Protocol summary

Summary
Objectives: in this study we try to compare the effect of acupuncture and medical treatment on the clinical symptoms and electromyography/nerve conduction velocity (EMG/NCV) changes in patients with lumbar disk herniation referring to Imam Reza Hospital in 2013-2015. Design: In this interventional study, 105 patients with clinical diagnosis of lumbar disc herniation by a rheumatologist are randomly assigned to either the "acupuncture" ,"medical treatment" and “ Sham acupuncture” groups (35 each). Setting and conduct: Before study initiation all participants fill a clinical symptoms questionnaire and are accordingly evaluated by electro-diagnostic tests. Patients in the medical treatment group in addition to two Celebrex 100mg tablets divided in morning and night, the Williams flexion exercises are prescribed daily for one month. The acupuncture groups are referred to an acupuncture specialist to receive acupuncture treatment for one month. Participants including major eligibility criteria: over 20 years of age, confirmed lumbar disc herniation, willing to participate. Interventions: Acupuncture treatment is given 3 times, each session 30 minutes for four weeks. Needle insertion points are fixed in all sessions. Main outcome measure variables: three months after the end of treatment, the patients refer to our clinic to refill the questionnaire and to be re-evaluated for clinical symptoms and EMG/NCV changes.

General information

Acronym
IRCT registration information
IRCT registration number: IRCT2012122911912N2
Registration date: 2015-12-03, 1394/09/12
Registration timing: registered_while_recruiting

Last update:
Update count: 0
Registration date
2015-12-03, 1394/09/12
Registrant information
Name
Hamidreza Bahrami Taghanaki
Name of organization / entity
Mashhad University of Medical Sciences
Country
Iran (Islamic Republic of)
Phone
+98 51 1841 5666
Email address
bahramihr@mums.ac.ir
Recruitment status
Recruitment complete
Funding source
Research Council of Mashhad University of Medical Sciences
Expected recruitment start date
2013-08-23, 1392/06/01
Expected recruitment end date
2016-03-10, 1394/12/20
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparing the effect of acupuncture and medical treatment on clinical symptoms and electromyography/nerve conduction velocity (EMG/NCV) changes in patients with lumbar disk herniation
Public title
Comparing the effect of acupuncture and medical treatment on subjective symptoms and neuromuscular electrophysiologic changes in patients with lumbar disk herniation
Purpose
Treatment
Inclusion/Exclusion criteria
Major eligibility criteria: over 20 years of age, confirmed lumbar disc herniation, willing to participate. Major exclusion criteria: Polyneuritis or lesions of the cervical radicolopathy; hypothyroidism; multiple myeloma; amyloidosis; inability to perform daily functions individually; previous acupuncture treatment or surgery for low back pain; insulin dependent diabetes; pregnancy or less than 3 month post partum; epilepsy; cardiovascular disease; history of gastrointestinal disease and intolerance for NSAIDS; history of warfarin or heparin consumption or a hemorrhagic disease; having the indications for surgery according to red flags and yellow flags.
Age
From 19 years old
Gender
Both
Phase
2-3
Groups that have been masked
No information
Sample size
Target sample size: 105
Randomization (investigator's opinion)
Randomized
Randomization description
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics Committee of Mashhad University of Medical Sciences
Street address
Deputy of Research, GHoreyshi building, Daneshgah St.,
City
Mashhad
Postal code
91388-13944
Approval date
2013-04-13, 1392/01/24
Ethics committee reference number
IR.MUMS.REC.1392.22

Health conditions studied

1

Description of health condition studied
Lumbar disc herniation
ICD-10 code
M51
ICD-10 code description
Other intervertebral disc disorders

Primary outcomes

1

Description
Electrodiagnostic (EMG/NCV) changes (CMAP, DML, DSL, MNCV)
Timepoint
before and 3 months after the intervention
Method of measurement
repeating the mentioned tests

Secondary outcomes

1

Description
reduced low back pain
Timepoint
before and 3 months afterintervention
Method of measurement
questionnaire

Intervention groups

1

Description
Study group: Acupuncture treatment with 0.25840mm size needles in 20 acupoints , 3 times a week, each session 30 min for one month
Category
Other

2

Description
Control group: 100mg Celebrex tablets, twice daily (morning and night) plus Williams flexion exercise daily for one month
Category
Treatment - Drugs

3

Description
Added at 2016-09-10: acupuncture with 0.25*40 mm size needles on acupoints no effect on treatment , 3 times a week, each session 30 min for one month
Category
Placebo

Recruitment centers

1

Recruitment center
Name of recruitment center
electrodiagnostics clinic and acupuncture clinic of Imam Reza Hospital,
Full name of responsible person
Hosein Hasanabadi
Street address
City
Mashhad

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Vice Chancellor for Research, Mashhad University of Medical Sciences
Full name of responsible person
Mina Ramezani
Street address
Ghoreyshi Building, Daneshgah St.
City
Mashhad
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Vice Chancellor for Research, Mashhad University of Medical Sciences
Proportion provided by this source
100
Public or private sector
empty
Domestic or foreign origin
empty
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
empty

Person responsible for general inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Hosein Hasanabadi
Position
Assistant Prof of Physical Rehabilitation medicine
Other areas of specialty/work
Street address
Physical rehabilitation Dept, Imam Reza Hospital, Taghiabad Sq., Mashhad, Iran
City
Mashhad
Postal code
Phone
+98 51 3802 2353
Fax
Email
hasanabadih@mums.ac.ir
Web page address

Person responsible for scientific inquiries

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Hamidreza Bahrami
Position
Assistant Prof of acupuncture
Other areas of specialty/work
Street address
Faculty of Traditional and complementary Medicine, in front of Mehran Sport Complex, East Razi St, Dah Dey Sq., Mashhad, Iran
City
Mashhad
Postal code
Phone
+98 51 3855 2189
Fax
Email
bahramihr@mums.ac.ir
Web page address

Person responsible for updating data

Contact
Name of organization / entity
Mashhad University of Medical Sciences
Full name of responsible person
Hamidreza Bahrami
Position
Other areas of specialty/work
Street address
Faculty of Traditional and Complementary Medicine, in front of Mehran Sport Complex, East Razi St, Dah Dey Sq., Mashhad, Iran
City
Mashhad
Postal code
Phone
00
Fax
Email
bahramihr@mums.ac.ir
Web page address

Sharing plan

Deidentified Individual Participant Data Set (IPD)
empty
Study Protocol
empty
Statistical Analysis Plan
empty
Informed Consent Form
empty
Clinical Study Report
empty
Analytic Code
empty
Data Dictionary
empty
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