Effect of Chuna Manipulation Therapy on Gait in Patients With Lumbar Disc Herniation
|ClinicalTrials.gov Identifier: NCT03858556|
Recruitment Status : Withdrawn (Study plan was changed, this project would not be in progress)
First Posted : February 28, 2019
Last Update Posted : March 29, 2019
|Condition or disease||Intervention/treatment|
|Lumbar Disc Herniation Gait Analysis Manual Therapy||Procedure: Chuna manipulation Drug: Herbal medicine Procedure: Bee venom pharmacopuncture Procedure: Pharmacopuncture Procedure: Acupuncture Procedure: Electroacupuncture Procedure: Cupping Other: Other intervention(s)|
|Study Type :||Observational [Patient Registry]|
|Actual Enrollment :||0 participants|
|Target Follow-Up Duration:||2 Weeks|
|Official Title:||Prospective Observation Study of the Effect of Chuna Manipulation Therapy on Gait in Patients With Lumbar Disc Herniation|
|Actual Study Start Date :||February 27, 2019|
|Actual Primary Completion Date :||February 27, 2019|
|Actual Study Completion Date :||February 27, 2019|
Patients with lumbar disc herniation
3times(baseline, 1weeks, 2weeks) of Observation of gait, Oswestry disability index, EQ5D-5L, Lumbar Range of motion in inpatients with lumbar intervertebral disc herniation hospitalized at Korean medicine hospital.
-Integrative Korean medicine treatment Procedure/Surgery: Chuna manipulation Drug: Herbal medicine Procedure/Surgery: Bee venom pharmacopuncture Procedure/Surgery: Pharmacopuncture Procedure/Surgery: Acupuncture Procedure/Surgery: Electroacupuncture Procedure/Surgery: Cupping Other intervention(s) Other: Other intervention(s)
Procedure: Chuna manipulation
Chuna is a Korean spinal manipulation that incorporates spinal manipulation techniques for joint mobilization involving high-velocity, low amplitude thrusts to joints slightly beyond the passive range of motion and gentle force to joints within the passive range of movement. Chuna manipulation will be administered to pelvic, lumbar, thoracic, and cervical vertebrae at the physician's discretion.
Other Name: Chuna spinal manipulation
Drug: Herbal medicine
Herbal medicine will be administered in water-based decoction (120ml) and dried powder (2g) form (Ostericum koreanum, Eucommia ulmoides, Acanthopanax sessiliflorus, Achyranthes japonica, Psoralea corylifolia, Saposhnikovia divaricata, Cibotium barometz, Lycium chinense, Boschniakia rossica, Cuscuta chinensis, Glycine max, Atractylodes japonica).
Other Name: Traditional herbal medicine
Procedure: Bee venom pharmacopuncture
Bee venom pharmacopuncture will be administered only after confirming a negative response to hypersensitivity skin test. Diluted bee venom (saline:bee venom ratio, 10,000:1) filtered for allergens will be injected at 4-5 acupoints proximal to the dysfunctional site at the physician's discretion. Each acupuncture point will be injected to a total of 0.5-1 cc using disposable injection needles (CPL, 1 cc, 26G x 1.5 syringe, Shinchang medical co., Korea).
Other Name: Bee venom acupuncture
Pharmacopuncture consisting of select herbal ingredients will be administered at Hyeopcheok (Huatuo Jiaji, EX B2), Ah-shi points and local acupuncture points using disposable injection needles (CPL, 1 cc, 26G x 1.5 syringe, Shinchang medical co., Korea).
Acupuncture treatment will be administered using mainly proximal acupuncture points and Ah-shi points.
Electroacupuncture treatment will be administered using mainly proximal acupuncture points and Ah-shi points.
Cupping treatment will be administered at 1-2 points using mainly proximal acupuncture points and Ah-shi points.
Other: Other intervention(s)
Patients will be allowed any other additional intervention(s) as deemed necessary by the attending physician regardless of type or dose, and patterns of use will be investigated and recorded as an pragmatic clinical study.
baseline Observation of gait, Oswestry disability index, EQ5D-5L, Lumbar Range of motion.
- Gait parameter change [ Time Frame: baseline, 2 weeks after baseline ]- Time parameters(step time)
- ODI [ Time Frame: baseline, 2 weeks after baseline ]Oswestry Disability Index(ODI)
- EQ-5D [ Time Frame: baseline, 2 weeks after baseline ]EuroQol-5 Dimension(EQ-5D)
- Lumbar ROM [ Time Frame: baseline, 2 weeks after baseline ]Lumbar Range of Motion(ROM) (Flexion/Extension/Lateral flexion/Rotation)
- SLR [ Time Frame: baseline, 2 weeks after baseline ]Straight Leg Raise test(SLR)