Actively Recruiting

Age: 18Years +
All Genders
ID06518278

Assessing Central Nervous System Contributions to Accelerate Musculoskeletal Pain Diagnosis and Treatment

Led by University of Nottingham · Updated on 2026-04-08

250

Participants Needed

1

Research Sites

N/A

Total Duration

On this page

Sponsors

U

University of Nottingham

Lead Sponsor

K

King's College London

Collaborating Sponsor

AI-Summary

What this Trial Is About

Researchers are investigating the role of the central nervous system (CNS) in chronic musculoskeletal pain, which lasts longer than 12 weeks despite treatment. This study focuses on conditions like osteoarthritis, fibromyalgia, chronic low back pain, and inflammatory arthritis, where altered CNS pathways contribute to pain beyond muscle or joint damage. The goal is to improve diagnosis and treatment by using tools that assess CNS activity related to pain. The study evaluates the use of the Central Aspects of Pain (CAP) questionnaire combined with simpler pain sensitivity assessments to identify CNS involvement in chronic pain. Participants self-report their pain and diagnoses, and these tools are tested for their ability to predict pain levels at six and twelve weeks. The study also compares these simpler measures with laboratory pain sensitivity tests to better understand CNS contributions. Participants will complete the CAP questionnaire and various pain sensitivity assessments at the start, six weeks, and twelve weeks. Additional evaluations include sleep quality, anxiety and depression, neuropathic pain symptoms, fatigue, cognitive failures, and overall health surveys. Researchers will analyze these results to understand how CNS activity affects pain and patient outcomes. The study is observational, and participants are involved over a 12-week period with assessments at specified intervals.

CONDITIONS

Brief Title

Assessing Central Aspects of Pain

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Adults aged 18 years or over
  • Self-reported diagnosis of fibromyalgia, inflammatory musculoskeletal condition (e.g., rheumatoid arthritis, psoriatic arthritis, axial spondyloarthritis), low back pain, or osteoarthritis
  • Musculoskeletal diagnosis and pain onset more than 3 months before baseline
  • Self-reported pain level of 3 or higher on a 0 to 10 scale on most days in the 3 months before baseline
  • Ability to give informed consent
Not Eligible

You will not qualify if you...

  • Terminal or uncontrolled medical or mental health condition preventing completion of assessments or posing risk to participants or staff
  • Insufficient understanding of spoken or written English to comply with study requirements
  • Inability to adhere to the study protocol

AI-Screening

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Your Study Journey

Screening

Duration - 2 to 4 weeks

Participants are screened for eligibility to participate in the trial.

1 visit (in-person)

Diagnostic Evaluation

Duration - Baseline day

Participants complete questionnaires and pain sensitivity assessments to evaluate musculoskeletal pain and related symptoms.

1 visit (in-person)

Long-term Monitoring

Duration - 12 weeks

Participants complete follow-up questionnaires over time to monitor pain and related health aspects.

2 visits at 6 and 12 weeks (in-person or remote)

Trial Site Locations

Total: 1 location

1

University of Nottingham, Academic Rheumatology, IRIS, School of Medicine

Nottingham, Nottingham, United Kingdom, NG5 1PB

Actively Recruiting

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Research Team

S

Stephanie L Smith, PhD

D

David A Walsh, PhD

How is the study designed?

Study Type

OBSERVATIONAL

Masking

N/A

Allocation

N/A

Model

N/A

Primary Purpose

N/A

Number of Arms

1

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Published Research Related To This Trial

Assessing central nervous system contributions to accelerate musculoskeletal pain diagnosis and treatment (AsCent): protocol for a mixed-method, prospective observational study.

Georgia Clay, Stevie Vanhegan, Caroline Abbott...

https://pubmed.ncbi.nlm.nih.gov/42150838