Home-based treatment for phantom limb pain using brain stimulation and sensory training
Official title: Pragmatic Trial of Remote tDCS and Somatosensory Training for Phantom Limb Pain With Machine Learning to Predict Treatment Response
Run by Spaulding Rehabilitation Hospital · NCT05188183 · Data updated 2026-11-12
This study is testing whether a new home-based treatment combining brain stimulation and sensory training can help people with phantom limb pain feel better compared to their usual care.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 290 (estimated) |
| Sponsor | Spaulding Rehabilitation Hospital Academic / other |
| Locations | 1 site (Cambridge, Massachusetts) |
| Status | Recruiting |
| Started | September 1, 2022 |
| Main results expected | June 30, 2027 |
| Study ends | July 31, 2027 |
| Registry record updated | September 19, 2025 |
| Trial ID | NCT05188183 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are adults over 18 years old with a history of limb amputation and chronic phantom limb pain occurring at least once a week.
✕Probably not a fit
Patients with unstable medical or psychiatric disorders, recent substance abuse, or contraindications to tDCS will not benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This trial tests the effectiveness of a home-based transcranial direct current stimulation (tDCS) device combined with somatosensory training for individuals suffering from phantom limb pain (PLP). Participants will be randomized to receive either the combined treatment or usual care, which includes their current medications and therapies. The study aims to validate this approach in a real-world setting, focusing on underrepresented populations. Over 12 weeks, participants will undergo 20 sessions of treatment to assess pain relief and overall effectiveness.
Why it matters
Potential benefit: If successful, this treatment could significantly reduce phantom limb pain and improve quality of life for patients.
How similar studies have gone: Other studies have shown promise with tDCS for pain management, but this specific combination approach is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Age - older than 18 years 2. Limb amputation 3. Patients who experience PLP regularly (at least once a week) 4. Pain not attributable to other causes, such as peripheral inflammation 5. Current chronic pain as defined by an average pain of at least 4 on the numeric rating scale (NRS, 0: no pain, 10: worst imaginable pain) Exclusion Criteria: 1. Any clinically significant or unstable medical or psychiatric disorder 2. History of substance abuse in the past 6 months (according to the DSM-V criteria for substance use disorder with six or more symptoms) 3. Uncompensated psychiatric disorder 4. Previous significant neurological history with current significant neurological deficits 5. Previous neurosurgical procedure with craniectomy that would affect current distribution of tDCS 6. Contraindications to tDCS (implanted brain medical devices)
Where it's running
-
Spaulding Hospital Cambridge
Cambridge, Massachusetts, United States Recruiting
Study contacts
- Study coordinator: Felipe Fregni, MD, PhD, MPH, MMSc
- Email: ffregni@partners.org
- Phone: 617-952-6158
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Neuropathic pain after childhood amputation
This project sees how common phantom and residual limb neuropathic pain is and how it affects children and teens who had limb amputations.
-
Effects of magnetic stimulation on phantom limb pain in amputees
This study tests if using magnetic stimulation can help reduce phantom limb pain in people who have had upper limb amputations.
-
Preventing pain after lower limb amputation using targeted muscle reinnervation
This study is testing if a new technique called Targeted Muscle Reinnervation can help reduce pain after lower limb amputation compared to standard nerve handling.
-
Evaluating a neuroprosthesis to reduce phantom limb pain and improve quality of life
This study is testing a new device to see if it can help people with phantom limb pain feel better and improve their experience with bionic limbs.
-
Neuromodulation for relieving phantom limb pain
This study is testing different ways to use electrical stimulation to help people who have had a limb amputated and are suffering from phantom limb pain feel better.
-
Treatment for phantom limb pain using visual simulation therapy
This study is testing if a new therapy using visual simulations can help amputees with phantom limb pain feel less discomfort compared to standard care.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.