scholarly journals Effectiveness of Tuina manipulation in patients with knee osteoarthritis: study protocol for a randomized controlled trial

2020 ◽  
Author(s):  
Zhizhen Lv ◽  
Qingguang Zhu ◽  
Guangxin Guo ◽  
Wuquan Sun ◽  
Yanbin Cheng ◽  
...  
Keyword(s):  
Health Care ◽  
Randomized Controlled Trial ◽  
Health Education ◽  
Knee Osteoarthritis ◽  
Controlled Trial ◽  
Mcgill Pain Questionnaire ◽  
Health Care Education ◽  
Care Education ◽  
Randomized Controlled ◽  
Education Group

Abstract Background: Knee osteoarthritis (KOA) is a common disabling musculoskeletal disorder. Previous studies showed that Tuina manipulation and health care education were effective treatments for patients with KOA. However, there is no evidence to support the use of one intervention over the other. The purpose of this study is to evaluate the effectiveness of Tuina manipulation and health care education for the management of pain and dysfunction in patients with KOA.Methods/Design: This study is a single-centre, two-arm, open-label randomized controlled trial (RCT). A total of 170 eligible KOA patients will be randomly assigned to the Tuina manipulation group or the health education group in a 1:1 ratio. Patients in the Tuina manipulation group will receive a 30-minute 2-step treatment plan, including pain point assessment and manual therapy, which will be performed 12 times in 4 weeks. The health education group will receive 45 minutes of lecture and discussion three times a week for four weeks. The primary outcome is the Knee Injury and Osteoarthritis Outcome Score (KOOS). Secondary outcomes include the McGill Pain Questionnaire (MPQ) and 36-item Short-Form Health Survey (SF-36). The results of this study will help clarify the value of Tuina manipulation and health education as treatments for KOA and will highlight any differences in treatment outcomes.Discussion: The design and methodology of the trial is rigorous and allows the collection of valuable data to assess the efficacy of a specific Tuina regimen for the treatment of KOA. Therefore, the trial will provide a solid foundation for future clinical research on KOA and Tuina therapy.Trial registration: This trial was registered with the Chinese Clinical Trial Registry on 24 February 2020 (ChiCTR2000030154), http://www.chictr.org.cn/index.aspx

scholarly journals Effectiveness of Tuina manipulation in patients with knee osteoarthritis: study protocol for a randomized controlled trial

2020 ◽  
Author(s):  
Zhizhen Lv ◽  
Qingguang Zhu ◽  
Guangxin Guo ◽  
Wuquan Sun ◽  
Yanbin Cheng ◽  
...  
Keyword(s):  
Health Care ◽  
Randomized Controlled Trial ◽  
Knee Osteoarthritis ◽  
Short Form ◽  
Controlled Trial ◽  
Mcgill Pain Questionnaire ◽  
Health Care Education ◽  
Care Education ◽  
Randomized Controlled ◽  
Education Group

Abstract Background: Knee osteoarthritis (KOA) is a common musculoskeletal disorder. Previous studies reported that Tuina manipulation showed benificial effects in management of musculoskeletal disorders . However, there was no enough evidence to support the effectiveness of Tuina manipulation for KOA. The purpose of this study is to evaluate the effectiveness of Tuina manipulation on pain and dysfunction of patients with KOA compared with health care education.Methods/Design: This study is a single-centre, two-arm, open-label randomized controlled trial (RCT). A total of 170 eligible KOA patients will be randomly assigned to the Tuina manipulation group or the health care education group in a 1:1 ratio. In the Tuina manipulation group, patients will receive a 30 min treatment including pain point assessment and manual therapy. The health care education group will receive 45 min of lecture and discussion. All treatments will be conducted three times a week for four weeks. The primary outcome is the Knee Injury and Osteoarthritis Outcome Score (KOOS). Secondary outcomes include the McGill Pain Questionnaire (MPQ) and 36-item Short-Form Health Survey (SF-36). The results will show the evidence of the effect of Tuina manipulation for KOA compared with health care education.Discussion: The design and methodology of the trial is rigorous and allows the collection of valuable data to assess the effect of a specific Tuina regimen for the treatment of KOA. Therefore, the trial will provide a solid foundation for future clinical research on KOA and Tuina therapy.Trial registration: This trial was registered with the Chinese Clinical Trial Registry on 24 February 2020 (ChiCTR2000030154), http://www.chictr.org.cn/index.aspx

scholarly journals Effectiveness of Tuina manipulation in patients with knee osteoarthritis: study protocol for a randomized controlled trial

2020 ◽  
Author(s):  
Zhizhen Lv ◽  
Qingguang Zhu ◽  
Guangxin Guo ◽  
Wuquan Sun ◽  
Yanbin Cheng ◽  
...  
Keyword(s):  
Health Care ◽  
Health Education ◽  
Knee Osteoarthritis ◽  
Short Form ◽  
Treatment Plan ◽  
Mcgill Pain Questionnaire ◽  
Health Care Education ◽  
Care Education ◽  
Education Group ◽  
The Future

Abstract Background: Knee osteoarthritis (KOA) is a common disabling musculoskeletal disorder. Previous studies showed that Tuina manipulation and health care education were effective treatments for patients with KOA. However, there is no evidence to support the use of one intervention rather than another. The purpose of this study is to evaluate the effectiveness of Tuina manipulation and health care education in the management of pain and dysfunction in patients with KOA.Methods/Design: This study is a single center, two-arm, open-label RCT. A total of 150 eligible KOA patients will be randomly assigned to the Tuina manipulation group or the health education group in a 1:1 ratio. Patients in the Tuina manipulation group receives a 30-minute 2-step treatment plan, including pain point assessment and manual therapy, which are performed 12 times in 4 weeks. The health education group conducts 45 minutes of lectures and discussions each time, three times a week for four weeks. The primary outcome is the Knee Injury and Osteoarthritis Outcome Score (KOOS). Secondary outcomes include the McGill Pain Questionnaire (MPQ) and 36-item Short-Form Health Survey (SF-36). The results of this study will help clarify the value of Tuina manipulation and health education as treatments for KOA and will highlight any differences in treatment outcomes.Discussion: The design and methodology of the trial is rigorous and allows the collection of valuable data to assess the efficacy of a specific Tuina regimen in the treatment of KOA. Therefore, the trial will provide a solid foundation for the future clinical research of KOA as well as the future of Tuina therapy.Trial registration: This trial was registered with Chinese Clinical Trial Registry on 24 February 2020(ChiCTR2000030154), http://www.chictr.org.cn/index.aspx

Serious game is an effective learning method for primary health care education of medical students: A randomized controlled trial

2019 ◽  
Vol 130 ◽  
pp. 103944 ◽  
Author(s):  
Rodrigo Alves Tubelo ◽  
Fernando Freitas Portella ◽  
Marco Antônio Gelain ◽  
Mônica Maria Celestina de Oliveira ◽  
Ana Emília Figueiredo de Oliveira ◽  
...  
Keyword(s):  
Health Care ◽  
Randomized Controlled Trial ◽  
Primary Health Care ◽  
Medical Students ◽  
Controlled Trial ◽  
Learning Method ◽  
Health Care Education ◽  
Effective Learning ◽  
Randomized Controlled ◽  
Primary Health

Self-administered acupressure for knee osteoarthritis in middle-aged and older adults: a pilot randomized controlled trial

2019 ◽  
Vol 38 (2) ◽  
pp. 75-85 ◽  
Author(s):  
Denise Shuk Ting Cheung ◽  
Wing-Fai Yeung ◽  
Lorna Kwai-Ping Suen ◽  
Tsz Chung Chong ◽  
Yuan-Shan Ho ◽  
...  
Keyword(s):  
Older Adults ◽  
Randomized Controlled Trial ◽  
Health Education ◽  
Knee Osteoarthritis ◽  
Pain Intensity ◽  
Controlled Trial ◽  
Secondary Outcome ◽  
Post Intervention ◽  
Randomized Controlled ◽  
Pilot Randomized Controlled Trial

Objective: To test the acceptability and feasibility of self-administered acupressure as an intervention for knee pain among middle-aged and older adults with knee osteoarthritis (KOA). Methods: In this pilot randomized controlled trial, 35 participants with KOA were randomized to receive self-administered acupressure (n = 17, two self-administered acupressure training sessions followed by self-practice for 6 weeks) or knee health education (n = 18, two health education sessions about KOA management followed by self-care for 6 weeks). Current pain intensity (primary outcome) was measured using a Numeric Rating Scale (NRS) at baseline and weeks 1, 2, 4 and 6 (post-intervention). Secondary outcome measures included worst and least pain intensity, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), range of motion (ROM) of the knee joints and Short-Form Six-Dimension (SF-6D) scores for health-related quality of life. Results: Participants in both groups attended all training sessions. In the self-administered acupressure group, all subjects mastered the acupressure technique and passed a consistency check. Both groups showed a decreasing trend in current knee pain intensity measured using NRS post-intervention. A medium between-group effect size (0.40) was found, but between-group differences were not statistically significant. The other secondary outcome measures were also comparable between both groups post-intervention (all p > 0.05). Conclusion: A two-session self-administered acupressure training was acceptable to and feasible in participants with KOA. The data generated allowed for calculation of a sample size for a definitive randomized controlled trial (RCT) to confirm whether self-acupressure is effective for pain management in KOA. Furthermore trials with adequate power and longer follow-up periods are warranted.

scholarly journals Japanese health and safety information for overseas visitors: protocol for a randomized controlled trial

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mariko Nishikawa ◽  
Masaaki Yamanaka ◽  
Akira Shibanuma ◽  
Junko Kiriya ◽  
Masamine Jimba
Keyword(s):  
Health Care ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Safety Information ◽  
Intervention Group ◽  
Health And Safety ◽  
Trial Registration ◽  
Control Group ◽  
Internet Portal ◽  
Randomized Controlled

Abstract Background Before the COVID-19 pandemic occurred in January 2020, the number of overseas visitors to Japan had increased threefold over the last decade. To minimize the risk of health problems, visitors should be able to access information on the health care systems of the places they visit. Most short-term overseas visitors are young adults. Although they are not very likely to get sick from noncommunicable diseases, they are at high risk for injury and often experience stomach ailments, fever, or nausea when travelling. The objective of this study is to evaluate culturally and linguistically appropriate health information on preventive health behaviours and the health care system in Japan. We will examine the level of satisfaction of overseas visitors to Japan with health care-related educational materials using a five-minute digital game named Sa-Chan Japan. Methods Our study is a randomized controlled trial (RCT). We will assess both satisfaction and motivation before, during, and after the interventions and examine the changes over time. The intervention group will comprise overseas visitors who will view and answer questions in an animation named Sa-Chan Japan. The control group will comprise overseas visitors who will watch an English digital animation named Mari Info Japan. We will recruit 1002 participants through the Macromill Internet portal. We will contact overseas visitors who have either visited or wish to visit Japan from the United Kingdom, United States, and Australia. The participants will fill out a self-administered questionnaire online in the first quarter of 2021. We will determine the participants’ levels of satisfaction with the CSQ-8 (8-item Client Satisfaction Questionnaire). We will analyse the median score of the overseas visitors with both the Wilcoxon rank-sum and the Wilcoxon signed-rank tests. Our protocol of randomized controlled trials follows the SPIRIT guidelines. Discussion Our research will utilize unique digital education strategies in a game that promotes health and safety among overseas visitors to Japan. We believe the results of this study will be useful in overcoming the current challenges regarding pretravel health requirements for overseas visitors worldwide. Trial registration Version 1 of this trial was registered in the UMIN-CTR (University Hospital Medical Information Network Center Clinical Trials Registry), and the trial registration data are available on UMIN000042483, November 17, 2020.

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