=20 Participants
5650 grams (g)
STANDARD_DEVIATION 2450 • n=40 Participants
Pressure pain threshold left lumbar region
5300 grams (g)
STANDARD_DEVIATION 2200 • n=20 Participants
5400 grams (g)
STANDARD_DEVIATION 2300 • n=20 Participants
5350 grams (g)
STANDARD_DEVIATION 2250 • n=40 Participants
Lumbar mobility (Schober test)
15.1 cm
STANDARD_DEVIATION 1 • n=20 Participants
15 cm
STANDARD_DEVIATION 1 • n=20 Participants
15.05 cm
STANDARD_DEVIATION 1 • n=40 Participants
Oswestry Disability Category
1.4 Scores on a scale
STANDARD_DEVIATION 0.6 • n=20 Participants
1.3 Scores on a scale
STANDARD_DEVIATION .06 • n=20 Participants
1.35 Scores on a scale
STANDARD_DEVIATION .6 • n=40 Participants
Physical activity level (IPAQ)
.5 Scores on a scale
STANDARD_DEVIATION .5 • n=20 Participants
.6 Scores on a scale
STANDARD_DEVIATION .5 • n=20 Participants
.55 Scores on a scale
STANDARD_DEVIATION .5 • n=40 Participants

PRIMARY outcome

Timeframe: Baseline and immediately post-treatment (after 10 sessions over 2 weeks)

Disease-specific questionnaire measuring functional disability (0=no disability, 100=complete disability)

Outcome measures

Outcome measures
Measure
rPMS Control
n=20 Participants
For patients in the rPMS control group, also in the prone position, the coil will be applied in a transverse orientation to the most painful lumbar region. This position of the coil, at a 90° angle to the body surface, will minimize the effects of the magnetic stimulation applied to the area.
rPMS Intervention
n=20 Participants
For patients in the rPMS intervention group - in the prone position - the coil will be placed in a flat tangential orientation targeting the most painful lumbar region. This will allow the coil to be positioned parallel to the body surface, thus maximizing the effects of the magnetic stimulation applied to the area.
Oswestry Disability Index (ODI)
Baseline
15.1 Scores on a scale
Standard Deviation 5.2
15.0 Scores on a scale
Standard Deviation 5.4
Oswestry Disability Index (ODI)
Post-treatment
13.7 Scores on a scale
Standard Deviation 5.0
4.6 Scores on a scale
Standard Deviation 3.0

SECONDARY outcome

Timeframe: Baseline and immediately post-treatment (after 10 sessions over 2 weeks)

Visual Analogue Scale for pain at rest (0=no pain, 10=worst pain)

Outcome measures

Outcome measures
Measure
rPMS Control
n=20 Participants
For patients in the rPMS control group, also in the prone position, the coil will be applied in a transverse orientation to the most painful lumbar region. This position of the coil, at a 90° angle to the body surface, will minimize the effects of the magnetic stimulation applied to the area.
rPMS Intervention
n=20 Participants
For patients in the rPMS intervention group - in the prone position - the coil will be placed in a flat tangential orientation targeting the most painful lumbar region. This will allow the coil to be positioned parallel to the body surface, thus maximizing the effects of the magnetic stimulation applied to the area.
Pain Intensity at Rest (VAS)
Baseline
3.2 Scores on a scale
Standard Deviation 2.3 • Interval 0.0 to 10.0
3.4 Scores on a scale
Standard Deviation 2.4 • Interval 0.0 to 10.0
Pain Intensity at Rest (VAS)
Post-treatment
2.9 Scores on a scale
Standard Deviation 2.0
2.0 Scores on a scale
Standard Deviation 2.0

SECONDARY outcome

Timeframe: Baseline and immediately post-treatment (after 10 sessions over 2 weeks)

Population: The VAS analysis population includes all participants with baseline and post-baseline VAS assessments. Differences from the total assigned participants may occur due to missing data, withdrawals, or protocol deviations. Subsets by timepoint or subgroup are documented per the statistical analysis plan.

Visual Analogue Scale for pain during physical activity (0=no pain, 10=worst pain)

Outcome measures

Outcome measures
Measure
rPMS Control
n=20 Participants
For patients in the rPMS control group, also in the prone position, the coil will be applied in a transverse orientation to the most painful lumbar region. This position of the coil, at a 90° angle to the body surface, will minimize the effects of the magnetic stimulation applied to the area.
rPMS Intervention
n=20 Participants
For patients in the rPMS intervention group - in the prone position - the coil will be placed in a flat tangential orientation targeting the most painful lumbar region. This will allow the coil to be positioned parallel to the body surface, thus maximizing the effects of the magnetic stimulation applied to the area.
Pain Intensity During Activity (VAS)
Baseline
5.3 Scores on a scale
Standard Deviation 2.6
5.4 Scores on a scale
Standard Deviation 2.7
Pain Intensity During Activity (VAS)
Post-treatment
4.7 Scores on a scale
Standard Deviation 2.5
2.8 Scores on a scale
Standard Deviation 2.4

SECONDARY outcome

Timeframe: Baseline and immediately post-treatment (after 10 sessions over 2 weeks)

Algometry (1 cm² tip) over lumbar spinous processes L1-L5 (right), minimum pressure for first pain sensation (mean of 2 trials)

Outcome measures

Outcome measures
Measure
rPMS Control
n=20 Participants
For patients in the rPMS control group, also in the prone position, the coil will be applied in a transverse orientation to the most painful lumbar region. This position of the coil, at a 90° angle to the body surface, will minimize the effects of the magnetic stimulation applied to the area.
rPMS Intervention
n=20 Participants
For patients in the rPMS intervention group - in the prone position - the coil will be placed in a flat tangential orientation targeting the most painful lumbar region. This will allow the coil to be positioned parallel to the body surface, thus maximizing the effects of the magnetic stimulation applied to the area.
Pressure Pain Threshold Right Lumbar Region
Baseline
5600 grams (g)
Standard Deviation 2400
5700 grams (g)
Standard Deviation 2500
Pressure Pain Threshold Right Lumbar Region
Post-treatment
6100 grams (g)
Standard Deviation 2500
7500 grams (g)
Standard Deviation 3000

SECONDARY outcome

Timeframe: Baseline and immediately post-treatment (after 10 sessions over 2 weeks)

Algometry (1 cm² tip) over lumbar spinous processes L1-L5 (right), minimum pressure for first pain sensation (mean of 2 trials)

Outcome measures

Outcome measures
Measure
rPMS Control
n=20 Participants
For patients in the rPMS control group, also in the prone position, the coil will be applied in a transverse orientation to the most painful lumbar region. This position of the coil, at a 90° angle to the body surface, will minimize the effects of the magnetic stimulation applied to the area.
rPMS Intervention
n=20 Participants
For patients in the rPMS intervention group - in the prone position - the coil will be placed in a flat tangential orientation targeting the most painful lumbar region. This will allow the coil to be positioned parallel to the body surface, thus maximizing the effects of the magnetic stimulation applied to the area.
Pressure Pain Threshold Left Lumbar Region
Baseline
5300 grams (g)
Standard Deviation 2200
5400 grams (g)
Standard Deviation 2300
Pressure Pain Threshold Left Lumbar Region
Post-treatment
5900 grams (g)
Standard Deviation 2400
7300 grams (g)
Standard Deviation 2800

SECONDARY outcome

Timeframe: Baseline and immediately post-treatment (after 10 sessions over 2 weeks)

Increase in skin distance (cm) during forward flexion

Outcome measures

Outcome measures
Measure
rPMS Control
n=20 Participants
For patients in the rPMS control group, also in the prone position, the coil will be applied in a transverse orientation to the most painful lumbar region. This position of the coil, at a 90° angle to the body surface, will minimize the effects of the magnetic stimulation applied to the area.
rPMS Intervention
n=20 Participants
For patients in the rPMS intervention group - in the prone position - the coil will be placed in a flat tangential orientation targeting the most painful lumbar region. This will allow the coil to be positioned parallel to the body surface, thus maximizing the effects of the magnetic stimulation applied to the area.
Lumbar Mobility (Schober Test)
Baseline
15.1 cm
Standard Deviation 1.0
15.0 cm
Standard Deviation 1.0
Lumbar Mobility (Schober Test)
Post-treatment
15.7 cm
Standard Deviation 1.1
16.5 cm
Standard Deviation 1.2

SECONDARY outcome

Timeframe: Baseline and immediately post-treatment (after 10 sessions over 2 weeks)

Categorical score derived from ODI (0=no disability to 5=bedbound)

Outcome measures

Outcome measures
Measure
rPMS Control
n=20 Participants
For patients in the rPMS control group, also in the prone position, the coil will be applied in a transverse orientation to the most painful lumbar region. This position of the coil, at a 90° angle to the body surface, will minimize the effects of the magnetic stimulation applied to the area.
rPMS Intervention
n=20 Participants
For patients in the rPMS intervention group - in the prone position - the coil will be placed in a flat tangential orientation targeting the most painful lumbar region. This will allow the coil to be positioned parallel to the body surface, thus maximizing the effects of the magnetic stimulation applied to the area.
Oswestry Disability Category
Baseline
1.4 Scores on a scale
Standard Deviation 0.6
1.3 Scores on a scale
Standard Deviation 0.6
Oswestry Disability Category
Post-treatment
1.2 Scores on a scale
Standard Deviation 0.6
0.5 Scores on a scale
Standard Deviation 0.5

SECONDARY outcome

Timeframe: Baseline and immediately post-treatment (after 10 sessions over 2 weeks)

International Physical Activity Questionnaire category (0=sedentary, 1=physically active)

Outcome measures

Outcome measures
Measure
rPMS Control
n=20 Participants
For patients in the rPMS control group, also in the prone position, the coil will be applied in a transverse orientation to the most painful lumbar region. This position of the coil, at a 90° angle to the body surface, will minimize the effects of the magnetic stimulation applied to the area.
rPMS Intervention
n=20 Participants
For patients in the rPMS intervention group - in the prone position - the coil will be placed in a flat tangential orientation targeting the most painful lumbar region. This will allow the coil to be positioned parallel to the body surface, thus maximizing the effects of the magnetic stimulation applied to the area.
Physical Activity Level (IPAQ)
Baseline
0.5 Scores on a scale
Standard Deviation 0.5
0.6 Scores on a scale
Standard Deviation 0.5
Physical Activity Level (IPAQ)
Post-treatment
0.5 Scores on a scale
Standard Deviation 0.5
0.6 Scores on a scale
Standard Deviation 0.5

Adverse Events

rPMS Controle

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

rPMS Intervention

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Luciano Maia Alves Ferreira

Egas Moniz School of Health and Science

Phone: +351913548646

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place