Chesterfield, Missouri 63017

  • Range of Motion

Purpose:

Patients with neck, shoulder, low back, or hip pain that is exacerbated by movement will be randomized 1:1:1 to receive either verum hand acupuncture at the correct location (with or without movement) or control acupuncture at a nearby incorrect location. After needling and as part of the intervention, the movement groups will perform gentle active range of motion (ROM) exercises, while the without movement group will lay on the examination table, all for 10 minutes. Immediately pre- and post- intervention, numeric pain rating scores (NPRS) and goniometer- or inclinometer-obtained ROM measurements will be recorded for the most provocative movement plane. In the physical therapy literature, within-session improvements in pain and ROM have been shown to correlate with between-session improvements.All patients will complete PROMIS Pain Interference, Physical Function, Anxiety, and Depression measures prior to the acupuncture intervention and then 1,2, 4, and 8 weeks later. Four potential treatment response modifiers will be assessed. In Traditional Chinese Medicine (TCM), a strong needling sensation felt by the patient during an acupuncture treatment is called a "deqi" response and is thought to be a positive prognostic sign. In Western medicine, a local twitch response (LTR) observed during needling of muscle trigger points is thought to represent a polysynaptic reflex and has been linked to local pain improvements.Other potential modifiers include patients' underlying musculoskeletal structural diagnosis and the provider's experience performing acupuncture.


Criteria:

Inclusion Criteria: - Primary pain localized to neck, shoulder, low back, hip. - Pain >=4 on Numeric Pain Rating Scale with one of predetermined motions. - Willing to participate in study and fill out questionnaires. Exclusion Criteria: - Fracture, malignancy - Condition that requires urgent treatment (e.g. cervical myelopathy) - Contraindications to needling (e.g. pregnancy, active infection)


NCT ID:

NCT04048941


Primary Contact:

Chi-Tsai Tang, MD
Phone: 3147472828
Email: ctang22@wustl.edu


Backup Contact:

Email: armbrechtm@wustl.edu
Melissa Armbrecht
Phone: 3147472828


Location Contact:

Chesterfield, Missouri 63017
United States

Melissa Armbrecht
Phone: 314-747-2828
Email: armbrechtm@wustl.edu

Site Status: Recruiting


Data Source: ClinicalTrials.gov

Date Processed: August 03, 2021

Modifications to this listing: Only selected fields are shown, please use the link below to view all information about this clinical trial.


Click to view Full Listing

If you would like to be contacted by the clinical trial representative please fill out the form below.