Evidence map›Paper›PMID 25872929›Full record

Trial reportTrials2015

Short-term study on risk-benefit outcomes of two spinal manipulative therapies in the treatment of acute radiculopathy caused by lumbar disc herniation: study protocol for a randomized controlled trial.

Lei Han, Ping Zhao, Wei Guo, Jie Wei, Fei Wang, Yu Fan, Yi Li, Yaqing Min

Registry-linked trialOpen access · goldAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04581239 (Effect of Active Versus Passive Lower Extremity Neural Mobilization Combined With Lumbar Traction and Lumbar Mobilization in Patients With Lumbar Radiculopathy), which is not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.1field-weighted citation impact, top 20% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04581239 nacompletednot on this mapstarted 2019, after this paper: background citation

Effect of Active Versus Passive Lower Extremity Neural Mobilization Combined With Lumbar Traction and Lumbar Mobilization in Patients With Lumbar Radiculopathy

TypeinterventionalSponsorRiphah International UniversityRan2019 to 2020Enrolled24ConditionsLumbar RadiculopathyArmsActive neural mobilization, passive neural mobilization
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Review
  6. Association betweenCell cycle (Georgetown, Tex.) · 2022
    Article
  7. Article
  8. Article
  9. Investigation of the STOX1 polymorphism on lumbar disc herniation.Molecular genetics & genomic medicine · 2020
    Article
  10. Article
  11. Article
  12. Associations of Caspase-3 gene polymorphism with lumbar disc herniation.The Kaohsiung journal of medical sciences · 2016
    Article
  13. Clinical and pathological considerations in lumbar herniated disc associated with inflammatory lesions.Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
    Article
  14. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Lei HanPLA Spine Center of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, No. 30, Fu Cheng Street, Hai Dian District, Beijing, 100142, China. sfjhanlei@163.com.
Ping ZhaoPLA Spine Center of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, No. 30, Fu Cheng Street, Hai Dian District, Beijing, 100142, China. kzzp@sina.com.
Wei GuoPLA Spine Center of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, No. 30, Fu Cheng Street, Hai Dian District, Beijing, 100142, China. kzgw@sina.com.
Jie WeiPLA Spine Center of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, No. 30, Fu Cheng Street, Hai Dian District, Beijing, 100142, China. weijienet@126.com.
Fei WangPLA Spine Center of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, No. 30, Fu Cheng Street, Hai Dian District, Beijing, 100142, China. wf2008115@126.com.
Yu FanPLA Spine Center of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, No. 30, Fu Cheng Street, Hai Dian District, Beijing, 100142, China. fanheart@hotmail.com.
Yi LiPLA Spine Center of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, No. 30, Fu Cheng Street, Hai Dian District, Beijing, 100142, China. liyiziqiang@163.com.
Yaqing MinPLA Spine Center of TCM Manipulative Orthopedics, Air Force General Hospital of PLA, No. 30, Fu Cheng Street, Hai Dian District, Beijing, 100142, China. kzmyq@sina.com.
Air Force General Hospital PLA · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThat patients with acute radiculopathy caused by lumbar disc herniation (LDH) will benefit from spinal manipulation (SM) treatment has been taken for granted, despite no solid evidence to support that claim. There is a demand for a win-win SM treatment that is both effective and less risky, and we attempt to use this trial to demonstrate such a treatment. In this study, Feng's Spinal Manipulative Therapy (FSM) is selected as the observational SM. FSM can be performed with either manipulation or mobilization, and also can be easily mimicked as a sham SM. METHODS/

designTwo hundred and sixteen qualified hospitalized participants will be randomly allocated to one of the three following groups: sham SM, mobilization, or manipulation, according to a ratio of 1:1:1. Participants in each group will receive specific FSM treatments four times, along with basic therapies over a course of 2 weeks. Two days after each SM appointment, risk outcomes will be assessed using a questionnaire developed to identify accompanying unpleasant reactions (AUR). The pain pressure threshold (PPT) will be measured paraspinally on the tender spot beside the involved joint before and immediately after each SM treatment. Relative risk (RR) of AUR, number needed to harm (NNH) and the 95% confidence intervals of each group will be calculated and compared. Benefit outcomes will be assessed by analyzing the following data recordings: the Numerical Rating Scale (NRS), Oswestry Disability Index (ODI), and Global Perceived Effect (GPE) before enrollment and at the 7th, and 15th day after the treatment. Analyses will include comparisons of NRS, ODI and changes at the different visit times among the three groups by Repeated Measures Data ANOVA, an evaluation of reduced scores of NRS and ODI after the therapy to determine if they meet the minimum acceptable outcome (MAO), and the determination of the minimal clinically important difference (MCID) by the average improvement in NRS and ODI scores of all participants who have been allocated to the category 'improved' on the GPE assessment.

trial registrationThis trial is registered in Chinese Clinical Trial Register (ChiCTR) on 19 August 2013 ( ChiCTR-TRC-13003496 ).

Indexed as

Lumbar VertebraeAdultAnalysis of VarianceClinical ProtocolsHumansIntervertebral Disc DisplacementManipulation, SpinalMiddle AgedPatient SatisfactionRadiculopathySurveys and Questionnaires

Identifiers

PMID25872929
PMCPMC4380109
OpenAlexW2143601966

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.