Effectiveness and Cost-effectiveness of Doin (Conduction Exercise) for Chronic Neck Pain
The Effectiveness and Cost-effectiveness of Doin (Conduction Exercise) for Chronic Neck Pain: a Pilot Multicenter Randomized Controlled Clinical Trial
Studieoversikt
Status
Status
Forhold
Forhold
Intervensjon / Behandling
Intervensjon / Behandling
Detaljert beskrivelse
Studietype
Studietype
Registrering (Faktiske)
Registrering
Fase
Fase
- Ikke aktuelt
Kontakter og plasseringer
Studiesteder
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Seoul, Korea, Republikken
- Jaseng Medical Foundation
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Deltakelseskriterier
Kvalifikasjonskriterier
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
Tar imot friske frivillige
Kjønn som er kvalifisert for studier
Beskrivelse
Inclusion Criteria:
- Onset of at least 6 months previous for neck area pain
- Current neck area pain of Numeric Rating Scale (NRS) 5 or higher
- Patients who have agreed to voluntarily participate in the clinical trial and given written informed consent
Exclusion Criteria:
- Pathologies of non-spinal or soft tissue origin or high severity which may cause neck or radiating arm pain (e.g. malignant tumor, spinal infection, inflammatory spondylitis, fibromyalgia, rheumatic arthritis, gout)
- Progressive neurologic deficit or severe neurologic symptoms (e.g. cauda equina syndrome, progressive muscle weakness)
- Other chronic diseases which may interfere with treatment effect or interpretation of results (e.g. cardiovascular disorder, renal disease, diabetic neuropathy, dementia, epilepsy)
- Current intake of steroids, immunosuppressant medicine, psychiatric medicine or other medication which may interfere with treatment results
- Patients considered unsuitable or unsafe to receive acupuncture (e.g. patients with hemorrhagic diseases, blood clotting disorders, history of anti-coagulation medicine intake, severe diabetes with high risk of infection, severe cardiovascular diseases)
- Patients who were treated with invasive interventions such as acupuncture or injections, or with medicine that may potentially influence pain such as NSAIDs (nonsteroidal antiinflammatory drugs) within the past week
- History of cervical surgery within the past 3 months
- Pregnancy or plans of pregnancy
- Severe psychopathy
- Participation in other clinical studies
- Inability to give written informed consent
- Other reasons rendering trial participation inappropriate as judged by the researchers
Studieplan
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Antall våpen
Våpen og intervensjoner
Deltakergruppe / ArmDeltakergruppe / Arm |
Intervensjon / BehandlingIntervensjon / Behandling |
|---|---|
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Eksperimentell: Doin with Acupuncture
An acupuncture physician will administer acupuncture at 6-12 acupoints in the upper and middle trapezius area (mandatory points: both SI15, TE15, and LI16; and selective points: GB20, BL10, GV14, SI14, and Hyeopcheok (Huatuo Jiaji, EX B2) points at C3-5 levels).
Cervical Doin (conduction exercise) will be performed with the needles in situ by increasing the cervical range of motion (rotation) with physician guidance and isometric resistance exercise (rotation) as needed.
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Doin (conduction exercise) will be combined with acupuncture as active and passive movement to the aim of effective treatment of pain and functional disability.
Doin (conduction exercise) sessions will be conducted 2 times a week for 5 weeks.
Andre navn:
Acupuncture will be performed with manual stimulation (needle twirling) to evoke de-qi sensation.
Acupuncture sessions will be conducted 2 times a week for 5 weeks.
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Aktiv komparator: Acupuncture
An acupuncture physician will administer acupuncture at 6-12 acupoints in the upper and middle trapezius area (mandatory points: both SI15, TE15, and LI16; and selective points: GB20, BL10, GV14, SI14, and Hyeopcheok (Huatuo Jiaji, EX B2) points at C3-5 levels).
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Acupuncture will be performed with manual stimulation (needle twirling) to evoke de-qi sensation.
Acupuncture sessions will be conducted 2 times a week for 5 weeks.
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Hva måler studien?
Primære resultatmål
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Change in Northwick Park Neck Pain Questionnaire (NPQ)
Tidsramme: 6 weeks from baseline
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Change in pain and functional disability questionnaire
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6 weeks from baseline
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Northwick Park Neck Pain Questionnaire (NPQ)
Tidsramme: Baseline (Week 1), Week 4, 6, 9, 17, 29, 53
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Pain and functional disability questionnaire
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Baseline (Week 1), Week 4, 6, 9, 17, 29, 53
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Numeric rating scale (NRS) of neck and arm pain
Tidsramme: Baseline (Week 1), Week 2, 3, 4, 5, 6, 9, 17, 29, 53
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Pain scale
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Baseline (Week 1), Week 2, 3, 4, 5, 6, 9, 17, 29, 53
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Visual analogue scale (VAS) of neck and arm pain
Tidsramme: Baseline (Week 1), Week 2, 3, 4, 5, 6
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Pain scale
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Baseline (Week 1), Week 2, 3, 4, 5, 6
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Neck Disability Index (NDI)
Tidsramme: Baseline (Week 1), Week 4, 6, 9, 17, 29, 53
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Functional disability questionnaire
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Baseline (Week 1), Week 4, 6, 9, 17, 29, 53
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EuroQol-5 Dimension (EQ-5D)
Tidsramme: Baseline (Week 1), Week 4, 6, 9, 17, 29, 53
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Health-related quality of life questionnaire
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Baseline (Week 1), Week 4, 6, 9, 17, 29, 53
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Patient Global Impression of Change (PGIC)
Tidsramme: Week 4, 6, 9, 17, 29, 53
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Global, patient-reported outcome
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Week 4, 6, 9, 17, 29, 53
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Short Form Health Survey 12 (SF-12)
Tidsramme: Baseline (Week 1), Week 4, 6, 9, 17, 29, 53
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Health-related quality of life questionnaire
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Baseline (Week 1), Week 4, 6, 9, 17, 29, 53
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Cost per QALY (quality-adjusted life year)
Tidsramme: Baseline (Week 1), Week 4, 6, 9, 17, 29, 53
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Economic evaluation
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Baseline (Week 1), Week 4, 6, 9, 17, 29, 53
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Cost per NRS
Tidsramme: Baseline (Week 1), Week 4, 6, 9, 17, 29, 53
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Economic evaluation
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Baseline (Week 1), Week 4, 6, 9, 17, 29, 53
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Drug Consumption
Tidsramme: Baseline (Week 1), Week 2, 3, 4, 5, 6, 9, 17, 29, 53 (every visit)
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Drug type and dose of prescribe for medicine or rescue medicine, and type and frequency of other treatments (e.g.
physical therapy, injection therapy)
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Baseline (Week 1), Week 2, 3, 4, 5, 6, 9, 17, 29, 53 (every visit)
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Adverse events
Tidsramme: Baseline (Week 1), Week 2, 3, 4, 5, 6, 9, 17, 29, 53 (every visit)
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Safety outcome
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Baseline (Week 1), Week 2, 3, 4, 5, 6, 9, 17, 29, 53 (every visit)
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Samarbeidspartnere og etterforskere
Sponsor
Sponsor
Studierekorddatoer
Studer hoveddatoer
Studiestart (Faktiske)
Studiestart
Primær fullføring (Faktiske)
Primær fullføring
Studiet fullført (Faktiske)
Studiet fullført
Datoer for studieregistrering
Først innsendt
Først innsendt
Først innsendt som oppfylte QC-kriteriene
Først innsendt som oppfylte QC-kriteriene
Først lagt ut (Anslag)
Først lagt ut
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
Sist oppdatering lagt ut
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Siste oppdatering sendt inn som oppfylte QC-kriteriene
Sist bekreftet
Sist bekreftet
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
Andre studie-ID-numre
- JS-CT-2016-18
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