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
Studieöversikt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljerad beskrivning
Studietyp
Studietyp
Inskrivning (Faktisk)
Inskrivning
Fas
Fas
- Inte tillämpbar
Kontakter och platser
Studieorter
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Seoul, Korea, Republiken av
- Jaseng Medical Foundation
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Deltagandekriterier
Urvalskriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
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
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: Randomiserad
- Interventionsmodell: Parallellt uppdrag
- Maskning: Enda
Antal vapen
Vapen och interventioner
Deltagargrupp / ArmDeltagargrupp / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Experimentell: 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.
Andra namn:
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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Vad mäter studien?
Primära resultatmått
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Change in Northwick Park Neck Pain Questionnaire (NPQ)
Tidsram: 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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Sekundära resultatmått
Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Northwick Park Neck Pain Questionnaire (NPQ)
Tidsram: 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
Tidsram: 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
Tidsram: 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)
Tidsram: 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)
Tidsram: 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)
Tidsram: 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)
Tidsram: 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)
Tidsram: 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
Tidsram: 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
Tidsram: 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
Tidsram: 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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Samarbetspartners och utredare
Sponsor
Sponsor
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Studiestart
Primärt slutförande (Faktisk)
Primärt slutförande
Avslutad studie (Faktisk)
Avslutad studie
Studieregistreringsdatum
Först inskickad
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Första postat
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste uppdatering publicerad
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
Andra studie-ID-nummer
Andra studie-ID-nummer
- JS-CT-2016-18
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