Catgut Embedding for Lumbar Spondylosis With Blood Stasis Syndrome
Evaluating the Efficacy of Catgut Embedding Therapy in Pain Relief and Quality of Life Improvement for Lumbar Spondylosis With Blood Stasis Syndrome
The goal of this clinical trial is to learn if catgut embedding works to treat chronic low back pain in adults with lumbar spondylosis and "Blood Stasis" syndrome. The main questions it aims to answer are:
Does catgut embedding lower back pain more effectively than electro-acupuncture?
Does catgut embedding improve the daily physical activities of participants?
Researchers will compare catgut embedding to electro-acupuncture to see which method works better to reduce pain and improve quality of life. All participants will also receive counseling on lifestyle changes and back exercises.
Participants will:
Be randomly assigned to receive either catgut embedding (2 sessions over 4 weeks) or electro-acupuncture (20 sessions over 4 weeks).
Visit the clinic for treatments and checkups.
Complete surveys about their pain levels and ability to perform daily tasks at the start, at 2 weeks, and at 4 weeks.
研究概览
地位
详细说明
Study Population: 66 patients diagnosed with lumbar spondylosis (Blood Stasis syndrome) will be randomly assigned to one of two groups.
Group 1 (Control): Electro-acupuncture + Lifestyle and exercise counseling.
Acupoints: BL23 (Shenshu), BL24 (Qihaishu), BL25 (Dachangshu), BL26 (Guanyuanshu), BL17 (Geshu), and SP10 (Xuehai).
Procedure: 20-minute sessions, once daily, 5 days per week for 4 weeks.
Group 2 (Intervention): Catgut Embedding + Lifestyle and exercise counseling.
Acupoints: Same as the control group.
Procedure: 2 sessions. The first session at week 0 (T0) and the second session at week 2 (T2) using PDO thread (29G x 30 mm).
Evaluation:
Assessment time points: T0 (baseline), T2 (2 weeks), and T4 (4 weeks).
Primary outcomes: Visual Analog Scale (VAS) for pain and Oswestry Disability Index (ODI) for functional recovery.
Safety: Monitoring for any adverse effects during the 4-week period.
Staff: Procedures are performed by qualified Traditional Medicine doctors in compliance with the regulations of the Ministry of Health.
研究类型
注册 (估计的)
阶段
- 不适用
联系人和位置
学习联系方式
- 姓名:Thi Thuy Hang Le, MD, Spec. I
- 电话号码:+84-909789694
- 邮箱:ltthang.ckii.yhct24@ump.edu.vn
研究联系人备份
- 姓名:Chung Huy Ly, MD, PhD
- 电话号码:+84-989974868
- 邮箱:lychunghuy@ump.edu.vn
学习地点
-
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Ho Chi Minh City
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Ho Chi Minh City、Ho Chi Minh City、越南、72400
- 招聘中
- University Medical Center, Ho Chi Minh City - Campus 3
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接触:
- Thi Thuy Hang Le, MD, Spec. I
- 电话号码:+84-909789694
- 邮箱:ltthang.ckii.yhct24@ump.edu.vn
-
接触:
- Chung Huy Ly, MD, PhD
- 电话号码:+84-989974868
- 邮箱:lychunghuy@ump.edu.vn
-
-
参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
描述
Inclusion Criteria:
- Age and Gender: Patients aged 18 to 65 years, regardless of gender.
Diagnosis of Chronic Low Back Pain: Confirmed diagnosis of low back pain due to lumbar spondylosis with the following criteria:
- Clinical: Mechanical spinal pain.
- Radiographic (X-ray): Joint space narrowing, subchondral sclerosis, and osteophytes on the vertebral bodies.
- Absence of systemic symptoms such as fever, unexplained weight loss, or anemia.
- Duration: Pain duration exceeding 3 months.
- Pain Intensity: Visual Analog Scale (VAS) score for low back pain > 40 mm.
- Traditional Medicine Diagnosis: Diagnosed with Low back pain under the "Blood Stasis" syndrome according to Decision No. 5013/QD-BYT (2020) by the Ministry of Health: Pain occurs after heavy lifting or sudden movement. Severe localized pain, pain increases with movement/pressure. Limited range of motion. Tongue: Purple or with stasis points. Pulse: Choppy.
- Communication: Capable of communicating fluently in Vietnamese to complete survey questionnaires.
- Consent: Volunteers who agree to participate and sign the Informed Consent Form.
Exclusion Criteria:
- Neurological Deficits: Patients with clinical neurological abnormalities in the lower limbs.
- Surgical Indications: Patients with indications for spinal surgery due to severe neurological deficits.
- Co-morbidities: Vertebral fractures, spinal inflammation/infection, malignant tumors, neuromuscular scoliosis, or degenerative neurological diseases.
- Hypersensitivity: History of hypersensitivity or adverse reactions to electro-acupuncture or catgut embedding treatments.
学习计划
研究是如何设计的?
设计细节
- 主要用途:治疗
- 分配:随机化
- 介入模型:并行分配
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的:Catgut Embedding (PDO Thread) Group
Participants receive catgut embedding using PDO threads at acupoints (BL23, BL24, BL25, BL26, BL17, SP10) using PDO threads. 2 sessions total: week 0 and week 2
|
Participants receive catgut embedding therapy using polydioxanone (PDO) threads, size 29G x 30 mm.
The procedure involves inserting the thread into acupoints including BL23, BL24, BL25, BL26, BL17, and SP10.
The treatment is performed twice: at baseline (Week 0) and at Week 2
Both groups receive standardized guidance on daily lifestyle modifications and lumbar exercises.
This includes instructions on correct sitting and standing postures, lifting techniques, and a specific set of stretching and strengthening exercises for the lower back to be performed at home.
|
|
有源比较器:Electro-acupuncture Group
Participants receive electro-acupuncture at the same acupoints.
20-minute sessions, 5 days per week for 4 weeks
|
Both groups receive standardized guidance on daily lifestyle modifications and lumbar exercises.
This includes instructions on correct sitting and standing postures, lifting techniques, and a specific set of stretching and strengthening exercises for the lower back to be performed at home.
Participants receive acupuncture at 6 pairs of acupoints: BL23, BL24, BL25, BL26, BL17, and SP10. Electro-acupuncture: Applied to the 4 lumbar points (BL23, BL24, BL25, BL26) using the KWD-808-I device for 20 minutes. Manual Acupuncture: Applied to the remaining points (BL17 and SP10). Frequency: Once daily, 5 days per week, for 4 weeks |
研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Change in Visual Analog Scale (VAS) score
大体时间:Baseline and Week 4
|
The VAS is used to measure the intensity of low back pain.
The scale ranges from 0 to 100 mm, where 0 indicates "no pain" and 100 indicates "worst possible pain".
A higher score represents more severe pain
|
Baseline and Week 4
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Oswestry Disability Index (ODI)
大体时间:Baseline and Week 4
|
A questionnaire used to measure the patient's permanent functional impairment.
The total score ranges from 0-100%, with higher scores indicating greater disability.
|
Baseline and Week 4
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合作者和调查者
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (估计的)
研究完成 (估计的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- 8122/QD-DHYD
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