The Efficacy and Safety of Non-resistance Manual Therapy in Inpatients With Acute Neck Pain Caused by Traffic Accidents: a Randomised Controlled Trial
Condition: Whiplash Injury of Cervical Spine
MeSH terms: Neck Pain; Whiplash Injuries
Study type: Interventional

Summary: 
      Non-resistance therapy is a combination of muscle compression relaxation technique and joint
      mobilization in patients with acute neck pain caused by traffic accidents. This study is to
      evaluate the effectiveness and safety of non-resistance therapy for pain and function
      problems in patients complaining of acute neck pain induced by traffic accidents.

      So, investigators conduct a randomized controlled trials to verify the effectiveness and
      safety of non-resistance therapy. From December 2020 to May 2021, investigators recruit 120
      inpatients who are suffered from acute neck pain with the numeric rating scale(NRS) over 5 by
      traffic accident(TA).

      The Korean medical treatment group(n=60) receives daily acupuncture, herbal medicine, and
      chuna treatment as inpatient treatment from hospitalization until discharge. For the
      non-resistance therapy group(n=60), the korean medical treatment is performed in the same
      manner, but additional non-resistance therapy is performed once a day from the 2nd day to the
      5th day of hospitalization.

      Baseline is the time point before treatment for non-resistance therapy on the second day of
      hospitalization, and the primary endpoint is the time point after treatment on the 5th day
      (v5) after hospitalization.

      For these two groups, investigators compare NRS(Numeric Rating Scale), Visual Analogue
      Scale(VAS), Range Of Motion(ROM), Neck Disability Index(NDI), the 12-Item Short Form Health
      Survey(SF-12), and PTSD Checklist for DSM(Diagnostic and Statistical Manual of Mental
      Disorders, DSM)-5(PCL-5).
    


Intervention name(s): non-resistance therapy; acupuncture; chuna; pharmacoacupuncture; Korean herbal medicine
Intervention type(s): Other; Other; Other; Other; Drug
Intervention description(s): The non-resistance technique, created in Jaseng Hospital, is a combination of ischemic compression and mobilization It is a treatment that improves the limited range of motion of the cervical spine and relieves pain by applying ischemic pressure to the induration of the neck and at the same time firmly supporting the patient's head to give passive joint movements and completely relax.; According to the judgment of the oriental medicine doctor, select acupuncture point and tender spots such as BL10, TE14, GB20, GV16, etc. to a depth of 10 mm 6 -Self needle in 12 blood spots.; Chuna treatment is administered once a day during the hospitalization period. Chuna is Korean manual therapy using methods such as joint mobilization, joint distraction, fascia relaxation and manipulation.; This is an oriental medical practice in which a certain amount of a drug extracted from a specific herbal medicine is injected with an injector to treat the patient's constitution, disease state, etc., and then injected into the treatment acupuncture points and body surface reaction points. Depending on the condition of the inpatient, acupuncture is used in parallel.; Formulated with herbal medicinal and pack the extract in a pouch, and have the hospitalized patient take it once in the morning and afternoon for 30 minutes after meals.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment