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Efficacy and Safety of Geochangmanryeung-dan and Acupuncture on Patient with Spinal Stenosis Treated by Epidural Steroid Injection: a Study Protocol for a Randomized Controlled Pilot Trial

경막외신경차단술로 치료 중인 척추관 협착증 환자에서 거창만령단과 침의 효능 및 안전성 연구(예비임상연구)

  • Lee, Hyun-jong (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Daegu Haany University) ;
  • Lee, Cho In (Department of Acupuncture & Moxibustion, College of Oriental Medicine, Daegu Haany University) ;
  • Lee, Saram (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) ;
  • Kwak, Min-Ah (Department of Internal Medicine, College of Oriental Medicine, Daegu Haany University) ;
  • Kwak, Sang Gyu (Department of Medical Statistics, School of Medicine, Catholic University of Daegu) ;
  • Roh, Woon-seok (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu) ;
  • Jung, Jin-yong (Department of Anesthesiology and Pain Medicine, School of Medicine, Catholic University of Daegu)
  • 이현종 (대구한의대학교 한의과대학 침구의학교실) ;
  • 이초인 (대구한의대학교 한의과대학 침구의학교실) ;
  • 이사람 (대구가톨릭의과대학교병원 마취통증의학과) ;
  • 곽민아 (대구한의대학교 한의과대학 내과학교실) ;
  • 곽상규 (대구가톨릭대학교 통계학교실) ;
  • 노운석 (대구가톨릭의과대학교병원 마취통증의학과) ;
  • 정진용 (대구가톨릭의과대학교병원 마취통증의학과)
  • Received : 2015.08.04
  • Accepted : 2015.09.06
  • Published : 2015.09.27

Abstract

Objectives : This study was designed to obtain basic data for a further large-scale trial as evaluating the efficacy and safety of Geochangmanryeung-dan(GMD) and acupuncture on patient with spinal stenosis treated by epidural steroid injection. Methods: The study is a randomized controlled pilot clinical trial, conducted over 8 weeks. Twenty participants will be recruited and randomly allocated to 2 groups: an experimental(GMD and acupuncture with epidural steroid injection) group and a control(only epidural steroid injection) group. The epidural steroid injection will be administered once per 2 weeks for 6 weeks(3 times in total). GMD will be administered as a dose of 5 pills, 3 times per day, for 6 weeks. Acupuncture will be performed 2 times per week for 6 weeks(12 times in total). The primary outcome will be measured by visual analogue scale and self-rated walking distance. The secondary outcome will be measured by PainVision, short-form McGill Pain Questionnaire, and Oswestry Disability Index. Both primary and secondary outcomes will be measured at baseline, 2, 4, 6, and 8 weeks. The last assessment(at 8 weeks) will be performed 2 weeks after treatment cessation. Conclusions : This clinical trial, as the pilot study for a future large-scale trial, will provide clinical information for evaluating the efficacy and safety of GMD and acupuncture treatment in combination with epidural steroid injection for the treatment of spinal stenosis.

Keywords

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