ArticleFrontiers in neurology2025
Three-needle of regulating the mind combined with umbilical needle intervention for cervical vertigo with deficiency of qi and blood-A study protocol for a randomized controlled trial.
Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: With a higher incidence rate among the younger population, cervical vertigo (CV) can impose a significant burden on patients with CV. It is believed that a deficiency of qi and blood is the primary pathogenesis in Traditional Chinese medicine (TCM). Acupuncture is a vital strategy for CV, but the efficacy of current acupuncture therapies remains unsatisfactory. Thus, this randomized controlled study will assess the safety and effectiveness of three-needle of regulating the mind combined with umbilical needle (TNRM-UN) therapy for CV with qi and blood deficiency. Methods: This was a single-center, assessor-, and analyst-blinded, prospective randomized controlled trial that involved treatment for 6 weeks and follow-up for 24 weeks. Ninety-nine patients with CV deficiency of qi and blood are randomly allocated to three groups in a 1:1:1 ratio. The patients in the observation group will receive three-needle of regulating the mind combined with umbilical needle (TNRM-UN) therapy. In contrast, the patients in the control-1 group will receive three-needle of regulating the mind combined with traditional acupuncture (TNRM-TA), and the patients in the control-2 group will receive only umbilical needle (UN) therapy. Primary outcomes include Cervical Vertigo Symptom and Functional Assessment Scale (CVS-FAS) score and qi and Blood Deficiency Symptoms Assessment Scale (QBD-SAS) score. The secondary outcomes are hemodynamic changes in the bilateral vertebral arteries, including diameter value (DV), peak systolic velocity (PSV), end-diastolic velocity (EDV), pulsatility index (PI), and resistance index (RI). All outcome measurements will be evaluated before and after 6 weeks of treatment. Primary outcomes will be evaluated at 12 and 24 weeks of follow-up. Adverse events (AEs) were evaluated during treatment and follow-up periods. Results: This study aimed to determine whether TNRM-UN is more effective than current acupuncture therapies by providing compelling evidence and deciding whether TNRM-UN can be used as a promising therapy for CV with a deficiency of qi and blood. Clinical trial registration: https://www.chictr.org.cn/, identifier: ChiCTR2400080759.
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