Effects of the Embedding Acupuncture Treatments for Chronic Low Back Pain Patients

Yoo, Duk-Joo; Jung, Jae‐Young; Chung, Seok-Hee

doi:10.18325/jkmr.2015.25.4.105

Cited by 7 publications

(8 citation statements)

References 7 publications

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“…Under the assumption that the synergic effect of the combination treatment (TEA + AT) would be insignificant, we studied the results of randomized control trial that applied 4 week-treatment of TEA or sham TEA to CLBP patients. [ 19 ] In this study, the changes of visual analog scale (VAS) between the baseline and intervention completion were –1.85 ± 0.86 in TEA group and –0.5 ± 0.80 in sham TEA group. Using these data, we calculated that we would require 11 participants per group with 95% power (1– β ) at the 0.05 α level of significance.…”

Section: Methodsmentioning

confidence: 71%

Efficacy and safety of thread embedding acupuncture combined with acupuncture for chronic low back pain

Sung

Hong²,

Jeon³

et al. 2020

Medicine

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Background: Low back pain is a very common disease. Many patients with chronic low back pain (CLBP) have been treated by complementary and alternative medicine such as acupuncture (AT) treatment. A type of AT, thread embedding acupuncture (TEA), consists of a thread that can continually stimulate at the AT points and has mechanical and chemical effects. Although TEA was widely used in clinical practice, there was little evidence of its efficacy and safety for CLBP. Methods: This clinical trial was randomized, controlled, assessor-blinded, two-armed, parallel, and conducted in multiple centers. Four Korean medical institutions recruited 38 outpatients with CLBP. The participants were randomly allocated to a treatment group (TEA combined with AT) or a control group (only AT) in a 1:1 ratio. All participants received conventional AT twice a week for 8 weeks (16 sessions) at 15 AT points (GV3 and bilateral BL23, BL24, BL25, BL26, BL40, BL60, and EX-B5) and the treatment group participants additionally received TEA once a week for 8 weeks (8 sessions) on 10 AT points in the multifidus, spinal erector, and lumbar quadrate muscles. The primary outcome measure of this study was the change of visual analog scale (VAS) from baseline (0 week) to the end of intervention (8 weeks). Secondary outcome measures included clinically relevant improvement (minimal clinically important difference) and 3% to 50% decrease on VAS, disability level (Korean version of Roland and Morris disability questionnaire), quality of life (Korean version of European quality of life 5dimension), global assessment (patient global impression of change), economic analysis, credibility test, and safety assessment. Results: The treatment group showed a significant reduction in VAS scores when compared with the control group (–33.7 ± 25.1 vs –15.6 ± 17.0, P = .013). As for the secondary outcome measures, the treatment group showed significant difference in 50% decrease on VAS and patient global impression of change. There was no serious adverse event associated with TEA and AT. Conclusion: This clinical trial documents the efficacy and safety of TEA combined with AT for the management of CLBP.

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Section: Methodsmentioning

confidence: 71%

Efficacy and safety of thread embedding acupuncture combined with acupuncture for chronic low back pain

Sung

Hong²,

Jeon³

et al. 2020

Medicine

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“…However, several limitations also exist. First, we calculated the sample size on the basis of a study with a protocol different from the presently described one; the treatment duration in the previous study was only 4 weeks, [24] whereas that in our study is 8 weeks. Therefore, we could have overestimated the sample size.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, we could have overestimated the sample size. Second, the previous study [24] compared actual TEA with sham TEA; participants were accordingly blinded to the allocated group. In this study, no TEA will be used in the control group, so the participants and practitioners will not be blinded to the allocated group.…”

Section: Discussionmentioning

confidence: 99%

“…A previous clinical trial evaluated the effects of TEA and sham TEA administered for 4 weeks. [24] The change in the VAS score after treatment (week 4) was 1.85 ± 0.86 in the treatment group and 0.5 ± 0.80 in the control group. The required number of participants per group was 11, considering a 2-tailed test with a 1:1 allocation ratio, a superiority trial, a test power of 95% (1-β), and a significance level of 5% (α).…”

Section: Methodsmentioning

confidence: 99%

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Efficacy and safety of thread embedding acupuncture combined with conventional acupuncture for chronic low back pain

Leem

Kim

et al. 2018

Medicine

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“…In this way, the patients will not see the thread removal. This method was found by Yoo et al to be safe [ 36 ]. However, it will also be necessary to verify whether the blinding has actually worked.…”

Section: Discussionmentioning

confidence: 99%

Clinical research on the efficacy and safety of thread-embedding acupuncture for treatment of herniated intervertebral disc of the lumbar spine: a protocol for a multicenter, randomized, patient–assessor blinded, controlled, parallel, clinical trial

Goo

Ryoo

Kim

et al. 2018

Trials

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BackgroundA lumbar herniated intervertebral disc (LHIVD) is a common problem that usually causes lower back pain and neurological symptoms that manifest as radiating pain. Several studies have reported that thread-embedding acupuncture (TEA) is effective in the treatment of LHIVD. However, these studies were of low quality and there is therefore little clinical evidence for the effectiveness of TEA in this regard. The aim of the present study is to establish the clinical evidence regarding the efficacy and safety of TEA in the treatment of pain, function, and quality of life in patients with LHIVD. The study uses a rigorously designed, full-scale, randomized clinical trial (RCT) protocol.Method/designThis is a multicenter, randomized, patient–assessor blinded, sham-controlled trial with two parallel arms. Seventy patients with LHIVD who have lower back pain more severe than 40 mm on the 100-mm visual analogue scale (VAS), and who are aged 19–70 years, will be recruited and randomly allocated to a TEA group and sham TEA (STEA) group. Both groups will receive treatment on 23 predefined acupoints once a week for eight weeks; needles with the thread removed will be used in the STEA group, while normal TEA will be employed in the TEA group. Changes in the 100-mm VAS for lower back pain after eight weeks will be assessed as the primary outcome. Furthermore, the 100-mm VAS for radiating pain, Oswestry Disability Index, Roland–Morris disability questionnaire, EuroQol 5 Dimensions 5 Levels, and global perceived effect will be measured and analyzed as secondary outcomes. All outcomes will be assessed at baseline and at 4, 8, 12, and 16 weeks after screening.DiscussionThe results of this trial will help to establish the clinical evidence regarding TEA in the treatment of patients with LHIVD.Trial registrationClinicalTrials.gov, NCT03236753. Registered on August 2, 2017.Clinical Research Information Service of the Republic of Korea, KCT0002439. Registered on August 1, 2017.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-2864-4) contains supplementary material, which is available to authorized users.

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Effects of the Embedding Acupuncture Treatments for Chronic Low Back Pain Patients

Cited by 7 publications

References 7 publications

Efficacy and safety of thread embedding acupuncture combined with acupuncture for chronic low back pain

Efficacy and safety of thread embedding acupuncture combined with acupuncture for chronic low back pain

Efficacy and safety of thread embedding acupuncture combined with conventional acupuncture for chronic low back pain

Clinical research on the efficacy and safety of thread-embedding acupuncture for treatment of herniated intervertebral disc of the lumbar spine: a protocol for a multicenter, randomized, patient–assessor blinded, controlled, parallel, clinical trial

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