Trial Outcomes & Findings for Local Effects of Acupuncture and Nerve Conduction Studies (NCT NCT03036657)

NCT ID: NCT03036657

Last Updated: 2023-10-10

Results Overview

The median change plus standard deviation when the median nerve was treated and CDT was measured in the sensory distribution of the median nerve. The CDT is measured in CASE IV - specific units named Just Noticeable Difference (JND). The CASE IV System uses a set of 25 standardized vibratory and thermal stimulation levels for patient testing and analysis. These 25 levels are termed "Just Noticeable Differences" or "JNDs," and are similar to decibels. The concept of a JND is based on the fact that a sensitive person can detect fine differences between two levels of stimulation, whereas an insensitive person cannot. Because differences of less than one JND are difficult to distinguish, one JND is the smallest difference presented to patients. Stimuli based on the JND scale can be used to test patients very efficiently and quickly, without compromising the significance of the clinical result.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

60 participants

Primary outcome timeframe

Week 1, Week 2

Results posted on

2023-10-10

Participant Flow

Participant milestones

Participant milestones
Measure
Manual Acupuncture
Device: Sterile single-use MAC acupuncture needles - 0.22 x 25 mm, TianJin Haing Lim Sou Won Medical Equipment Co, Ltd, South Korea Used for Intervention: Manual Acupuncture to PC3, PC5 or HT3, HT4 for 20 min MAC acupuncture needles: Sterile single-use MAC acupuncture needles (0.22 x 25 mm, TianJin Haing Lim Sou Won Medical Equipment Co, Ltd, South Korea. Used for Manual Acupuncture Used for: Manual Acupuncture to PC3, PC5 or HT3, HT4 for 20 min
Low-Frequency Electroacupuncture
Device: Electrostimulator 6c.Pro, Pantheon Research, Venice, CA Used for Intervention: Low-frequency Continuous Electroacupuncture (2Hz) to PC3, PC5 or HT3, HT4 for 20 min Electrostimulator 6c.Pro, Pantheon Research, Venice, CA: Electrostimulator used for delivery or Low-Frequency or High-Frequency Electroacupuncture Used for Interventions: Low-frequency Continuous Electroacupuncture - 4 Hz to PC3, PC5 or HT3, HT4 for 20 min AND
High-Frequency Electroacupuncture
Device: Electrostimulator 6c.Pro, Pantheon Research, Venice, CA Used for Intervention: High-frequency Continuous Electroacupuncture (100 Hz) to PC3, PC5 or HT3, HT4 for 20 min Electrostimulator 6c.Pro, Pantheon Research, Venice, CA: Electrostimulator used for delivery or Low-Frequency or High-Frequency Electroacupuncture Used for Interventions: High-frequency Continuous Electroacupuncture - 100 Hz to PC3, PC5 or HT3, HT4 for 20 min
Overall Study
STARTED
20
20
20
Overall Study
COMPLETED
20
20
20
Overall Study
NOT COMPLETED
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Local Effects of Acupuncture and Nerve Conduction Studies

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Manual Acupuncture
n=20 Participants
Device: Sterile single-use MAC acupuncture needles - 0.22 x 25 mm, TianJin Haing Lim Sou Won Medical Equipment Co, Ltd, South Korea Used for Intervention: Manual Acupuncture to PC3, PC5 or HT3, HT4 for 20 min MAC acupuncture needles: Sterile single-use MAC acupuncture needles (0.22 x 25 mm, TianJin Haing Lim Sou Won Medical Equipment Co, Ltd, South Korea. Used for Manual Acupuncture Used for: Manual Acupuncture to PC3, PC5 or HT3, HT4 for 20 min
Low-Frequency Electroacupuncture
n=20 Participants
Device: Electrostimulator 6c.Pro, Pantheon Research, Venice, CA Used for Intervention: Low-frequency Continuous Electroacupuncture (2Hz) to PC3, PC5 or HT3, HT4 for 20 min Electrostimulator 6c.Pro, Pantheon Research, Venice, CA: Electrostimulator used for delivery or Low-Frequency or High-Frequency Electroacupuncture Used for Interventions: Low-frequency Continuous Electroacupuncture to PC3, PC5 or HT3, HT4 for 20 min AND High-frequency Continuous Electroacupuncture to PC3, PC5 or HT3, HT4 for 20 min
High-Frequency Electroacupuncture
n=20 Participants
Device: Electrostimulator 6c.Pro, Pantheon Research, Venice, CA Used for Intervention: High-frequency Continuous Electroacupuncture (100 Hz) to PC3, PC5 or HT3, HT4 for 20 min Electrostimulator 6c.Pro, Pantheon Research, Venice, CA: Electrostimulator used for delivery or Low-Frequency or High-Frequency Electroacupuncture Used for Interventions: Low-frequency Continuous Electroacupuncture to PC3, PC5 or HT3, HT4 for 20 min AND High-frequency Continuous Electroacupuncture to PC3, PC5 or HT3, HT4 for 20 min
Total
n=60 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
17 Participants
n=5 Participants
16 Participants
n=7 Participants
15 Participants
n=5 Participants
48 Participants
n=4 Participants
Age, Categorical
>=65 years
3 Participants
n=5 Participants
4 Participants
n=7 Participants
5 Participants
n=5 Participants
12 Participants
n=4 Participants
Age, Continuous
52.05 Years
STANDARD_DEVIATION 13.33 • n=5 Participants
48.90 Years
STANDARD_DEVIATION 17.22 • n=7 Participants
55.50 Years
STANDARD_DEVIATION 13.92 • n=5 Participants
52.15 Years
STANDARD_DEVIATION 14.92 • n=4 Participants
Sex: Female, Male
Female
16 Participants
n=5 Participants
16 Participants
n=7 Participants
16 Participants
n=5 Participants
48 Participants
n=4 Participants
Sex: Female, Male
Male
4 Participants
n=5 Participants
4 Participants
n=7 Participants
4 Participants
n=5 Participants
12 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
2 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
19 Participants
n=5 Participants
19 Participants
n=7 Participants
20 Participants
n=5 Participants
58 Participants
n=4 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
1 Participants
n=7 Participants
0 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
White
19 Participants
n=5 Participants
19 Participants
n=7 Participants
18 Participants
n=5 Participants
56 Participants
n=4 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
1 Participants
n=4 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Region of Enrollment
United States
20 participants
n=5 Participants
20 participants
n=7 Participants
20 participants
n=5 Participants
60 participants
n=4 Participants
Median Cold Detection Threshold
8.0 JND (just noticeable difference)
STANDARD_DEVIATION 2.3 • n=5 Participants
8.6 JND (just noticeable difference)
STANDARD_DEVIATION 1.9 • n=7 Participants
7.8 JND (just noticeable difference)
STANDARD_DEVIATION 1.6 • n=5 Participants
8.2 JND (just noticeable difference)
STANDARD_DEVIATION 1.9 • n=4 Participants
Ulnar Cold Detection Threshold
10.1 JND (Just Noticeable Difference)
STANDARD_DEVIATION 2.2 • n=5 Participants
10.8 JND (Just Noticeable Difference)
STANDARD_DEVIATION 2.3 • n=7 Participants
10.2 JND (Just Noticeable Difference)
STANDARD_DEVIATION 2.0 • n=5 Participants
10.4 JND (Just Noticeable Difference)
STANDARD_DEVIATION 2.1 • n=4 Participants

PRIMARY outcome

Timeframe: Week 1, Week 2

The median change plus standard deviation when the median nerve was treated and CDT was measured in the sensory distribution of the median nerve. The CDT is measured in CASE IV - specific units named Just Noticeable Difference (JND). The CASE IV System uses a set of 25 standardized vibratory and thermal stimulation levels for patient testing and analysis. These 25 levels are termed "Just Noticeable Differences" or "JNDs," and are similar to decibels. The concept of a JND is based on the fact that a sensitive person can detect fine differences between two levels of stimulation, whereas an insensitive person cannot. Because differences of less than one JND are difficult to distinguish, one JND is the smallest difference presented to patients. Stimuli based on the JND scale can be used to test patients very efficiently and quickly, without compromising the significance of the clinical result.

Outcome measures

Outcome measures
Measure
Manual Acupuncture
n=20 Participants
Device: Sterile single-use MAC acupuncture needles - 0.22 x 25 mm, TianJin Haing Lim Sou Won Medical Equipment Co, Ltd, South Korea Used for Intervention: Manual Acupuncture to PC3, PC5 or HT3, HT4 for 20 min MAC acupuncture needles: Sterile single-use MAC acupuncture needles (0.22 x 25 mm, TianJin Haing Lim Sou Won Medical Equipment Co, Ltd, South Korea. Used for Manual Acupuncture Used for: Manual Acupuncture to PC3, PC5 or HT3, HT4 for 20 min
Low-Frequency Electroacupuncture
n=20 Participants
Device: Electrostimulator 6c.Pro, Pantheon Research, Venice, CA Used for Intervention: Low-frequency Continuous Electroacupuncture (2Hz) to PC3, PC5 or HT3, HT4 for 20 min Electrostimulator 6c.Pro, Pantheon Research, Venice, CA: Electrostimulator used for delivery or Low-Frequency or High-Frequency Electroacupuncture Used for Interventions: Low-frequency Continuous Electroacupuncture - 4 Hz to PC3, PC5 or HT3, HT4 for 20 min AND
High-Frequency Electroacupuncture
n=20 Participants
Device: Electrostimulator 6c.Pro, Pantheon Research, Venice, CA Used for Intervention: High-frequency Continuous Electroacupuncture (100 Hz) to PC3, PC5 or HT3, HT4 for 20 min Electrostimulator 6c.Pro, Pantheon Research, Venice, CA: Electrostimulator used for delivery or Low-Frequency or High-Frequency Electroacupuncture Used for Interventions: High-frequency Continuous Electroacupuncture - 100 Hz to PC3, PC5 or HT3, HT4 for 20 min
Change in Median Cold Detection Threshold (CDT) Post-acupuncture Compared to Pre-acupuncture When the Median Nerve is Treated
0.73 JND (just noticeable difference)
Standard Deviation 1.527
-0.195 JND (just noticeable difference)
Standard Deviation 1.698
0.865 JND (just noticeable difference)
Standard Deviation 2.021

PRIMARY outcome

Timeframe: Week 1, Week 2

This is the mean change plus standard deviation in CDT in the sensory distribution of the ulnar never when the median nerve is treated. The CDT is measured in CASE IV - specific units named Just Noticeable Difference (JND). The CASE IV System uses a set of 25 standardized vibratory and thermal stimulation levels for patient testing and analysis. These 25 levels are termed "Just Noticeable Differences" or "JNDs," and are similar to decibels. The concept of a JND is based on the fact that a sensitive person can detect fine differences between two levels of stimulation, whereas an insensitive person cannot. Because differences of less than one JND are difficult to distinguish, one JND is the smallest difference presented to patients. Stimuli based on the JND scale can be used to test patients very efficiently and quickly, without compromising the significance of the clinical result.

Outcome measures

Outcome measures
Measure
Manual Acupuncture
n=20 Participants
Device: Sterile single-use MAC acupuncture needles - 0.22 x 25 mm, TianJin Haing Lim Sou Won Medical Equipment Co, Ltd, South Korea Used for Intervention: Manual Acupuncture to PC3, PC5 or HT3, HT4 for 20 min MAC acupuncture needles: Sterile single-use MAC acupuncture needles (0.22 x 25 mm, TianJin Haing Lim Sou Won Medical Equipment Co, Ltd, South Korea. Used for Manual Acupuncture Used for: Manual Acupuncture to PC3, PC5 or HT3, HT4 for 20 min
Low-Frequency Electroacupuncture
n=20 Participants
Device: Electrostimulator 6c.Pro, Pantheon Research, Venice, CA Used for Intervention: Low-frequency Continuous Electroacupuncture (2Hz) to PC3, PC5 or HT3, HT4 for 20 min Electrostimulator 6c.Pro, Pantheon Research, Venice, CA: Electrostimulator used for delivery or Low-Frequency or High-Frequency Electroacupuncture Used for Interventions: Low-frequency Continuous Electroacupuncture - 4 Hz to PC3, PC5 or HT3, HT4 for 20 min AND
High-Frequency Electroacupuncture
n=20 Participants
Device: Electrostimulator 6c.Pro, Pantheon Research, Venice, CA Used for Intervention: High-frequency Continuous Electroacupuncture (100 Hz) to PC3, PC5 or HT3, HT4 for 20 min Electrostimulator 6c.Pro, Pantheon Research, Venice, CA: Electrostimulator used for delivery or Low-Frequency or High-Frequency Electroacupuncture Used for Interventions: High-frequency Continuous Electroacupuncture - 100 Hz to PC3, PC5 or HT3, HT4 for 20 min
Change in Ulnar Cold Detection Threshold (CDT) Post-acupuncture Compared to Pre-acupuncture When the Median Nerve is Treated
0.215 JND
Standard Deviation 1.732
0.07 JND
Standard Deviation 1.264
0.375 JND
Standard Deviation 1.064

PRIMARY outcome

Timeframe: Week 1, Week 2

This is the mean change plus standard deviation in the sensory territory of the Median nerve when the Ulnar nerve was treated.

Outcome measures

Outcome measures
Measure
Manual Acupuncture
n=20 Participants
Device: Sterile single-use MAC acupuncture needles - 0.22 x 25 mm, TianJin Haing Lim Sou Won Medical Equipment Co, Ltd, South Korea Used for Intervention: Manual Acupuncture to PC3, PC5 or HT3, HT4 for 20 min MAC acupuncture needles: Sterile single-use MAC acupuncture needles (0.22 x 25 mm, TianJin Haing Lim Sou Won Medical Equipment Co, Ltd, South Korea. Used for Manual Acupuncture Used for: Manual Acupuncture to PC3, PC5 or HT3, HT4 for 20 min
Low-Frequency Electroacupuncture
n=20 Participants
Device: Electrostimulator 6c.Pro, Pantheon Research, Venice, CA Used for Intervention: Low-frequency Continuous Electroacupuncture (2Hz) to PC3, PC5 or HT3, HT4 for 20 min Electrostimulator 6c.Pro, Pantheon Research, Venice, CA: Electrostimulator used for delivery or Low-Frequency or High-Frequency Electroacupuncture Used for Interventions: Low-frequency Continuous Electroacupuncture - 4 Hz to PC3, PC5 or HT3, HT4 for 20 min AND
High-Frequency Electroacupuncture
n=20 Participants
Device: Electrostimulator 6c.Pro, Pantheon Research, Venice, CA Used for Intervention: High-frequency Continuous Electroacupuncture (100 Hz) to PC3, PC5 or HT3, HT4 for 20 min Electrostimulator 6c.Pro, Pantheon Research, Venice, CA: Electrostimulator used for delivery or Low-Frequency or High-Frequency Electroacupuncture Used for Interventions: High-frequency Continuous Electroacupuncture - 100 Hz to PC3, PC5 or HT3, HT4 for 20 min
Change in Median Cold Detection Threshold (CDT) Post-acupuncture Compared to Pre-acupuncture When the Ulnar Nerve is Treated
-0.37 JND
Standard Deviation 1.309
0.23 JND
Standard Deviation 1.358
0.23 JND
Standard Deviation 1.627

PRIMARY outcome

Timeframe: Week 1, Week 2

This is the mean plus standard deviation change in CDT in the sensory territory of the ulnar nerve when the ulnar nerve is treated.

Outcome measures

Outcome measures
Measure
Manual Acupuncture
n=20 Participants
Device: Sterile single-use MAC acupuncture needles - 0.22 x 25 mm, TianJin Haing Lim Sou Won Medical Equipment Co, Ltd, South Korea Used for Intervention: Manual Acupuncture to PC3, PC5 or HT3, HT4 for 20 min MAC acupuncture needles: Sterile single-use MAC acupuncture needles (0.22 x 25 mm, TianJin Haing Lim Sou Won Medical Equipment Co, Ltd, South Korea. Used for Manual Acupuncture Used for: Manual Acupuncture to PC3, PC5 or HT3, HT4 for 20 min
Low-Frequency Electroacupuncture
n=20 Participants
Device: Electrostimulator 6c.Pro, Pantheon Research, Venice, CA Used for Intervention: Low-frequency Continuous Electroacupuncture (2Hz) to PC3, PC5 or HT3, HT4 for 20 min Electrostimulator 6c.Pro, Pantheon Research, Venice, CA: Electrostimulator used for delivery or Low-Frequency or High-Frequency Electroacupuncture Used for Interventions: Low-frequency Continuous Electroacupuncture - 4 Hz to PC3, PC5 or HT3, HT4 for 20 min AND
High-Frequency Electroacupuncture
n=20 Participants
Device: Electrostimulator 6c.Pro, Pantheon Research, Venice, CA Used for Intervention: High-frequency Continuous Electroacupuncture (100 Hz) to PC3, PC5 or HT3, HT4 for 20 min Electrostimulator 6c.Pro, Pantheon Research, Venice, CA: Electrostimulator used for delivery or Low-Frequency or High-Frequency Electroacupuncture Used for Interventions: High-frequency Continuous Electroacupuncture - 100 Hz to PC3, PC5 or HT3, HT4 for 20 min
Change in Ulnar Cold Detection Threshold (CDT) Post-acupuncture Compared to Pre-acupuncture When the Ulnar Nerve is Treated
-0.68 JND
Standard Deviation 1.626
0.30 JND
Standard Deviation 1.182
0.405 JND
Standard Deviation 0.990

Adverse Events

Manual Acupuncture

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Low-Frequency Electroacupuncture

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

High-Frequency Electroacupuncture

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Alexandra Dimitrova, PI

Oregon Health & Science University

Phone: 503-494-0766

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place