PMID- 27770801 OWN - NLM STAT- MEDLINE DCOM- 20180126 LR - 20181113 IS - 1745-6215 (Electronic) IS - 1745-6215 (Linking) VI - 17 IP - 1 DP - 2016 Oct 22 TI - Balance chiropractic therapy for cervical spondylotic radiculopathy: study protocol for a randomized controlled trial. PG - 513 LID - 513 AB - BACKGROUND: Cervical spondylosis is a very common disorder and cervical spondylotic radiculopathy (CSR) is the most common form of spinal degenerative disease. Its clinical manifestations focus on pain and numbness of the neck and arm as well as restricted movement of the neck, which greatly affect the patient's life and work. The orthopedic of traditional Chinese medicine (TCM) theory holds that the basic pathologic change in spinal degenerative diseases is the imbalance between the dynamic system and the static system of the cervical spine. Based on this theory, some Chinese physicians have developed a balance chiropractic therapy (BCT) to treat CSR, which has been clinically examined for more than 50 years to effectively cure CSR. The purpose of this study is to evaluate the therapeutic effect and safety of BCT on CSR and to investigate the mechanism by which the efficacy is achieved. METHODS/DESIGN: We propose a multicenter, parallel-group, randomized controlled trial to evaluate the efficacy and safety of BCT for CSR. Participants aged 18 to 65 years, who are in conformity with the diagnostic criteria of CSR and whose pain score on a Visual Analog Scale (VAS) is more than 4 points and less than 8 points, will be included and randomly allocated into two groups: a treatment group and a control group. Participants in the treatment group will be treated with BCT, while the control group will receive traction therapy (TT). The primary outcome is pain severity (measured with a VAS). Secondary outcomes will include cervical curvature (measured by the Borden Index), a composite of functional status (measured by the Neck Disability Index, NDI), patient health status (evaluated by the SF-36 health survey) and adverse events (AEs) as reported in the trial. DISCUSSION: If BCT can relieve neck pain without adverse effects, it may be a novel strategy for the treatment of CSR. Furthermore, the mechanism of BCT for CSR will be partially elucidated. TRIAL REGISTRATION: Clinical Trials.gov Identifier: NCT02705131 . Registered on 9 March 2016. FAU - Yang, Feng AU - Yang F AD - Shaanxi University of Chinese Medicine, Xi'an, 712000, China. yangfengdudu@163.com. AD - Affiliated Hospital of Shaanxi University of Chinese Medicine, Xi'an, 712083, China. yangfengdudu@163.com. FAU - Li, Wen-Xiong AU - Li WX AD - Shaanxi University of Chinese Medicine, Xi'an, 712000, China. AD - Affiliated Hospital of Shaanxi University of Chinese Medicine, Xi'an, 712083, China. FAU - Liu, Zhu AU - Liu Z AD - Shaanxi University of Chinese Medicine, Xi'an, 712000, China. AD - Affiliated Hospital of Shaanxi University of Chinese Medicine, Xi'an, 712083, China. FAU - Liu, Li AU - Liu L AD - Shaanxi University of Chinese Medicine, Xi'an, 712000, China. LA - eng SI - ClinicalTrials.gov/NCT02705131 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20161022 PL - England TA - Trials JT - Trials JID - 101263253 SB - IM MH - Cervical Vertebrae MH - *Clinical Protocols MH - Humans MH - Manipulation, Chiropractic/*methods MH - Radiculopathy/*therapy MH - Sample Size MH - Spondylosis/*therapy PMC - PMC5075147 OTO - NOTNLM OT - Balance chiropractic therapy OT - Cervical spondylotic radiculopathy OT - Efficacy OT - Safety EDAT- 2016/10/25 06:00 MHDA- 2018/01/27 06:00 PMCR- 2016/10/22 CRDT- 2016/10/25 06:00 PHST- 2016/03/24 00:00 [received] PHST- 2016/09/25 00:00 [accepted] PHST- 2016/10/25 06:00 [pubmed] PHST- 2018/01/27 06:00 [medline] PHST- 2016/10/25 06:00 [entrez] PHST- 2016/10/22 00:00 [pmc-release] AID - 10.1186/s13063-016-1644-2 [pii] AID - 1644 [pii] AID - 10.1186/s13063-016-1644-2 [doi] PST - epublish SO - Trials. 2016 Oct 22;17(1):513. doi: 10.1186/s13063-016-1644-2.