Effectiveness and safety of acupotomy for lumbar disc herniation: a study protocol for a randomized, assessor-blinded, controlled pilot trial
Background: Acupotomy aims to reduce pressure on the nerve, improve surrounding blood circulation, and recover the kinetic state of soft tissue in treating lumbar disc herniation. Although several previous studies have suggested the potential use and substantial benefits of acupotomy, there is still...
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Elsevier
2017-09-01
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| Series: | Integrative Medicine Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S221342201730077X |
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| author | Eunseok Kim So Yun Kim Hye Su Kim Jeong Kyo Jeong So-Young Jung Chang-Hyun Han Young-Il Kim |
| author_facet | Eunseok Kim So Yun Kim Hye Su Kim Jeong Kyo Jeong So-Young Jung Chang-Hyun Han Young-Il Kim |
| author_sort | Eunseok Kim |
| collection | DOAJ |
| description | Background: Acupotomy aims to reduce pressure on the nerve, improve surrounding blood circulation, and recover the kinetic state of soft tissue in treating lumbar disc herniation. Although several previous studies have suggested the potential use and substantial benefits of acupotomy, there is still insufficient evidence regarding this technique. This trial is designed to determine if acupotomy is more effective than manual acupuncture in improving low back pain and/or leg pain, disability, lumbar mobility, and quality of life in patients with herniated lumbar disc.
Methods: Fifty eligible patients will be randomly assigned to an acupotomy group or a manual acupuncture group in a 1:1 ratio. The experimental group will receive acupotomy at the affected side’s inner core muscles and soft tissue at the level of the herniated disc where tenderness appears (twice per week for 2 weeks). The control group will receive manual acupuncture (thrice per week for 2 weeks) at GV3 (Yaoyangguan) and the bilateral BL23 (Shenshu), BL24 (Qihaishu), BL25 (Dachangshu), and BL26 (guanyuanshu) for local points and the bilateral GB30 (Huantio), BL40 (Weizhong), and BL60 (Kunlun) for distant points. The primary outcome will be the mean change in the visual analog scale from baseline to 4 weeks (2 weeks after final treatment). The Oswestry Disability Index, Modified-Modified Schober Test, and EuroQol five dimensions questionnaire will determine secondary outcomes. Adverse events will be evaluated at every visit.
Discussion: This study will provide valuable data and insights for a confirmative, full-scale randomized controlled trial to determine the clinical effects of acupotomy. |
| format | Article |
| id | doaj-art-edd7e2b0ae7e4feead3e6685610bdfa8 |
| institution | DOAJ |
| issn | 2213-4220 |
| language | English |
| publishDate | 2017-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Integrative Medicine Research |
| spelling | doaj-art-edd7e2b0ae7e4feead3e6685610bdfa82025-08-20T03:09:41ZengElsevierIntegrative Medicine Research2213-42202017-09-016331031610.1016/j.imr.2017.07.005Effectiveness and safety of acupotomy for lumbar disc herniation: a study protocol for a randomized, assessor-blinded, controlled pilot trialEunseok Kim0So Yun Kim1Hye Su Kim2Jeong Kyo Jeong3So-Young Jung4Chang-Hyun Han5Young-Il Kim6Department of Acupuncture & Moxibustion Medicine, Graduate School, Kyung Hee University, Seoul, KoreaDepartment of Acupuncture and Moxibustion Medicine, Daejeon University Dunsan Korean Medicine Hospital, Daejeon, KoreaDepartment of Acupuncture and Moxibustion Medicine, Daejeon University Dunsan Korean Medicine Hospital, Daejeon, KoreaDepartment of Acupuncture and Moxibustion Medicine, Daejeon University Dunsan Korean Medicine Hospital, Daejeon, KoreaClinical Research Division, Korea Institute of Oriental Medicine, Daejeon, KoreaClinical Research Division, Korea Institute of Oriental Medicine, Daejeon, KoreaDepartment of Acupuncture and Moxibustion Medicine, Daejeon University Dunsan Korean Medicine Hospital, Daejeon, KoreaBackground: Acupotomy aims to reduce pressure on the nerve, improve surrounding blood circulation, and recover the kinetic state of soft tissue in treating lumbar disc herniation. Although several previous studies have suggested the potential use and substantial benefits of acupotomy, there is still insufficient evidence regarding this technique. This trial is designed to determine if acupotomy is more effective than manual acupuncture in improving low back pain and/or leg pain, disability, lumbar mobility, and quality of life in patients with herniated lumbar disc. Methods: Fifty eligible patients will be randomly assigned to an acupotomy group or a manual acupuncture group in a 1:1 ratio. The experimental group will receive acupotomy at the affected side’s inner core muscles and soft tissue at the level of the herniated disc where tenderness appears (twice per week for 2 weeks). The control group will receive manual acupuncture (thrice per week for 2 weeks) at GV3 (Yaoyangguan) and the bilateral BL23 (Shenshu), BL24 (Qihaishu), BL25 (Dachangshu), and BL26 (guanyuanshu) for local points and the bilateral GB30 (Huantio), BL40 (Weizhong), and BL60 (Kunlun) for distant points. The primary outcome will be the mean change in the visual analog scale from baseline to 4 weeks (2 weeks after final treatment). The Oswestry Disability Index, Modified-Modified Schober Test, and EuroQol five dimensions questionnaire will determine secondary outcomes. Adverse events will be evaluated at every visit. Discussion: This study will provide valuable data and insights for a confirmative, full-scale randomized controlled trial to determine the clinical effects of acupotomy.http://www.sciencedirect.com/science/article/pii/S221342201730077Xacupotomyeffectivenesslumbar disc herniationmanual acupuncturesafety |
| spellingShingle | Eunseok Kim So Yun Kim Hye Su Kim Jeong Kyo Jeong So-Young Jung Chang-Hyun Han Young-Il Kim Effectiveness and safety of acupotomy for lumbar disc herniation: a study protocol for a randomized, assessor-blinded, controlled pilot trial Integrative Medicine Research acupotomy effectiveness lumbar disc herniation manual acupuncture safety |
| title | Effectiveness and safety of acupotomy for lumbar disc herniation: a study protocol for a randomized, assessor-blinded, controlled pilot trial |
| title_full | Effectiveness and safety of acupotomy for lumbar disc herniation: a study protocol for a randomized, assessor-blinded, controlled pilot trial |
| title_fullStr | Effectiveness and safety of acupotomy for lumbar disc herniation: a study protocol for a randomized, assessor-blinded, controlled pilot trial |
| title_full_unstemmed | Effectiveness and safety of acupotomy for lumbar disc herniation: a study protocol for a randomized, assessor-blinded, controlled pilot trial |
| title_short | Effectiveness and safety of acupotomy for lumbar disc herniation: a study protocol for a randomized, assessor-blinded, controlled pilot trial |
| title_sort | effectiveness and safety of acupotomy for lumbar disc herniation a study protocol for a randomized assessor blinded controlled pilot trial |
| topic | acupotomy effectiveness lumbar disc herniation manual acupuncture safety |
| url | http://www.sciencedirect.com/science/article/pii/S221342201730077X |
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