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Trial registered on ANZCTR
Registration number
ACTRN12612000706875
Ethics application status
Approved
Date submitted
27/06/2012
Date registered
3/07/2012
Date last updated
3/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
Subcutaneous longitudinal acupuncture: a novel and effective approach to acute pain relief in inpatients with rib fracture
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Scientific title
Does Subcutaneous longitudinal acupuncture relieve acute pain in inpatients with rib fracture?
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Secondary ID [1]
280744
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Nil known
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Universal Trial Number (UTN)
U1111-1132-1692
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
rib fracture
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Condition category
Condition code
Alternative and Complementary Medicine
287104
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0
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Other alternative and complementary medicine
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Injuries and Accidents
287112
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0
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Fractures
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention is subcutaneous longitudinal acupuncture. We used 2.5cm filiform needles to treat the patients. First, we asked the patient to point at the most painful site. We took this most painful point as an origin of the Y-axis which was parallel with the central line of trunk through the navel. Then we took the transverse line through the navel as the X-axis. The intersection of these two lines was the point which we inserted the needle. After we inserted one needle, we asked the patient to find the most painful site and pointed at it. The same procedure was practiced repeatedly until 5 needles were inserted and taped. In each treatment we used 5 needles totally. The time of retaining needle was 6 hours a day. We treated the patients daily and the overall duration of the treatment was 3 to 5 days based on when the inpatient was discharged from hospital.
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Intervention code [1]
285171
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Treatment: Devices
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Comparator / control treatment
We used intradermal needle as control treatment. First, we asked the patient to point at the most painful site, then we found the homologous acupoint at the abdomen and insert the needle. In each treatment we used 5 needles totally. The time of retaining needle was 6 hours a day. We treated the patients daily and the overall duration of the treatment was 3 to 5 days.
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Control group
Active
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Outcomes
Primary outcome [1]
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relieve acute pain in patients with multiple rib fracture
We used Numerical Rating Scales (NRS) to assess the outcome.
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Assessment method [1]
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Timepoint [1]
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We assessed the primary outcome in each participant immediately prior to and immediately after each acupuncture treatment for 3 to 5 days.
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Secondary outcome [1]
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improve the recovery of lung function assessed by sustained maximal inspiration (SMI) lung volumes
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Assessment method [1]
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Timepoint [1]
298120
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We assessed the secondary outcome in each participant immediately prior to and immediately after each acupuncture treatment for 3 to 5 days.
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Eligibility
Key inclusion criteria
1.inpatients who had chest wall pain induced by rib fracture
2.ibuprofen used 4 times a day
3.age>18 year-old
4.Numerical Rating Scales (NRS)>5
5.subjects who could describe the painful site and evaluate the pain scale clearly
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1.subjects who couldn't test deep breath, cough, and turnover
2.couldn't dicrimintate the painful site
3.There were open wound
4.subjects who suffered form peumonia, tuberculosis, severe infection or ulcer disease, tend to bleeding, immune disease, or other chronic disease under poor control
5.pregnant women
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer generated random sequence
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
6/01/2012
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
60
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
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Taiwan, Province Of China
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State/province [1]
4379
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Taoyuan
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Funding & Sponsors
Funding source category [1]
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Self funded/Unfunded
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Name [1]
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Address [1]
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Country [1]
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Primary sponsor type
Individual
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Name
Hsin-Yi Ho
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Address
Department of Acupuncture and Traumatology, Center for Traditional Chinese Medicine, Chang Gung memorial Hospital,
Taoyuan, 333, Taiwan
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Country
Taiwan, Province Of China
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Secondary sponsor category [1]
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Individual
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Name [1]
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Yu-Pao Hsu
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Address [1]
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Division of Trauma & Emergency Surgery
Chang Gung Memorial Hospital
5, Fu-Hsien St., Taoyuan, Taiwan, R.O.C.
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Country [1]
284371
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Taiwan, Province Of China
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Chang Gung Memorial Hospital Institutional Review Board
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Ethics committee address [1]
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Chang Gung memorial Hospital, Taoyuan, 333, Taiwan
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Ethics committee country [1]
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Taiwan, Province Of China
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Date submitted for ethics approval [1]
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Approval date [1]
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13/12/2011
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Ethics approval number [1]
287550
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Summary
Brief summary
Backgorund Pain control is emphasized as a priority for practitioners and patients with rib fracture. Main acute pain management includes analgesia and nerve block. There are some side effects recorded and the effect can’t be continued. All clinical practitioners expect to create a new and safe therapy which could offer long-term pain relief. Acupuncture has been applied to relieve pain for a long time. No clinical trial has taken acupuncture to treat patients with rib fracture currently. Methods and Evaluation This is a prospective, randomized, and single-blind study. A creative therapy named “Subcutaneous longitudinal acupuncture” is applied. Intradermal needle is taken as a control to exclude placebo effect. Evaluation including pain intensity of deep breath, cough, turn over the body, and the angle and rate of turn over the body will be taken before and after needling. Quality of sleep and sustained maximal inspiration (SMI) lung volumes are also recorded. Expected outcome Based on the use of single oral analgesia, the involvement of long needle retention duration of “Subcutaneous longitudinal acupuncture” may relieve acute pain in patients with multiple rib fracture immediately. It may reduce pain when taking deep breath, coughing, and turning over the body, improve sleep quality and recovery of lung function, and decrease the incidence of other lung complications.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Ko-Hung Lee
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Address
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123 Dung-Hou Road, Jiou-Lu Tsuen, Kwei-Shan, Tao-Yuan, 333, Taiwan
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Country
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Taiwan, Province Of China
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Phone
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886-3-3196200 ext.2613
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Ko-Hung Lee
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Address
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123 Dung-Hou Road, Jiou-Lu Tsuen, Kwei-Shan, Tao-Yuan, 333, Taiwan
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Country
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Taiwan, Province Of China
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Phone
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886-3-3196200 ext.2613
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Fax
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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