Battlefield Acupuncture for the Treatment of Low Back Pain in the Emergency Department
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Get up and go test
研究概览
简要总结
The purpose of this study is to study acupuncture for the treatment of low back pain in the emergency department. Current treatments for low back pain in the emergency department generally include pills or injections of medications to treat pain and relax muscles. However, it is known that many of these medications have risks and toxicities which may limit their safe use in some patients. Therefore, new types of treatments are needed.
Acupuncture is an ancient form of healing that has been practiced in some form for centuries. In modern times, acupuncture has been studied for the long-term treatment of low back pain and some research suggests it may be effective. However, very little research has examined the use of acupuncture for immediate pain relief in the emergency department.
This research will study a type of acupuncture called Battlefield Acupuncture (BFA). Battlefield acupuncture was designed by a physician in the US military with the purpose of providing immediate pain relief. It involves the placement of 5 small needles in each ear. The needles may be removed at any time. The hypothesis of this study is that battlefield acupuncture may improve mobility and pain of patients with low back pain in the emergency department.
详细描述
The researchers will review the chief complaints of patients arriving to the emergency department in epic. Subjects will be identified and recruited in the emergency department based on chief complaint of "back pain". Subjects will be approached by a researcher who will then recruit them to participate in the study using the attached informed consent form. Researchers will not be acting as treating physicians at the time of the study.
50 patients that present to the emergency setting with the complaint of low back pain will be randomized to standard care or standard care plus Battlefield Acupuncture. The patients randomized to receive Battlefield Acupuncture will receive the treatment according to the defined protocol, which involves placement of ASP indwelling needles in up to 5 auricular points. One ear will be selected, and the areas which will be needled will identified and prepped with alcohol to reduce risks of infection. Up to 5 sterile ASP semi- permanent needles will be placed. Treatments will be provided by MDs or PAs who have been trained to administer the Battlefield Acupuncture technique.
All patients will complete pre- and post- treatment surveys regarding their pain rating and functional limitation from pain. Additional data will be collected from EPIC regarding demographic information, medication administration, and length of stay.
Data will be collected from the subject at the time of enrollment, and again one hour following enrollment. No further data will be collected directly from subjects. Additional follow-up data regarding medications prescribed and length of stay will be collected from the chart after patient discharge.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •English-speaking participants
- •over the age of 18
- •come to the emergency department with the chief complaint of low back pain.
排除标准
- •any focal neurological deficit
- •prior back surgery, acute trauma,
- •new weakness
- •new loss bowel/bladder control
- •back pain above T12
- •receiving coumadin or plavix
- •Pregnancy. Female patients will be offered pregnancy testing which they can elect to take.
- •Temperature >38C,
- •positive urinalysis (UTI or pregnancy). Urinalysis will not be requested if not deemed clinically relevant by the treating team, as this may delay patient care and discharge.
研究组 & 干预措施
Battlefield Acupuncture Plus Standard of Care
Patients with low back pain that will receive ear acupuncture based on the Battlefield Acupuncture protocol.
干预措施: Battlefield Acupuncture (Other)
Standard of Care Alone
Patients with low back pain that will receive standard of care without study intervention.
结局指标
主要结局
Get up and go test
时间窗: 1 hour
Time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair, and sit down, will be monitored in seconds. If a person cannot get up in 30 seconds to ambulate, they will be cut off.
Get up and go test
时间窗: baseline
Time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair, and sit down, will be monitored in seconds. If a person cannot get up in 30 seconds to ambulate, they will be cut off.
Get up and go test
时间窗: immediately post-treatment in the BFA group only
Time that a person takes to rise from a chair, walk three meters, turn around, walk back to the chair, and sit down, will be monitored in seconds. If a person cannot get up in 30 seconds to ambulate, they will be cut off.
次要结局
- Numeric Rating Scale (NRS) for Pain(1 hour)
- Range of motion of the lumbar spine(1 hour)
- Numeric Rating Scale (NRS) for Pain(baseline)
- Numeric Rating Scale (NRS) for Pain(immediately post-treatment in the BFA group only)
- Range of motion of the lumbar spine(immediately post-treatment in the BFA group only)
- Range of motion of the lumbar spine(baseline)