title: Motion style acupuncture treatment (MSAT) for acute low back pain with severe disability: a multicenter, randomized, controlled trial protocol.
abstract: BACKGROUND
  Acupuncture is widely-used to treat patients with low back pain, despite insufficient evidence of the technique's efficacy for acute back pain. Motion style acupuncture treatment (MSAT) is a non-traditional acupuncture treatment requiring a patient to exercise while receiving acupuncture. In Korea, MSAT is used to reduce musculoskeletal pain and improve functional status. The study aims to evaluate the effect of MSAT on acute low back pain with severe disability.
  
  
  METHODS
  This study is a multicenter, randomized, active-controlled trial with two parallel arms. Participants with acute low back pain and severe functional disability, defined as an Oswestry Disability Index (ODI) value > 60%, will be randomly allocated to the acupuncture group and the nonsteroidal anti-inflammatory drug (NSAID) injection group. The acupuncture group will receive MSAT and the NSAID injection group will receive an intramuscular injection of diclofenac. All procedures will be limited to one session and the symptoms before and after treatment will be measured by assessors blinded to treatment allocation. The primary outcome will be measured at 30 minutes after treatment using the numerical rating scale (NRS) of low back pain while the patient is moving. Secondary outcomes will be measured at 30 minutes after treatment using the NRS of leg pain, ODI, patient global impression of change, range of motion (ROM) of the lumbar spine, and degrees of straight leg raising (SLR). Post-treatment follow-up will be performed to measure primary and secondary outcomes with the exception of ROM and SLR at 2, 4, and 24 weeks after treatment.
  
  
  CONCLUSIONS
  The results of this trial will be discussed.
  
  
  BACKGROUND
  ClinicalTrial.gov NCT01315561.
authors.affiliation: Jaseng Medical Foundation, Jaseng Hospital of Oriental Medicine, Seoul, Republic of Korea. sjsjsr@gmail.com
authors.forename: Joon-Shik
authors.initials: JS
authors.lastname: Shin
authors.forename: In-Hyuk
authors.initials: IH
authors.lastname: Ha
authors.forename: Tae-Gyu
authors.initials: TG
authors.lastname: Lee
authors.forename: Youngkwon
authors.initials: Y
authors.lastname: Choi
authors.forename: Byoung-Yoon
authors.initials: BY
authors.lastname: Park
authors.forename: Me-riong
authors.initials: MR
authors.lastname: Kim
authors.forename: Myeong Soo
authors.initials: MS
authors.lastname: Lee
mesh_terms: D015670:Acupuncture Therapy; D059787:Acute Pain / Q000628:therapy*; D000328:Adult; D002985:Clinical Protocols; D006233:Persons with Disabilities / Q000534:rehabilitation; D005260:Female; D006801:Humans; D017116:Low Back Pain / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D055815:Young Adult