Long Term Follow-up of Cervical Myelopathy Inpatients Treated With Integrated Complementary and Alternative Medicine
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Cervical spinal surgery status after discharge
研究概览
简要总结
Model of this study is a combined both retrospective chart review and follow up survey. Data of 4 hospitals will be used to find out the efficacy of conservative treatment in cervical myelopathy.
详细描述
Cervical myelopathy is known as Its symptoms are progressively worsened, and there are only a small amount of positive outcomes other than surgery.
However, as with other spinal and nerve disorders, non-surgical treatments are getting more attention in terms of patient safety, and because they provide patients with more choice in treatment than in terms of surgical treatment, they can provide closer approach to patient-centered care.
Physical therapy and medication are well known for the currently known non-surgical and conservative treatments, but research reported on the treatment of cervical myelopathy by using Korean medicine treatment so far has its weak level. Therefore, it is expected that this study will demonstrate the efficacy of the treatment of cervical myelopathy in Korean medicine treatment and will further pave the way for non-surgical treatment of spinal myelopathy.
Therefore, The investigators conducted observational trial to analyze the effectiveness of Korean medicine treatment in spinal myelopathy. Retrospective data will be extracted using electronic medical records and computerized data of hospitalized patients. Based on this, investigators will conduct research in the form of prospective survey and analyze the causal relationship and factors using the two data.
The hospital's medical records will be used to analyze the patient's condition during the hospitalization period and to determine the situation after the end of treatment through questionnaire. The questionnaire will be developed after consultation with experts from musculoskeletal system and related societies, and will be used for the questionnaire.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Other
入排标准
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients who had been hospitalized with symptoms of neurological defects such as muscle weakness in the upper extremity or sensory abnormalities, or impaired walking due to weakness in the lower extremity at Haeundae Jaseng Korean Medicine Hospital, Jaseng Korean Medicine Hospital, Bucheon Jaseng Korean Medicine Hospital and Incheon Jaseng Korean Medicine Hospital from Jan 2011 to Oct
- •Patients diagnosed with 'Cervical myelopathy' finding and able to check the pressure and damage of the spinal cord (high signal shading) of the EMR imaging (T2-weighted MRI scan of C-spine)
- •Patients who agreed voluntarily to participate in verbal consent
排除标准
- •Patients whose chief complaint is not cervical myelopathy or who do not have the neurological defect of upper extremity or lower extremity
- •If the cause of the neurological defect of the upper and lower extremities is not caused by the spine or tissue
- •Patients who do not agree to participate in the study
结局指标
主要结局
Cervical spinal surgery status after discharge
时间窗: Finish survey by Jan 2020
The investigators will survey whether the patients had surgery after discharging from 4 hospitals(Haeundae Jaseng Korean Medicine Hospital, Jaseng Korean Medicine Hospital, Bucheon Jaseng Korean Medicine Hospital, and Incheon Jaseng Korean Medicine Hospital.
次要结局
- Whether symptoms that are uncomfortable in daily life exists(Finish survey by Jan 2020)
- Neck Disability Index(Finish survey by Jan 2020)
- Cervical spinal surgery recommendations before hospitalization(Finish survey by Jan 2020)
- Symptom reoccurrence experience lasting for more than a month after treatment is closed(Finish survey by Jan 2020)
- Whether currently being treated for neck or upper extremity symptoms(Finish survey by Jan 2020)
- EuroQol 5-dimensions 5-levels(Finish survey by Jan 2020)
- Patient Global Impression of Change(Finish survey by Jan 2020)
- Numeric Rating Scale of Neck and upper extremity pain(Finish survey by Jan 2020)
研究者
In-Hyuk Ha, KMD
Director
Jaseng Medical Foundation