{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T08:11:51Z","timestamp":1790323911128,"version":"4.1.0"},"reference-count":30,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T00:00:00Z","timestamp":1790294400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100001316","name":"Abbott Laboratories","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100001316","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Intermittent passive recharge burst therapy is an established therapy to optimize pain relief and mitigate the problems associated with battery life and charging burden. Newer programming parameters have been explored to provide patients with this targeted burst therapy in multiple areas. These areas are programmed separately to optimize pain relief for a complex patient population and those with multi\u2010area pain. This study examined single vs. multi\u2010area passive recharge burst therapy in a neurostimulation naive population during percutaneous SCS trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study was performed at a single institution by a single trialing physician. Candidates for the study were enrolled on a consecutive basis for any painful condition in the management of chronic intractable pain of the back, trunk and limbs. Subjects were randomized to receive either single area burst therapy or two\u2010area burst therapy\u2014with both subject and physician blinding. Programming was adjusted mid\u2010trial based on optimizing pain relief and could include up to four\u2010area burst. Patient outcomes included VAS, percent pain relief, proceeding to implant, and PROMIS\u201029 scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>All planned 30 patients completed follow up. The average VAS pain score was 70.2 at baseline and 22.2 at the end of the trial. The average pain relief at mid\u2010trial was 53%, which improved to 67% at the end of the trial with conversion to multi\u2010area programming. There was an overall 87% trial to permanent conversion ratio, with 83% of the patients ending trial on multi\u2010area burst therapy. Analysis of PROMIS\u201029 scores demonstrates the most significant improvements in pain intensity, pain interference, physical function, sleep, and anxiety.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Multi\u2010area passive recharge burst has demonstrated a high rate of trial success with significant pain and symptom relief. In addition, there were improvements in pain intensity, pain interference, physical function, sleep, and anxiety. Multi\u2010area passive recharge burst therapy is a viable option to be utilized during a trial to improve patient outcomes and optimize trial success.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papr.70200","type":"journal-article","created":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T07:52:30Z","timestamp":1790322750000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Single\u2010Area Versus Multiple\u2010Area Passive Recharge Burst During Spinal Cord Stimulator Trials: An Independent Prospective Randomized, Double\u2010Blind Study"],"prefix":"10.1111","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3996-087X","authenticated-orcid":false,"given":"Steven","family":"Falowski","sequence":"first","affiliation":[{"name":"Neurosurgical Associates of Lancaster  Lancaster Pennsylvania 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