Research Article

The Benefit of a Mechanical Needle Stimulation Pad in Patients with Chronic Neck and Lower Back Pain: Two Randomized Controlled Pilot Studies

Table 2

Pre- to posttreatment changes (mean and standard deviation) and estimated group differences (from analysis of covariance) of outcome parameters. Bold values indicate significant 𝑃 values.

Control groupNeedle stimulus padEstimated difference (95% CL) 𝑃
PrePost

Pain (Numeric Rating Scale)
 Neck pain4.4 (1.8)4.5 (2.2)4.9 (2.0)3.4 (2.7) 1 . 6 ( 2 . 8 t o 0 . 3 ) 0.021
 Lower back pain4.9 (1.9)5.4 (1.9)5.0 (2.3)3.2 (2.2) 2 . 3 ( 3 . 2 t o 1 . 3 ) <0.001
Function (Neck Pain Questionnaire NPQ or Oswestry Disease Index ODI)
 Neck pain33.2 (11.1)32.5 (9.2)36.3 (13.5)26.5 (15.7) 7 . 4 ( 1 3 . 7 t o 1 . 1 ) 0.028
 Lower back pain25.0 (13.9)19.9 (10.9)22.8 (14.5)18.8 (14.6)0.4 (−4.8 to 5.6)0.878
Log pressure pain threshold (PPT) area of maximum pain
 Neck pain2.303 (0.168)2.311 (0.182)2.193 (0.221)2.314 (0.264)0.106 (0.013 to 0.198)0.032
 Lower back pain2.548 (0.186)2.534 (0.170)2.552 (0.150)2.619 (0.110)0.082 (0.021 to 0.144)0.013
Log pressure pain threshold (PPT) 10 cm close  to maximum pain
 Neck pain2.358 (0.173)2.319 (0.142)2.331 (0.202)2.380 (0.264) 0 . 0 8 5 ( 0 . 0 0 2 t o 0 . 1 7 1 ) 0.064
 Lower back pain2.588 (0.178)2.534 (0.170)2.570 (0.138)2.596 (0.109) 0 . 0 7 3 ( 0 . 0 0 6 t o 0 . 1 3 9 ) 0.038
Log mechanical detection threshold (MDT) area of maximum pain
 Neck pain0.118 (0.316)0.174 (0.369)0.129 (0.480)0.132 (0.347) 0 . 0 4 3 ( 0 . 2 8 2 t o 0 . 1 9 6 ) 0.726
 Lower back pain0.477 (0.598)0.342 (0.526)0.423 (0.375)0.486 (0.413) 0 . 1 7 4 ( 0 . 0 6 2 t o 0 . 4 0 9 ) 0.156
Log mechanical detection threshold (MDT) 10 cm close to maximum pain
 Neck pain 0 . 0 6 7 ( 0 . 4 1 0 ) 0 . 0 8 0 ( 0 . 4 2 7 ) 0 . 1 2 8 ( 0 . 4 8 8 ) 0 . 0 4 0 ( 0 . 4 2 2 ) 0 . 0 4 9 ( 0 . 3 0 6 t o 0 . 2 0 8 ) 0.712
 Lower back pain0.563 (0.491)0.376 (0.499)0.317 (0.435)0.359 (0.449) 0 . 1 4 5 ( 0 . 0 8 5 t o 0 . 3 7 6 ) 0.224
Vibration detection threshold (VDT) area of maximum pain
 Neck pain6.7 (1.4)6.7 (0.9)6.3 (1.3)6.1 (1.5) 0 . 4 ( 1 . 1 t o 0 . 3 ) 0.247
 Lower back pain3.8 (2.0)4.1 (1.7)4.2 (1.7)4.2 (1.9) 0 . 2 ( 1 . 0 t o 0 . 5 ) 0.514
Vibration detection threshold (VDT) 10 cm close to maximum pain
 Neck pain6.5 (1.0)6.5 (1.1)6.0 (1.4)5.7 (1.5) 0 . 5 ( 1 . 1 t o 0 . 2 ) 0.165
 Lower back pain5.1 (1.1)5.0 (1.3)5.0 (1.6)5.0 (1.2) 0 . 1 ( 0 . 5 t o 0 . 7 ) 0.774