Thread embedding acupuncture for herniated intervertebral disc of the lumbar spine: A multicenter,randomized, patient-assessor-blinded,controlled, parallel,clinical trial |
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| Institution: | 1. Department of Acupuncture & Moxibustion, Kyung Hee University Hospital at Gangdong, Seoul, Republic of Korea;2. Department of Acupuncture & Moxibustion Medicine, College of Oriental Medicine, Dongguk University, Gyeongju, Republic of Korea;3. Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Daegu Haany University, Daegu, Republic of Korea;4. Department of Acupuncture & Moxibustion Medicine, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea;5. Korean Medicine Clinical Trial Center, Korean Medicine Hospital, Department of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea;1. Department of Massage, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, 310005, China;2. The Third Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, 310053, China;3. Department of Acupuncture, The Third Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, 310005, China;1. Department of Reproductive Medicine Centre, Affiliated Maternity of Nanjing Medical University, Nanjing, Jiangsu, 210001, China;1. Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea;2. Graduate School of Public Health, Korea University, Seoul, Republic of Korea;3. Department of Rehabilitation Medicine of Korean Medicine, College of Korean Medicine, Sangji University, Wonju-si, Gangwon-do, Republic of Korea;4. Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon, Republic of Korea;5. Korean Medicine Life Science, University of Science & Technology (UST), Campus of Korea Institute of Oriental Medicine, Daejeon, Republic of Korea;6. Department of Preventive Medicine, College of Korean Medicine, Kyung Hee University, Seoul, Republic of Korea;1. Department of Traditional Chinese Medicine, Chang Gung Memorial Hospital, Keelung, Taiwan;2. Program in Molecular Medicine, College of Life Sciences, National Yang Ming Chiao Tung University, Taipei, Taiwan;1. Evidence-based Medicine Research Centre, Jiangxi University of Chinese Medicine, Nanchang, China;2. Department of Emergency, The Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang, China;3. Department of Cardiology, The Affiliated Hospital of Jiangxi University of Chinese Medicine, Nanchang, China;1. KM Fundamental Research Division, Korea Institute of Oriental Medicine, Daejeon, South Korea;2. Department of Acupuncture & Moxibustion Medicine, Korean Medicine Hospital of Woosuk University, Jeonju, South Korea;3. Clinical Research Division, Korea Institute of Oriental Medicine, Daejeon, South Korea |
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| Abstract: | Backgroundand purpose: Although several studies have reported that thread embedding acupuncture (TEA) is effective for lumbar herniated intervertebral disc (LHIVD), the evidence remains limited because previous studies had a high risk of bias. This study aimed to investigate the efficacy and safety of TEA for LHIVD through a rigorously designed trial.Materials and methodsThis was a randomized, patient-assessor-blinded, sham-controlled trial. Participants were screened according to eligibility criteria, and 70 patients with LHIVD were randomly allocated to the TEA and sham TEA (STEA) groups in a 1:1 ratio. Both groups received TEA or STEA treatment at 23 acupoints once per week for eight weeks. Changes in low back pain, radiating pain, Oswestry disability index, Roland–Morris disability questionnaire, EuroQol 5–Dimensions 5–Levels, and global perceived effect were measured at baseline and at 4, 8, 12, and 16 weeks after screening and compared between the two groups.ResultsTEA showed no significant difference in all outcomes compared to STEA immediately after eight weeks of treatment. After an additional eight weeks of follow-up, TEA showed a more significant effect on the low back pain than STEA (p < 0.05) and showed a better tendency in maintaining or enhancing the improvement of radiating pain, function, and quality of life even after the end of treatment. No serious adverse events were observed.ConclusionTEA is effective in improving low back pain in patients with LHIVD and may help improve function and quality of life, especially in the long term. |
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| Keywords: | Intervertebral disc displacement Low back pain Lumbar vertebrae Randomized controlled trial Thread embedding acupuncture |
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