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Prospective Observation Study of the Effect of Chuna Manipulation Therapy on Gait in Patients With Lumbar Disc Herniation
To investigate the effect of Chuna manual therapy on gate, 20 patients with lumbar disc herniation were studied. The gait analysis was performed before the first treatment, after the seventh treatment, after the 14th treatment, and compared with the data of 20 normal subjects.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Patients with lumbar disc herniation | 3times(baseline, 1weeks, 2weeks) of Observation of gait, Oswestry disability index, EQ5D-5L, Lumbar Range of motion in inpatients with lumbar intervertebral disc herniation hospitalized at Korean medicine hospital. -Integrative Korean medicine treatment Procedure/Surgery: Chuna manipulation Drug: Herbal medicine Procedure/Surgery: Bee venom pharmacopuncture Procedure/Surgery: Pharmacopuncture Procedure/Surgery: Acupuncture Procedure/Surgery: Electroacupuncture Procedure/Surgery: Cupping Other intervention(s) Other: Other intervention(s) |
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| Normal | baseline Observation of gait, Oswestry disability index, EQ5D-5L, Lumbar Range of motion. -No treatment |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Chuna manipulation | Procedure | Chuna is a Korean spinal manipulation that incorporates spinal manipulation techniques for joint mobilization involving high-velocity, low amplitude thrusts to joints slightly beyond the passive range of motion and gentle force to joints within the passive range of movement. Chuna manipulation will be administered to pelvic, lumbar, thoracic, and cervical vertebrae at the physician's discretion. |
| Measure | Description | Time Frame |
|---|---|---|
| Gait parameter change | - Time parameters(step time) | baseline, 2 weeks after baseline |
| Measure | Description | Time Frame |
|---|---|---|
| ODI | Oswestry Disability Index(ODI) | baseline, 2 weeks after baseline |
| EQ-5D | EuroQol-5 Dimension(EQ-5D) | baseline, 2 weeks after baseline |
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Inclusion Criteria:
Exclusion Criteria:
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Patients who are admitted to Jaseng Hospital of Korean Medicine
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| Herbal medicine | Drug | Herbal medicine will be administered in water-based decoction (120ml) and dried powder (2g) form (Ostericum koreanum, Eucommia ulmoides, Acanthopanax sessiliflorus, Achyranthes japonica, Psoralea corylifolia, Saposhnikovia divaricata, Cibotium barometz, Lycium chinense, Boschniakia rossica, Cuscuta chinensis, Glycine max, Atractylodes japonica). |
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| Bee venom pharmacopuncture | Procedure | Bee venom pharmacopuncture will be administered only after confirming a negative response to hypersensitivity skin test. Diluted bee venom (saline:bee venom ratio, 10,000:1) filtered for allergens will be injected at 4-5 acupoints proximal to the dysfunctional site at the physician's discretion. Each acupuncture point will be injected to a total of 0.5-1 cc using disposable injection needles (CPL, 1 cc, 26G x 1.5 syringe, Shinchang medical co., Korea). |
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| Pharmacopuncture | Procedure | Pharmacopuncture consisting of select herbal ingredients will be administered at Hyeopcheok (Huatuo Jiaji, EX B2), Ah-shi points and local acupuncture points using disposable injection needles (CPL, 1 cc, 26G x 1.5 syringe, Shinchang medical co., Korea). |
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| Acupuncture | Procedure | Acupuncture treatment will be administered using mainly proximal acupuncture points and Ah-shi points. |
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| Electroacupuncture | Procedure | Electroacupuncture treatment will be administered using mainly proximal acupuncture points and Ah-shi points. |
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| Cupping | Procedure | Cupping treatment will be administered at 1-2 points using mainly proximal acupuncture points and Ah-shi points. |
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| Other intervention(s) | Other | Patients will be allowed any other additional intervention(s) as deemed necessary by the attending physician regardless of type or dose, and patterns of use will be investigated and recorded as an pragmatic clinical study. |
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| Lumbar ROM | Lumbar Range of Motion(ROM) (Flexion/Extension/Lateral flexion/Rotation) | baseline, 2 weeks after baseline |
| SLR | Straight Leg Raise test(SLR) | baseline, 2 weeks after baseline |
| ID | Term |
|---|---|
| D007405 | Intervertebral Disc Displacement |
| ID | Term |
|---|---|
| D013122 | Spinal Diseases |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D006547 | Hernia |
| D020763 | Pathological Conditions, Anatomical |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D008517 | Phytotherapy |
| D015670 | Acupuncture Therapy |
| D015671 | Electroacupuncture |
| D000079742 | Cupping Therapy |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D003131 | Combined Modality Therapy |
| D004599 | Electric Stimulation Therapy |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
| D004561 | Transcutaneous Electric Nerve Stimulation |
| D000698 | Analgesia |
| D000760 | Anesthesia and Analgesia |
| D000758 | Anesthesia |
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