Entries by jaseng manager

Integrative package for low back pain with leg pain in Korea: A prospective cohort study

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Back pain significantly affects both patients and society through personal suffering, supporting burden, work loss, and incurred expenses. With no unequivocal support for surgery versus conservative treatment, an integrative approach has become popular in Korea. OBJECTIVES: To investigate the outcomes of an integrative package for low back pain with leg pain. METHODS: A prospective cohort study involving patients with low back and leg pain and confirmed disc herniation was carried out at an outpatient clinic in Korea. The treatment package comprised of […]

The long-term course of patients undergoing alternative and integrative therapy for lumbar disc herniation: A prospective observational 3-year follow-up study

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Objectives: This study aimed to assess the efficacy and safety of an integrative complementary and alternative medicine (CAM) approach in the management of lumbar herniated disc (LHD) with sciatic pain and investigate pain relapse, use of medical care and surgery rates in patients who actively chose non-surgical CAM treatment for LHD. Study design/Setting: This prospective […]

Long-term course of alternative and integrative therapy for lumbar disc herniation and risk factors for surgery: A prospective observational 5-year follow-up study

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STUDY DESIGN: Prospective observational 5-year study. OBJECTIVE: To assess pain, functional disability, surgical status, and health care use of patients who actively selected complementary and alternative medicine treatment and risk factors for lumbar surgery. SUMMARY OF BACKGROUND DATA: Controversy continues regarding difference in long-term outcomes of conservative and surgical treatment. METHODS: We recruited 150 consecutive […]

Effects of motion style acupuncture treatment in acute low back pain patients with severe disability: A multicenter, randomized, controlled, comparative effectiveness trial

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  Reviews of the efficacy of acupuncture as a treatment for acute low back pain (aLBP) have shown that there is insufficient evidence for its effect and that more research is needed. Motion style acupuncture treatment (MSAT) is novel in that it requires a part of the patient’s body to move passively or actively while acupuncture needles are retained. A multicenter, randomized, comparative effectiveness trial was conducted to evaluate the effects of MSAT in aLBP with severe disability. A […]

Motion style acupuncture treatment (MSAT) for acute low back pain with severe disability; a multicenter, randomized, controlled trial protocol

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BACKGROUND: Acupuncture is widely-used to treat patients with low back pain, despite insufficient evidence of the technique’s efficacy for acute back pain. Motion style acupuncture treatment (MSAT) is a non-traditional acupuncture treatment requiring a patient to exercise while receiving acupuncture. In Korea, MSAT is used to reduce musculoskeletal pain and improve functional status. The study […]

Comparative effectiveness and cost-effectiveness of Chuna manual therapy versus conventional usual care for non-acute low back pain: study protocol for a pilot multi-center, pragmatic randomized controlled trial (pCRN study)

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Background: While Chuna manual therapy is a Korean manual therapy widely used primarily for low back pain (LBP)-related disorders in Korea, well-designed studies on the comparative effectiveness of Chuna manual therapy are scarce.   Methods/Design: This study is the protocol for a three-armed, multi-center, pragmatic randomized controlled pilot trial. Sixty severe non-acute LBP patients (pain […]

Long term follow-up of cervical intervertebral disc herniation inpatients treated with integrated complementary and alternative medicine: a prospective case series observational study

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BACKGROUND: Symptomatic cervical intervertebral disc herniation (IDH) presenting as neck pain accompanied by arm pain is a common affliction whose prevalence continues to rise, and is a frequent reason for integrative inpatient care using complementary and alternative medicine (CAM) in Korea. However, studies on its long term effects are scarce. METHODS: A total 165 patients […]

The short term effect of integrated complementary and alternative medicine treatment in inpatients diagnosed with lumbar intervertebral disc herniation: a prospective observational study

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OBJECTIVES: This study aimed to investigate the short-term effect of hospital-based intensive nonsurgical treatment in lumbarintervertebral disc herniation (IDH) inpatients admitted to an integrated hospital that offers both complementary and alternative medicine (CAM) and conventional medicine treatment. DESIGN: A prospective observational study. SETTINGS: A private Korean medicine hospital inpatient setting in Korea. PATIENTS: A total […]

The dischargeable cut-off score of Oswestry disability index (ODI) in the inpatient care for low back pain with disability

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PURPOSE: The admission due to low back pain (LBP) became prevalent cause of international economic losses. Since LBP patients with disability are often subject to inpatient care, it is important to determine the appropriate time of discharge. The purpose of this study is to set the cut-off value of appropriate Oswestry Disability Index (ODI) at […]

Minimum clinically important difference and substantial clinical benefit in pain, functional, and quality of life scales in Failed Back Surgery Syndrome patients

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STUDY DESIGN: Prospective observational 1-year study OBJECTIVE: To determine minimum clinically important difference (MCID) and substantial clinical benefit (SCB) of outcome measures in failed back surgery syndrome (FBSS) patients, as these metrics enable assessment of whether and when an intervention produces clinically meaningful effects in a patient SUMMARY OF BACKGROUND DATA: Several methods have been […]