Efficacy and safety of thread embedding acupuncture combined with conventional acupuncture for chronic low back pain: A study protocol for a randomized, controlled, assessor-blinded, multicenter clinical trial

We describe the protocol for a randomized controlled trial for investigation of the efficacy and safety of thread embedding acupuncture combined with conventional acupuncture for chronic low back pain. Methods: This randomized, controlled, assessor-blinded, 2-armed, parallel, multicenter clinical trial will include 38 outpatients with chronic low back pain recruited from 4 traditional Korean Medicine hospitals. The patients will be randomly allocated to a treatment group (conventional acupuncture + thread embedding acupuncture) and a control group (only conventional acupuncture) in a 1:1 ratio. The treatment group patients will receive thread embedding acupuncture treatment at 10 acupuncture points (multifidus muscle, 4 points; spinal erector muscles, four points; lumbar quadrate muscle, 2 points) once a week for 8 weeks (8 sessions). In addition, all patients will receive conventional acupuncture treatment at 14 acupuncture points (GV3, EX-B5, and bilateral BL23, BL24, BL25, BL26, BL40, and BL60) twice a week for 8 weeks (16 sessions). The primary outcome will be the change in the visual analog scale score from visit 1 to visit 16, analyzed by independent t tests, in both groups. The groups will also be compared with regard to the clinical relevance (minimal clinically important difference), quality of life (3-level version of Euroqol-5D), disability level (Roland and Morris Disability Questionnaire), global assessment (patient global impression of change), and safety. Co...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Clinical Trial Source Type: research

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AbstractGlobally, in 2016, low back pain (LBP) contributed 57.6 million of total years lived with disability. Low Back Pain Guidelines regularly recommend the use of physical exercise for non-specific LBP. Early non-pharmacological treatment is endorsed. This includes education and self-management, and the recommencement of normal activities and exercise, with the addition of psychological programs in those whose symptoms persist. The aim of physical treatments is to improve function and prevent disability from getting worse. There is no evidence available to show that one type of exercise is superior to another, and parti...
Source: Pain and Therapy - Category: Anesthesiology Source Type: research
Low back pain (LBP) is the leading cause of disability worldwide26, yet up to 90% of patients are diagnosed with non-specific LBP, meaning the pathoanatomical source is unclear10. Further, recurrence following an acute episode may be up to 80%25, with little understanding as to why some patients develop ongoing symptoms9. There has recently been increasing focus on alterations in pro-nociceptive and anti-nociceptive mechanisms, purported to explain or contribute to pain exacerbation and persistence across a range of acute to chronic pain conditions34,45,72.
Source: The Journal of Pain - Category: Materials Science Authors: Source Type: research
This study evaluates the effect of paravertebral spinal injection (PSI), utilizing both subjective and objective assessments in chronic low back pain (LBP) associated with facet joint arthrosis over a one-month duration. Subjective questionnaires included the visual analogue scale (VAS) for pain, the Oswestry Disability Index, the Health Survey SF-12, and the short Falls Efficacy Scale International (FES-I). Objective assessments included in-clinic gait and Timed Up and Go (TUG) tests using wearable sensors, as well as 48 h daily physical activity (DPA) monitored using a chest-worn triaxial accelerometer. Subjective and ob...
Source: Sensors - Category: Biotechnology Authors: Tags: Article Source Type: research
To investigate the predictive value of preoperative fear-avoidance factors (self-efficacy for exercise, pain catastrophizing, kinesiophobia, and depression), walking capacity, and traditional predictor variables for predicting postoperative changes in physical activity level and disability six months after lumbar fusion surgery in patients with chronic low back pain (LBP).
Source: World Neurosurgery - Category: Neurosurgery Authors: Tags: Original article Source Type: research
ConclusionLBP and lumbar degeneration are common in PD. Both are related to movement disorder symptoms. The knowledge about musculoskeletal conditions in Parkinson ’s disease is important for an interdisciplinary conservative or operative treatment decision of LBP.Graphical abstractThese slides can be retrieved under Electronic Supplementary Material.
Source: European Spine Journal - Category: Orthopaedics Source Type: research
AbstractPurposeTo translate, cross-culturally adapt, and validate the Croatian version of the Oswestry Disability Index (ODI).MethodsThe original English-language ODI was cross-culturally adapted into Croatian and then evaluated in a group of 114 patients with chronic low back pain (LBP) at the Department of Neurosurgery, Zagreb University School of Medicine. Confirmatory factor analysis (CFA) was conducted with three models: two were theory driven (unidimensional and two dimensional —static and dynamic factors); the other was based on our exploratory factor analysis (EFA). Internal consistency and test–retest ...
Source: European Spine Journal - Category: Orthopaedics Source Type: research
European Journal of Pain,Volume 0, Issue ja, -Not available-.
Source: European Journal of Pain - Category: Anesthesiology Authors: Source Type: research
Within the United States, low back pain (LBP) is a leading cause of pain24,93 and disability,20,33,74 accounting for 52 million of all healthcare visits.20,93 Although most LBP resolves quickly, up to 10% develop a chronic and disabling pain condition.41 In turn, chronic LBP (CLBP) contributes to annual costs of nearly $300 billion, due substantially to lost wages and productivity.25,47,93 Despite medical advances,30,50 the cost and incidence of CLBP are steadily on the rise.20,36,50
Source: The Journal of Pain - Category: Materials Science Authors: Tags: Original Reports Source Type: research
CONCLUSIONS: The preliminary findings showed that passive application of low frequency sound wave stimulation therapy through both hands and feet was effective in alleviating pain and improving functional ability in patients with chronic back pain. PMID: 30149436 [PubMed - as supplied by publisher]
Source: Journal of Back and Musculoskeletal Rehabilitation - Category: Orthopaedics Tags: J Back Musculoskelet Rehabil Source Type: research
For over 20 years, Linda Buonanno lived in fear that her irritable bowel syndrome (IBS) would suddenly interrupt her daily routine with frequent trips to the bathroom and unbearable cramping. Buonanno, now a 71-year-old medical assistant and hairdresser from Methuen, Mass., tried everything from drugs to dairy-free diets. Nothing worked. She remembers a particularly tough period over 10 years ago, when she was working on the factory floor of a medical-device company for up to 10 hours a day, six days a week. When an IBS episode would strike, her co-workers would cover for her as she huddled in a corner, keeled over in pain...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized medicine Research Source Type: news
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