Chest TraumaNCT04318496
Acupuncture for Blunt Chest Trauma
A study testing Press Tack Acupuncture in people with Chest Trauma and Rib Fractures, run by China Medical University Hospital at 1 site in Taiwan.
Trial summary
Introduction: Chest blunt trauma accounts in up to 65% of polytrauma patients. In patients with 0-2 rib fracture, the treatment is relatively limited to oral pain killer and breathing exercise. Read more about this study
- Who is it for?
- Ages 20 to 80 years
- Conditions the study is for
- Chest Trauma, Rib Fractures
- What is being tested?
- Press Tack Acupuncture
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 72 participants
- Where
- 1 siteTaiwan
- Study dates
- 23 Mar 2020to 30 Jun 2021
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 20 to 80 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age 20-80 year-old
- Patients have chest trauma described by themselves or medical chart record within one week
- Injury Severity Score (ISS) is less than 18 points
- Body Mass Index(BMI)<30
Who cannot join
- Sternal fracture
- Injury Severity Score (ISS) is equal or more than 18 points
- History of intercostal nerve injury
- History of cardiovascular disease
- History of chronic lung disease
- Significant lung mass or chest deformity noted in the chest plain film
Trial locations and contacts
1 site in 1 country.
Taiwan1 site
Out-Patient Clinic of China Medical University Hospital
Taichung, 404472
About this study
Official title: Acupuncture for Blunt Chest Trauma: A Protocol for a Double-Blind Randomized Control Trial
Introduction:
Chest blunt trauma accounts in up to 65% of polytrauma patients. In patients with 0-2 rib fracture, the treatment is relatively limited to oral pain killer and breathing exercise. The patients will suffer two weeks of severe pain accompanied with poor sleep and inability to preform simple daily live activities. In this double blind randomized control study, the investigators offer acupuncture as an additional treatment option.
Methods:
The study is a double blind randomized control trial. the study will include the press needle acupuncture (Acu) and placebo (Con) group. Both groups will receive one treatment, following the first visit to the clinic after chest trauma accident.
Read the detailed description
Introduction:
Chest blunt trauma accounts in up to 65% of polytrauma patients. In patients with 0-2 rib fracture, the treatment is relatively limited to oral pain killer and breathing exercise. The patients will suffer two weeks of severe pain accompanied with poor sleep and inability to preform simple daily live activities. In this double blind randomized control study, the investigators offer acupuncture as an additional treatment option.
Methods:
The study is a double blind randomized control trial. the study goal is to examine the effect of acupuncture on patients with chest trauma. the study will include totally 72 patients and divide them to two group; the press needle acupuncture (Acu) and placebo (Con) group. Both groups will receive one treatment, following the first visit to the clinic after chest trauma accident. Follow up time will be 3 months.
Expected outcome:
The results of this study can potentially provide a simple and cost effective provide analgesic solution to blunt chest trauma patients. The study design can serve as supporting evidence for future double blind studies in acupuncture.
Other information:
The study will be conducted in thoracic surgical department and acupuncture department in China medical university hospital, Taichung, Taiwan. The study is conducted on blunt chest injury patients and is anticipated to have minimum risk for adverse events. Enrollment of the patients and data collection will start after March 2020. The study expected completion time will be March 2022.
Keywords: blunt chest trauma, acupuncture, press tack needle, rib fracture
- Conditions
- Chest Trauma, Rib Fractures
- Being tested
- Press Tack Acupuncture, Press Tack Placebo
- Keywords
- Blunt chest trauma, Acupuncture, Press tack needle, Rib fracture
- Medical subject headings
- Thoracic Injuries, Rib Fractures
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Press Tack AcupunctureOther
Also called Press Tack Needle/ sticker needle/ PYONEX
PYONEX Φ0.20×0.6 mm made by Seirin Corporation
Press Tack PlaceboOther
Also called PYONEX placebo
PYONEX placebo sticker made by Seirin Corporation
| Study group | Role | What they receive |
|---|---|---|
| Acupuncture with press tack needle group (Acu) | Experimental | the press tack needles (PYONEX Φ0.20×0.6 mm made by Seirin Corporation) has a diameter of 0.2 mm and length of 0.6 mm will be used on the following bilateral points; GB 36 (Waiqiu), GB 34 (YangLingQuan), ST 36 (Zusanli), LI 4 (HeGu), LU 7 (LieQue), TH 5 (Waiguan) press tack needles retention time will be 4 days. Receives: Other: Press Tack Acupuncture |
| Placebo group (Con) | Placebo comparator | The pess tack placebo is PYONEX sticker and pack that is identical to the press needle, except that the needle part was removed. The acupuncturist will apply the stickers on the following bilateral acupoints: GB 36 (Waiqiu), GB 34 (YangLingQuan), ST 36 (Zusanli), LI 4 (HeGu), LU 7 (LieQue), TH 5 (Waiguan) press tack stickers retention time will be 4 days. Receives: Other: Press Tack Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numerical Rating Scale (NRS) - rest
pain scale form 1-10 when 10 is the most painful
Measured: 3 months
Numerical Rating Scale (NRS) - mobile
pain scale form 1-10 when 10 is the most painful
Measured: 3 months
Secondary outcomes (6)
Visual Analogue Pain Scale (VAS)
Pain scale form 1-10 when 10 is the most painful
Measured: 4 days
Face Rating Scale (FRS)
Face expression pain scale. scores form 0-5 when 5 is the most painful
Measured: 4 days
Flow meter
Measure the amount of air the patient can exhale, It has three chambers with their own balls that requires air pressures from 600-1200 cc per second. 1200cc is the highest score and indicates good exhalation
Measured: 4 days
Verran and Snyder-Halpern sleep scale
includes 15 question on the patients sleep quality, each question has a 100mm line. Patients will raking each question 0-100 when 100 means no existing insomnia
Measured: 4 days
Chest plain film
Chest X-ray, will help examine the number of rib fractures, the incidence of hemothorax and pneumothorax
Measured: 4 days
Pain killer or muscle relaxant medication does used
We will measure the amount of analgesic or muscle relaxant medication each patient used
Measured: 4 days
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted24 Mar 2020
- Study start23 Mar 2020
- Primary completion30 Jun 2021
- Study completion30 Jun 2021
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Chest TraumaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Double Blinded Randomized Control Trial
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 72 participants (actual)
Sponsor and investigators
- Lead sponsor
- China Medical University Hospital
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Peiyu Kao, China Medical University Hospital
- Investigators
- Peiyu Kao, M.D., Principal investigator, China Medical University Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04318496
- Sponsor's protocol ID
- CMUH109-REC1-002
- Status last verified
- Nov 2021
- First submitted
- 20 Mar 2020
- Last updated
- 17 Nov 2021
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Publications
Kao PY, Lottering B, Lu TY, Ho WC, Lin YS, Huang TM, Chen CK, Chen JX, Lee YC, Chen FP, Ben-Arie E. Press tack needle stimulation for blunt chest trauma: a randomized double-blind control trial. Interact Cardiovasc Thorac Surg. 2022 Jun 15;35(1):ivac158. doi: 10.1093/icvts/ivac158.
PubMed 35670748Kao PY, Ben-Arie E, Lu TY, Ho WC, Lee YC, Lin YS, Chen CK, Chen JX, Huang TM, Chen FP. Acupuncture for blunt chest trauma: A protocol for a double-blind randomized control trial. Medicine (Baltimore). 2021 May 7;100(18):e25667. doi: 10.1097/MD.0000000000025667.
PubMed 33950945
Study at a glance
From the registry record, last updated by the sponsor on 17 Nov 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Acupuncture for Blunt Chest Trauma: A Protocol for a Double-Blind Randomized Control Trial
- ClinicalTrials.gov ID
- NCT04318496
- Acronym / sponsor ID
- CMUH109-REC1-002
- Conditions
- Chest Trauma, Rib Fractures
- Keywords
- Blunt chest trauma, Acupuncture, Press tack needle, Rib fracture
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 72 participants (actual)
- Lead sponsor
- China Medical University HospitalUniversity, hospital or other
- Study start
- 23 Mar 2020 (actual)
- Primary completion
- 30 Jun 2021 (actual)
- Study completion
- 30 Jun 2021 (actual)
- First posted
- 24 Mar 2020 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Introduction:
Chest blunt trauma accounts in up to 65% of polytrauma patients. In patients with 0-2 rib fracture, the treatment is relatively limited to oral pain killer and breathing exercise. The patients will suffer two weeks of severe pain accompanied with poor sleep and inability to preform simple daily live activities. In this double blind randomized control study, the investigators offer acupuncture as an additional treatment option.
Methods:
The study is a double blind randomized control trial. the study will include the press needle acupuncture (Acu) and placebo (Con) group. Both groups will receive one treatment, following the first visit to the clinic after chest trauma accident.
Detailed description
Introduction:
Chest blunt trauma accounts in up to 65% of polytrauma patients. In patients with 0-2 rib fracture, the treatment is relatively limited to oral pain killer and breathing exercise. The patients will suffer two weeks of severe pain accompanied with poor sleep and inability to preform simple daily live activities. In this double blind randomized control study, the investigators offer acupuncture as an additional treatment option.
Methods:
The study is a double blind randomized control trial. the study goal is to examine the effect of acupuncture on patients with chest trauma. the study will include totally 72 patients and divide them to two group; the press needle acupuncture (Acu) and placebo (Con) group. Both groups will receive one treatment, following the first visit to the clinic after chest trauma accident. Follow up time will be 3 months.
Expected outcome:
The results of this study can potentially provide a simple and cost effective provide analgesic solution to blunt chest trauma patients. The study design can serve as supporting evidence for future double blind studies in acupuncture.
Other information:
The study will be conducted in thoracic surgical department and acupuncture department in China medical university hospital, Taichung, Taiwan. The study is conducted on blunt chest injury patients and is anticipated to have minimum risk for adverse events. Enrollment of the patients and data collection will start after March 2020. The study expected completion time will be March 2022.
Keywords: blunt chest trauma, acupuncture, press tack needle, rib fracture
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 2
- Model description
- Double Blinded Randomized Control Trial
| Arm | Type | Receives |
|---|---|---|
| Acupuncture with press tack needle group (Acu) | Experimental | Other: Press Tack Acupuncturethe press tack needles (PYONEX Φ0.20×0.6 mm made by Seirin Corporation) has a diameter of 0.2 mm and length of 0.6 mm will be used on the following bilateral points; GB 36 (Waiqiu), GB 34 (YangLingQuan), ST 36 (Zusanli), LI 4 (HeGu), LU 7 (LieQue), TH 5 (Waiguan) press tack needles retention time will be 4 days. |
| Placebo group (Con) | Placebo comparator | Other: Press Tack PlaceboThe pess tack placebo is PYONEX sticker and pack that is identical to the press needle, except that the needle part was removed. The acupuncturist will apply the stickers on the following bilateral acupoints: GB 36 (Waiqiu), GB 34 (YangLingQuan), ST 36 (Zusanli), LI 4 (HeGu), LU 7 (LieQue), TH 5 (Waiguan) press tack stickers retention time will be 4 days. |
Who may qualify
- Ages
- 20 to 80 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (4 listed)
- Age 20-80 year-old
- Patients have chest trauma described by themselves or medical chart record within one week
- Injury Severity Score (ISS) is less than 18 points
- Body Mass Index(BMI)<30
Key exclusion criteria (6 listed)
- Sternal fracture
- Injury Severity Score (ISS) is equal or more than 18 points
- History of intercostal nerve injury
- History of cardiovascular disease
- History of chronic lung disease
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Press Tack AcupunctureAlso: Press Tack Needle/ sticker needle/ PYONEXPYONEX Φ0.20×0.6 mm made by Seirin Corporation | Other | Acupuncture with press tack needle group (Acu) |
| Press Tack PlaceboAlso: PYONEX placeboPYONEX placebo sticker made by Seirin Corporation | Other | Placebo group (Con) |
Primary outcome
Numerical Rating Scale (NRS) - rest
Time frame: 3 months
pain scale form 1-10 when 10 is the most painful
Numerical Rating Scale (NRS) - mobile
Time frame: 3 months
pain scale form 1-10 when 10 is the most painful
6 secondary outcomes
Visual Analogue Pain Scale (VAS)
Time frame: 4 days
Face Rating Scale (FRS)
Time frame: 4 days
Flow meter
Time frame: 4 days
Verran and Snyder-Halpern sleep scale
Time frame: 4 days
Chest plain film
Time frame: 4 days
Pain killer or muscle relaxant medication does used
Time frame: 4 days
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 17 Nov 2021.
- Derived from this study: PubMed 35670748Kao PY, Lottering B, Lu TY, Ho WC, Lin YS, Huang TM, Chen CK, Chen JX, Lee YC, Chen FP, Ben-Arie E. Press tack needle stimulation for blunt chest trauma: a randomized double-blind control trial. Interact Cardiovasc Thorac Surg. 2022 Jun 15;35(1):ivac158. doi: 10.1093/icvts/ivac158.
- Derived from this study: PubMed 33950945Kao PY, Ben-Arie E, Lu TY, Ho WC, Lee YC, Lin YS, Chen CK, Chen JX, Huang TM, Chen FP. Acupuncture for blunt chest trauma: A protocol for a double-blind randomized control trial. Medicine (Baltimore). 2021 May 7;100(18):e25667. doi: 10.1097/MD.0000000000025667.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Peiyu Kao, M.D. principal investigator
China Medical University Hospital
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Press Tack Acupuncture in people with Chest Trauma and Rib Fractures, run by China Medical University Hospital at 1 site in Taiwan.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 17 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Taiwan. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Numerical Rating Scale (NRS) - rest (time frame: 3 months). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT04318496, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 17 Nov 2021.