ISRCTN ISRCTN76896018
DOI https://doi.org/10.1186/ISRCTN76896018
Secondary identifying numbers RCT
Submission date
22/02/2011
Registration date
10/03/2011
Last edited
27/12/2023
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Musculoskeletal Diseases
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Background and study aims
There have been no reported randomized placebo-controlled trials investigating the effectiveness of acupuncture under double-blind conditions using practitioner-patient blinded needles. The aim of this study is to verify the effectiveness of acupuncture for functional neck/shoulder stiffness.

Who can participate?
Patients aged over 18 with stiff neck not from organic disease.

What does the study involve?
Before treatment, patients will be asked about the intensity of their stiff neck. Patients will be randomly allocated to receive one of the following four acupuncture treatments:
1. Treatment with penetrating needles
2. Treatment with skin-touch placebo needles (the needle tip presses against the skin)
3. Treatment with no-touch placebo needles (the needle tip does not reach the skin)
4. Treatment without any needle applications (control group)
Immediately after and 24 hours after treatment, the patients are asked about the intensity of their stiff neck. Also, the acupuncturists and patients are asked to record whether the treatment is 'no-touch control', 'skin-touch placebo', 'penetrating', or 'unidentifiable'.

What are the possible benefits and risks of participating?
Participants will contribute to developing acupuncture and moxibustion studies. Although rare, there is the possibility of needle pain, unpleasantness, bleeding and hematoma with acupuncture.

Where is the study run from?
Tokyo Ariake University of Medical and Health Sciences (Japan).

When is the study starting and how long is it expected to run for?
The study started in June 2010 and will run until March 2015.

Who is funding the study?
Grants-in-Aid for Scientific Research (B) (Japan).

Who is the main contact?
Prof Nobuari Takakura

Contact information

Prof Nobuari Takakura
Scientific

2-9-1 Ariake, Koto-ku
Tokyo
135-0063
Japan

Study information

Study designRandomised double-blind placebo-controlled single-centre trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleEffect of acupuncture treatment on stiff neck: a randomised, double-blind, placebo-controlled trial
Study hypothesisDifferences exist in therapeutic effect on stiff neck between treatments with the penetrating, skin-touch placebo, no-touch control needle and a control group without any needles. The aim of the study is to assess whether verum penetrating needle treatment has specific effect over placebo needle treatment on stiff neck.

On 23/07/2014 the following changes were made to the trial record:
1. The overall trial start date was changed from 24/01/2011 to 09/06/2010.
2. The overall trial end date was changed from 31/03/2013 to 31/03/2015.
Ethics approval(s)Ethics Committee of Tokyo Ariake University of Medical and Health Sciences, 08/07/2010
ConditionMusculoskeletal discomfort
InterventionTreatments using the double-blind needle:
1. The no-touch needle which the needle tip does not reach the skin
2. Skin-touch placebo needle which the needle tip presses against the skin
3. Verum penetrating needle
4. Treatment without any needle applications (control group)

Before treatment, patients are asked about the intensity of their stiff neck on a visual analogue scale. In this trial, each of five acupuncturists applies acupuncture treatment to 60 patients. For each treatment, the acupuncturist applies four needles to four acupoints on the neck and shoulder in the patients. Immediately after and 24 hours after treatment, the patients are asked about the intensity of their stiff neck on a visual analogue scale. Also, acupuncturists (practitioners) and patients are asked to record whether the treatment is 'no-touch control', 'skin-touch placebo', 'penetrating', or 'unidentifiable'. The same methods are applied to the control group without any needles and relating questions are asked.
Intervention typeOther
Primary outcome measureImprovement in stiff neck: before, immediately and 24 hours after needle application, the patients are asked about the intensity of their stiff neck on a Visual Analogue Scale (VAS) ranging from 0 (no stiff neck) to 100 (the most intense stiff neck imaginable)
Secondary outcome measuresEffect of patient and practitioner blinding using the double-blind needle: after completion of treatment, the practitioners and patients are asked to record whether they think the treatment is 'penetrating', 'skin-touch', 'no-touch' or 'utterly unidentifiable'
Overall study start date09/06/2010
Overall study end date31/03/2015

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants400
Total final enrolment400
Participant inclusion criteria1. Patients with stiff neck not from organic disease
2. Age range: over 18 years, both male and female
Participant exclusion criteriaPatients who have:
1. Cervical spondylosis
2. Cervical disc herniation
3. Cervico-omo-brachial syndrome
4. Thoracic outlet syndrome
5. Liver, gallbladder or heart disease
6. High blood pressure
7. Cerebral vascular disease
8. Neurological disease
9. Under any pharmacological treatment
10. Patients who will receive any cure for stiff neck or acupuncture treatment within 24 hours after treatment in this study
Recruitment start date24/01/2011
Recruitment end date31/08/2014

Locations

Countries of recruitment

  • Japan

Study participating centre

2-9-1 Ariake, Koto-ku
Tokyo
135-0063
Japan

Sponsor information

Japan Society for the Promotion of Science (Japan)
Government

8 Ichiban-cho, Chiyoda-ku
Tokyo
102-8472
Japan

Website http://www.jsps.go.jp/
ROR logo "ROR" https://ror.org/00hhkn466

Funders

Funder type

Government

Grants-in-Aid for Scientific Research (B) (Japan)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Protocol article protocol 16/07/2014 Yes No
Results article 09/12/2023 27/12/2023 Yes No

Editorial Notes

27/12/2023: The following changes have been made:
1. Publication reference added.
2. The final enrolment number has been added from the reference.
25/06/2020: No publications found.