Immediate efficacy of auricular acupuncture combined with active exercise in the treatment of acute lumbar sprains in 10 minutes: Protocol of a randomized controlled trial

PLoS One. 2024 Sep 18;19(9):e0308801. doi: 10.1371/journal.pone.0308801. eCollection 2024.

Abstract

Background: Acute lumbar sprain (ALS) is common musculoskeletal disorder characterized by severe low back pain and activity limitation, which significantly impacts the patient's work and life. Immediate relief of pain and restoration of mobility in a short period of time are the main needs of patients when they visit the clinic. This study aims to evaluate the immediate efficacy of this combined treatment for ALS within 10 minutes.

Methods: This is a single-center, prospective, randomized clinical trial. 128 eligible patients with ALS will be randomly allocated in a 1:1 ratio to either the auricular acupuncture (AA) group or the sham auricular acupuncture (SAA) group. All patients will receive a single 10-minute treatment. The primary outcome will be the change in pain intensity after 10 minutes of treatment. The secondary outcomes include changes in pain intensity at other time points (2, 5 minutes), changes in lumbar range of motion (ROM) at different time points, blinded assessment, treatment effect expectancy scale evaluation, and treatment satisfaction scale evaluation. All participants will be included in the analysis according to the intention-to-treat principle.

Discussion: This is the first randomized controlled trial to assess the immediate efficacy of AA combined with active exercise for ALS. The findings of this study are expected to provide a simple and rapid treatment for ALS in clinical.

Trial registration: Chinese Clinical Trial Registry ChiCTR2400083740. Registered 30 April 2024.

Publication types

  • Randomized Controlled Trial
  • Clinical Trial Protocol

MeSH terms

  • Acupuncture, Ear* / methods
  • Adolescent
  • Adult
  • Combined Modality Therapy
  • Exercise Therapy* / methods
  • Female
  • Humans
  • Low Back Pain / therapy
  • Lumbar Vertebrae / physiopathology
  • Lumbosacral Region
  • Male
  • Middle Aged
  • Pain Measurement
  • Prospective Studies
  • Range of Motion, Articular
  • Sprains and Strains / therapy
  • Treatment Outcome
  • Young Adult

Grants and funding

This work is financially supported by the “Liang Fanrong Expert Workstation” of Yunnan Province-Yunnan Provincial Science and Technology Plan Project (202305AF150072), the Youth Special of Yunnan Province Ten-thousand Plan (YNWR-QNBJ-2019-257), and the “Liu Zili Famous Doctor” special talent program of the Yunnan Provincial Xing Dian Talent Support Program (Yunnan Party Talent Office [2022] No. 18). The funders had no role in study design, data collection and analysis, publication decisions, or manuscript preparation.