This study is a single blind, randomized controlled trial. condition/disease: acute low-back pain treatment/intervention: Motion Style Acupuncture Treatment using Traction (T-MSAT)
Motion Style Acupuncture Treatment(MSAT) is a therapeutic technique using acupuncture needle created in Jaseng Hospital. T-MSAT(Motion style acupuncture treatment using traction) is a kind of MSATs, and a treatment that improves musculoskeletal problems by pulling the patient's body through the device and giving instructions for walking while being acupuncture.This treatment involves patients with musculoskeletal pain to move the part of their body actively during acupuncture treatment under physicians' observation. This treatment is known to relieve pain and improve musculoskeletal disfunctions. However, there has been no specific studies for the effect of this treatment. So, investigators conduct a randomized controlled trials to verify the effectiveness and safety of T-MSAT. From September 2020 to March 2021, investigators recruit 100 inpatients who are suffered from acute low-back pain with the numeric rating scale(NRS) over 5 by traffic accident(TA). For experimental group(n=50), investigators conduct T-MSAT three times(on 2nd, 3rd and 4th day of hospitalization) and other Korean medical treatment. For control group(n=50), just Korean medical treatment except T-MSAT is conducted. For these two groups, investigators compare NRS(Numeric Rating Scale), Visual Analogue Scale(VAS), Range Of Motion(ROM), , Oswestry Disability Index(ODI), the 12-Item Short Form Health Survey(SF-12), and PTSD Checklist for DSM(Diagnostic and Statistical Manual of Mental Disorders, DSM)-5(PCL-5)
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
100
Motion Style Acupuncture Treatment(MSAT) is a therapeutic technique using acupuncture needle created in Jaseng Hospital. T-MSAT(Motion style acupuncture treatment using traction) is a kind of MSATs, and a treatment that improves musculoskeletal problems by pulling the patient's body through the device and giving instructions for walking while being acupuncture.
acupuncture, chuna, pharmacoacupuncture and Korean herbal medicine.
Jaseng Hospital of Korean Medicine
Seoul, Gangnam-Gu, South Korea
Numeric Rating Scale(NRS) of low-back pain
The extent of acute low-back pain and discomfort was assessed using NRS. NRS is a pain scale in which the patient indicates their subjective pain as a whole number from 0 to 10. The participants are asked to report their low-back pain and discomfort using NRS, where 0 indicates 'no pain or discomfort' and 10 indicates 'the most severe pain and discomfort imaginable'.
Time frame: Change from baseline VAS at 4 days
Numeric Rating Scale(NRS) of low-back pain
NRS is a pain scale in which the patient indicates their subjective pain as a whole number from 0 to 10. The participants are asked to report their low-back pain and discomfort using NRS, where 0 indicates 'no pain or discomfort' and 10 indicates 'the most severe pain and discomfort imaginable'.
Time frame: baseline(day1), day2, day3, day4, day of Discharge(up to 14days), week 12
Visual Analogue Scale (VAS) of low-back pain
VAS is an assessment index in which the patient records their pain on a 100mm line from 'no pain' at one end, and 'the most severe pain imaginable' at the other end.
Time frame: Baseline, day3, day4, day of discharge(up to 14days)
Visual Analogue Scale (VAS) of leg pain
VAS is an assessment index in which the patient records their pain on a 100mm line from 'no pain' at one end, and 'the most severe pain imaginable' at the other end.
Time frame: Baseline, day3, day4, day of discharge(up to 14days)
Numeric Rating Scale(NRS) of leg pain
NRS is a pain scale in which the patient indicates their subjective pain as a whole number from 0 to 10.
Time frame: Baseline, day3, day4, day of discharge(up to 14days), week12
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Range of movement (ROM) of flexion
Range of movement (ROM) of flexion is measured.
Time frame: Baseline, day3, day4, day of discharge(up to 14days)
Range of movement (ROM) of extension
Range of movement (ROM) of extension is measured.
Time frame: Baseline, day3, day4, day of discharge(up to 14days)
Range of movement (ROM) of left lateral flexion
Range of movement (ROM) of left lateral flexion is measured.
Time frame: Baseline, day3, day4, day of discharge(up to 14days)
Range of movement (ROM) of right lateral flexion
Range of movement (ROM) of right lateral flexion is measured.
Time frame: Baseline, day3, day4, day of discharge(up to 14days)
Range of movement (ROM) of left rotation
Range of movement (ROM) of left rotation is measured.
Time frame: Baseline, day3, day4, day of discharge(up to 14days)
Range of movement (ROM) of right rotation
Range of movement (ROM) of right rotation is measured.
Time frame: Baseline, day3, day4, day of discharge(up to 14days)
Oswestry Disability Index (ODI)
Functional disability questionnaire. The possible range of each item score is 0 to 5. Total score range: 0 (better outcome) to 100 (worse outcome)
Time frame: Baseline, day4, day of discharge(up to 14days), week12
Korean version of The Posttraumatic Stress Disorder Checklist for DSM-5(PCL-5-K)
The PCL-5(The Posttraumatic Stress Disorder Checklist for DSM-5) is a 20-item, 5-point-Likert-scale, self-report questionnaire to measure the PTSD symptoms in the DSM-536 and to diagnose PTSD. A higher score (out of 80) indicates severe PTSD.
Time frame: Baseline, day4, day of discharge(up to 14days), week12
12-item Short-Form Health Survey (SF-12)
The SF-12 is a shortened version of the Short Form-36 Health Survey (SF-36), which is a widely used instrument to assess health-related quality of life. The SF-12 consists of 12 questions across 8 domains, and higher scores indicate better health-related quality of life.
Time frame: Baseline, day4, day of discharge(up to 14days), week12
Patient Global Impression of Change (PGIC)
The PGIC is an index that assesses improvements in functional limitation caused by whiplash injury. Participants rate the improvement in functional limitations after treatment on a 7-point Likert scale (1=Very much improved, 4=No change, 7=Very much worse). This index was originally developed for use in Psychology, but is currently used in various other medical fields to assess improvements in pain.
Time frame: day4, day of discharge(up to 14days), week12
Drug Consumption
Drug type and dose of prescribe for medicine, and type and frequency of other treatments
Time frame: Baseline, day3, day4, day of discharge(up to 14days), week12 (every visit)
Adverse events
Safety outcome
Time frame: Baseline, day3, day4, day of discharge(up to 14days), week12 (every visit)