Comparative Effectiveness and Safety of Concomitant Treatment with Chuna Manual Therapy and Usual Care for Whiplash Injuries : A Multicenter Randomized Controlled Trial
OBJECTIVES: We aimed to compare the effectiveness and safety of Chuna manual therapy combined with usual care to those of usual care alone for treating whiplash injuries.
DESIGN: A two-arm, parallel, assessor-blinded, multicenter pragmatic randomized clinical trial.
SETTING: Three hospitals in Korea.
PARTICIPANTS: Overall, 132 participants between 19 and 70 years of age, involved in traffic accidents and treated at three hospitals in Korea, >2 but <13 weeks prior to enrollment, with neck pain consistent with whiplash-associated disorder grades I and II and a numeric rating scale score ≥5 were included.
INTERVENTIONS: Participants were equally and randomly allocated to the Chuna manual therapy and usual care (n = 66) or usual care (n = 66) groups and underwent corresponding treatment for three weeks.
PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the number of days to achieve a 50% pain reduction. Secondary outcomes included areas under the 50% numeric rating scale reduction curve: pain, disability, quality of life, and safety.
RESULTS: The Chuna manual therapy + usual care group (23.31 ± 21.36 days; p = 0.01) required significantly fewer days to achieve 50% pain reduction compared to the usual care group (50.41 ± 48.32 days; p = 0.01). Regarding pain severity, functional index, and quality of life index, Chuna manual therapy and usual care were more effective than usual care alone. Safety was acceptable in both groups.
CONCLUSIONS: In patients with subacute whiplash injury, Chuna manual therapy showed a rapid rate of recovery, high effectiveness, and safety.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:19 |
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| Enthalten in: |
International journal of environmental research and public health - 19(2022), 17 vom: 27. Aug. |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Kim, Byung-Jun [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 13.09.2022 Date Revised 11.01.2023 published: Electronic Citation Status MEDLINE |
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| doi: |
10.3390/ijerph191710678 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM345954718 |
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| 041 | |a eng | ||
| 100 | 1 | |a Kim, Byung-Jun |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Comparative Effectiveness and Safety of Concomitant Treatment with Chuna Manual Therapy and Usual Care for Whiplash Injuries |b A Multicenter Randomized Controlled Trial |
| 264 | 1 | |c 2022 | |
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| 500 | |a Date Completed 13.09.2022 | ||
| 500 | |a Date Revised 11.01.2023 | ||
| 500 | |a published: Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVES: We aimed to compare the effectiveness and safety of Chuna manual therapy combined with usual care to those of usual care alone for treating whiplash injuries | ||
| 520 | |a DESIGN: A two-arm, parallel, assessor-blinded, multicenter pragmatic randomized clinical trial | ||
| 520 | |a SETTING: Three hospitals in Korea | ||
| 520 | |a PARTICIPANTS: Overall, 132 participants between 19 and 70 years of age, involved in traffic accidents and treated at three hospitals in Korea, >2 but <13 weeks prior to enrollment, with neck pain consistent with whiplash-associated disorder grades I and II and a numeric rating scale score ≥5 were included | ||
| 520 | |a INTERVENTIONS: Participants were equally and randomly allocated to the Chuna manual therapy and usual care (n = 66) or usual care (n = 66) groups and underwent corresponding treatment for three weeks | ||
| 520 | |a PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the number of days to achieve a 50% pain reduction. Secondary outcomes included areas under the 50% numeric rating scale reduction curve: pain, disability, quality of life, and safety | ||
| 520 | |a RESULTS: The Chuna manual therapy + usual care group (23.31 ± 21.36 days; p = 0.01) required significantly fewer days to achieve 50% pain reduction compared to the usual care group (50.41 ± 48.32 days; p = 0.01). Regarding pain severity, functional index, and quality of life index, Chuna manual therapy and usual care were more effective than usual care alone. Safety was acceptable in both groups | ||
| 520 | |a CONCLUSIONS: In patients with subacute whiplash injury, Chuna manual therapy showed a rapid rate of recovery, high effectiveness, and safety | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Multicenter Study | |
| 650 | 4 | |a Randomized Controlled Trial | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a Chuna manual therapy | |
| 650 | 4 | |a Korean medicine | |
| 650 | 4 | |a comparative effectiveness | |
| 650 | 4 | |a multicenter pragmatic randomized controlled trial | |
| 650 | 4 | |a whiplash injury | |
| 700 | 1 | |a Park, A-La |e verfasserin |4 aut | |
| 700 | 1 | |a Hwang, Man-Suk |e verfasserin |4 aut | |
| 700 | 1 | |a Heo, In |e verfasserin |4 aut | |
| 700 | 1 | |a Park, Sun-Young |e verfasserin |4 aut | |
| 700 | 1 | |a Cho, Jae-Heung |e verfasserin |4 aut | |
| 700 | 1 | |a Kim, Koh-Woon |e verfasserin |4 aut | |
| 700 | 1 | |a Lee, Jun-Hwan |e verfasserin |4 aut | |
| 700 | 1 | |a Ha, In-Hyuk |e verfasserin |4 aut | |
| 700 | 1 | |a Park, Kyoung-Sun |e verfasserin |4 aut | |
| 700 | 1 | |a Hwang, Eui-Hyoung |e verfasserin |4 aut | |
| 700 | 1 | |a Shin, Byung-Cheul |e verfasserin |4 aut | |
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