Efficacy Study of Acupuncture on Spinal Compression Fracture
Efficacy and Safety of Acupuncture on Spinal Compression Fracture in Patients Treated With Nerve Block
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Spinal compression fracture is mainly caused by trauma, furthermore, in old age, osteoporosis increases the risk of spinal compression fracture. Nerve block is effective for the management of pain from inflammation or nerve root stimulation from spinal compression fracture. As one of alternative interventions, acupuncture is effective for controlling spinal compression fracture.
This study aims to investigate that combination with acupuncture and nerve block may relieve spinal compression fracture-related pain versus nerve block alone.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Kyungsangbukdo
-
Daegu, Kyungsangbukdo, Korea, Republic of
- Daegu Catholic University Medical Center
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Vertebral compression fracture by trauma or osteoporosis
- Minimum 15% height loss of vertebrae
- Patient diagnosed with x-ray or computed tomography (CT) or magnetic resonance image (MRI)
- Visual analogue scale (VAS) score of 5 or more
- Age over 50
- 2 weeks from onset or more
- Follow-up possible during the clinical trial
- Written informed consent voluntarily
Exclusion Criteria:
- Within 2 weeks from onset
- Pathological fracture due to malignancy/myeloma, osteomyelitis
- Major retropulsion of bony segments into the spinal canal
- Bone metabolic disease
- Significant renal or hepatic disease
- Hypersensitive reaction to acupuncture treatment
- Senile dementia, impaired cognitive function or other cerebral disease, severe psychiatric or psychological disorders
- Alcohol/drug abuse
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Acupuncture & Nerve block
Acupuncture will be performed 3 times per week, total 9 sessions, during 3 weeks.
Epidural nerve block and medial branch block will be performed once per week, total 3 sessions, during 3 weeks.
|
Acupuncture points are ST36, GB34 (bilateral), BL60 (bilateral), BL40 (bilateral), and 2 Back-su points (bilateral).
Back-su points are selected as close as possible to pain region.
Electroacupuncture will be performed at only 2 Back-su points (bilateral).
Epidural nerve block uses the mixture (10ml) of dexamethasone (10 mg) and bupivacaine (10 mg) dissolved in saline solution.
Medial branch block uses mepivacaine (10 mg).
|
|
Active Comparator: Nerve block
Epidural nerve block and medial branch block will be performed once per week, total 3 sessions, during 3 weeks.
|
Epidural nerve block uses the mixture (10ml) of dexamethasone (10 mg) and bupivacaine (10 mg) dissolved in saline solution.
Medial branch block uses mepivacaine (10 mg).
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Visual analogue scale (VAS)
Time Frame: Change from baseline to 5 weeks
|
The patients will be required to document 100mm pain VAS, where '0' represents 'no pain' and '100', 'unbearable pain'.
The change of pain will be reported by comparing the mean VAS before treatment, after 3 week, and 5 week (2 weeks follow-up).
|
Change from baseline to 5 weeks
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Short form McGill pain questionnaire
Time Frame: Change from baseline to 5 weeks
|
Evaluation will performed before treatment, after 3 week, and 5 week (2 weeks follow-up).
|
Change from baseline to 5 weeks
|
|
Oswestry Disability Index (ODI)
Time Frame: Change from baseline to 5 weeks
|
Evaluation will be performed before treatment, after 3 week, and 5 week (2 weeks follow-up).
|
Change from baseline to 5 weeks
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jeong-Chul Seo, KMD, Ph.D, Comprehensive and Intergrative Medicine Institute
- Principal Investigator: Seong-Hoon Park, KMD, Comprehensive and Integrative Medicine Insitute
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- CIMI-13-01-21
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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