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The primary objective of the study is to investigate the efficacy of device with far-infrared (FIR) irradiation in these patients with acute cervical radiculopathy.
Acute neck pain is a relatively common experience that usually declines and disappears within a couple weeks. Some patients do not recover and with time develop chronic cervical pain and nerve root compression which may result in cervical radiculopathy.
Far-infrared (FIR) ray is one of the topics in energy medicine which is tremendously studied for the past few years. A variety of FIR applications showed an enhancement of beneficial effects on healing therapy, even though there is limited technical approach and systemic study placed on the theoretical study of FIR ceramics processing and the emissivity optimizing.
The evident difficulties in finding the appropriate cervical radiculopathy therapy initiated the current study. The aim of the study is to evaluate the efficacy of the FIR cervical collar in patients with long-lasting cervicobrachial pain; in whom the pain had a distribution that corresponded to a specific nerve root compression revealed by MRI or electrophysiological study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| A | Experimental | FIR cervical collar plus Acetaminophen |
|
| B | Active Comparator | Conservative cervical collar plus Acetaminophen |
|
| C | Placebo Comparator | Acetaminophen only |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FIR cervical collar with Acetaminophen | Other | FIR cervical collar with Acetaminophen QID/PRN for 4 weeks |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean of change from baseline in Neck Disability Index after 2 weeks of treatment | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Mean of change from baseline in Neck Disability Index after 4 weeks of treatment | 4 weeks | |
| Mean of change from baseline in Visual analog scale for neck pain after 2 and 4 weeks of treatment | 4 weeks |
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Inclusion Criteria:
Age greater than 20 years
Cervical radiculopathy defined by neck pain irradiating to one arm with at least one of the following:
Neck Disability Index (NDI) score greater than or equal to 10 points
Visual analog scale (VAS) score for neck pain greater than or equal to 40mm
C-spine X-ray signs judge by investigator
Prolong Neck pain for one week or longer
Written consent from patient
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Kuo-Sheng Hung, MD, PhD | Taipei Medical University-Wan Fang Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Taipei Medical University-Wan Fang Hospital | Taipei | 116 | Taiwan |
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| Conservative cervical collar with Acetaminophen | Other | Conservative cervical collar with Acetaminophen QID/PRN for 4 weeks |
|
| Acetaminophen only | Drug | Acetaminophen QID/PRN for 4 weeks |
|
| Mean of change from baseline in nerve conduction velocity (NCV) tests after 4 weeks of treatment | 4 weeks |
| Mean of change from baseline in Nerve Excitability Test (NET) after 2 and 4 weeks of treatment | 4 weeks |
| Compare with Acetaminophen consuming of each arm after 4 weeks of treatment | 4 weeks |
| Device-related serious adverse events | 4 weeks |
| ID | Term |
|---|---|
| D011843 | Radiculopathy |
| ID | Term |
|---|---|
| D010523 | Peripheral Nervous System Diseases |
| D009468 | Neuromuscular Diseases |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D000082 | Acetaminophen |
| ID | Term |
|---|---|
| D000083 | Acetanilides |
| D000813 | Anilides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D000814 | Aniline Compounds |
| D000588 | Amines |
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