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耳针结合主动运动治疗急性腰扭伤 10 分钟即刻疗效的随机对照试验方案。

Immediate efficacy of auricular acupuncture combined with active exercise in the treatment of acute lumbar sprains in 10 minutes: Protocol of a randomized controlled trial.

机构信息

School of Second Clinical Medicine/The Second Affiliated Hospital, Yunnan University of Chinese Medicine, Kunming, Yunnan, China.

College of Acupuncture and Moxibustion and Tuina, Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan, China.

出版信息

PLoS One. 2024 Sep 18;19(9):e0308801. doi: 10.1371/journal.pone.0308801. eCollection 2024.

Abstract

BACKGROUND

Acute lumbar sprain (ALS) is common musculoskeletal disorder characterized by severe low back pain and activity limitation, which significantly impacts the patient's work and life. Immediate relief of pain and restoration of mobility in a short period of time are the main needs of patients when they visit the clinic. This study aims to evaluate the immediate efficacy of this combined treatment for ALS within 10 minutes.

METHODS

This is a single-center, prospective, randomized clinical trial. 128 eligible patients with ALS will be randomly allocated in a 1:1 ratio to either the auricular acupuncture (AA) group or the sham auricular acupuncture (SAA) group. All patients will receive a single 10-minute treatment. The primary outcome will be the change in pain intensity after 10 minutes of treatment. The secondary outcomes include changes in pain intensity at other time points (2, 5 minutes), changes in lumbar range of motion (ROM) at different time points, blinded assessment, treatment effect expectancy scale evaluation, and treatment satisfaction scale evaluation. All participants will be included in the analysis according to the intention-to-treat principle.

DISCUSSION

This is the first randomized controlled trial to assess the immediate efficacy of AA combined with active exercise for ALS. The findings of this study are expected to provide a simple and rapid treatment for ALS in clinical.

TRIAL REGISTRATION

Chinese Clinical Trial Registry ChiCTR2400083740. Registered 30 April 2024.

摘要

背景

急性腰椎扭伤(ALS)是一种常见的肌肉骨骼疾病,其特征是严重的腰痛和活动受限,这会严重影响患者的工作和生活。患者就诊时的主要需求是在短时间内迅速缓解疼痛并恢复活动能力。本研究旨在评估这种联合治疗在 10 分钟内对 ALS 的即刻疗效。

方法

这是一项单中心、前瞻性、随机临床试验。将 128 名符合条件的 ALS 患者以 1:1 的比例随机分配至耳针(AA)组或假耳针(SAA)组。所有患者均接受单次 10 分钟的治疗。主要结局指标为治疗后 10 分钟疼痛强度的变化。次要结局指标包括其他时间点(2、5 分钟)疼痛强度的变化、不同时间点腰椎活动度(ROM)的变化、盲法评估、治疗效果预期量表评估和治疗满意度量表评估。所有参与者均将根据意向治疗原则进行分析。

讨论

这是第一项评估 AA 联合主动运动治疗 ALS 的即刻疗效的随机对照试验。本研究的结果有望为临床治疗 ALS 提供一种简单、快速的方法。

试验注册

中国临床试验注册中心 ChiCTR2400083740. 注册于 2024 年 4 月 30 日。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c2e/11410248/f8a8d74e28bc/pone.0308801.g001.jpg

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