Case Report

Use of Scrambler Therapy in Acute Paediatric Pain: A Case Report and Review of the Literature

Table 1

Some papers available in literature on Scrambler Therapy.

SourceType of studySubjects Pain etiologies and causesTherapy session dataEffects on pain

Marineo (2003) [7]Prospective11 adult patients; mean age: 63.5 y.Cancer related pain45-minute daily treatment for 10 consecutive days.9 (81.8%) of the patients suspended painkillers within the first 5 applications.

Sabato et al. (2005) [2]Prospective226 adult patients.Neuropathic pain1–6 cycles of 5 treatments (each treatment 30 min).80.09% patients: pain relief >50%; 10.18% partially responders (pain relief 25–49%) and 9.73% of no responders (pain relief <24% or VAS >3).

Smith et al. (2010) [1]Prospective16 adult patients; mean age: 58.6 y.Chemotherapy-induced peripheral neuropathy60-minute daily treatment for 10 consecutive days.64% chemotherapy-induced peripheral neuropathy pain score reduction from start to the end (10th day) of the study.

Ricci et al. (2012) [9]Prospective73 adult patients; mean age: 66 y.Cancer-derived pain and non-cancer-derived pain30-minute daily treatment for 10 consecutive days.Pain score decreased by 74% at 10th day of treatment.

Marineo et al. (2012) [4]Prospective and randomized trial52 adult patients were randomized; ST group ; mean age: 56.Chronic neuropathic pain45-minute daily treatment for 10 consecutive days.At one month, the mean VAS score was reduced from 8 to 0.7 points (−91%) and from 8.1 to 5.8 (−28%) in the control group.

Ko et al. (2013) [5]Case series: 33 patients: 70–75 y.Postherpetic neuralgia50 minutes daily for 10 consecutive days.After treatment, pain decreased by 50%.

Park et al. (2013) [10]Case series: 33 patients: 49–56 y.Cancer pain40 minutes daily for 10 consecutive days.After ST, pain decreased by 50% or more.

Coyne et al. (2013) [6]Prospective39 adult patients; mean age 56.5 y.Cancer pain syndromes and chronic chemotherapy-induced peripheral neuropathy45-minute daily treatment for 10 consecutive days.Pain scores reduced from 6.6 before treatment to 4.5 at 14 days, 4.6, 4.8, and 4.6 at 1, 2, and 3 months.

Moon et al. (2015) [12]A multicentre analysis147 adult patients; mean age: 37.6 y.Neuropathic, nociceptive, and mixed painA minimum of either 3 therapies on consecutive days or 5 therapies overall. 38.1% patients: ≥50% pain relief.

Starkweather et al. (2015) [13]Double-blinded, randomized controlled trial30 adult patients were randomized; ST group ; mean age: 42.5.Low back pain30-minute sessions were administered over 10 working days or until the participant reported no pain.In the Calmare group, 47% participants had a >50% reduction in the “worst” pain score from baseline to the 3-week follow-up visit; 33% participants had a 30–49% reduction, and 20% had a 20–29% reduction.

Pachman et al. (2015) [3] Prospective37 adult patients; mean age: 58 y.Chemotherapy-induced peripheral neuropathy30-minute daily treatment for 10 consecutive days.53% reduction in pain score from baseline to day 10.

Notaro et al. (2015) [8]Prospective25 patients; mean age: 62.Pain induced by bone and visceral metastases and refractory to standard therapies30/40-minute daily treatment for 10 consecutive days.100%: ≥50% pain relief.