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Subcutaneous Carbon Dioxide Insufflations for Acute Non Specific Neck Pain

This study has been completed.
Study NCT00325312.   Last updated on May 12, 2006.   Information provided by Forschungsinstitut für Balneologie und Kurortwissenschaft Bad Elster

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Descriptive Information Fields
Brief Title  Subcutaneous Carbon Dioxide Insufflations for Acute Non Specific Neck Pain
Official Title  Evaluation of the Efficacy of Subcutaneous Carbon Dioxide Insufflations for Treating Acute Non Specific Neck Pain in General Practice
Brief Summary

The purpose of the trial is to evaluate whether patients with acute non specific neck pain get pain free sooner, if treated with subcutaneous carbon dioxide insufflations compared to sham ultrasound.

Detailed Description

Subcutaneous carbon dioxide insufflations popular in Central und Eastern Europe are a safe and inexpensive treatment modality in complementary medicine and are used mainly in musculoskeletal pain and vascular conditions. However, no rigorous trial exists on their efficacy.

The study is designed as a double blind sham controlled randomized trial to evaluate whether patients with acute non specific neck pain get pain free sooner, if treated with subcutaneous carbon dioxide insufflations compared to sham ultrasound.Since acute non specific neck pain is often self limiting, speed of recovery rather than outcome at fixed points in time is evaluated.

Participants receive either a maximum number of 9 subcutaneous carbon dioxide insufflations or a maximum number of 9 sham ultrasound administered by 4 therapists in a randomized order, thrice weekly. Carbon dioxide gas is insufflated subcutaneously at the locations of neck muscle tenderness. Per tender location 25 ml carbon dioxide gas is administered.

Primary outcome measure is recorded daily by means of a diary. Analysis is done by intention to treat. Differences in time curves are tested using the logrank test. Time curves are graphically displayed by a 1 minus survival Kaplan-Meier plot.

Study Phase Phase II
Study Type  Interventional
Study Design  Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment, Efficacy Study
Primary Outcome Measure  time to neck pain relief
Secondary Outcome Measure  time to a 50% reduction in pain intensity
affective pain
sensory pain
pain intensity
treatment failure
recurrence of neck pain
Condition  Neck Pain
Intervention  Drug: carbon dioxide, subcutaneous application
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Completed
Enrollment  114
Start Date  January 2001
Completion Date March 2003
Eligibility Criteria 

Inclusion Criteria:

  • participants must report neck pain lasting for less than 7 days
  • participants must report a current pain intensity of ≥ 40 mm on a 100 mm visual analogue scale.
  • participants must state local neck muscles tenderness during clinical examination at one or more locations

Exclusion Criteria:

  • neck pain of specific etiology (e.g., radiculopathy, infection, inflammation, primary tumor, or metastases)
  • whiplash injury
  • former neck surgery
  • pregnancy
  • breast feeding.
Gender Both
Ages 18 Years to 64 Years
Accepts Healthy Volunteers No
Contacts ††
Location Countries  Germany
Administrative Information Fields
NCT ID  NCT00325312
Organization ID SCI-2
Secondary IDs ††
Study Sponsor  Forschungsinstitut für Balneologie und Kurortwissenschaft Bad Elster
Collaborators ††
Investigators 
Principal Investigator:     Thomas Brockow, MD     FBK Bad Elster    
Information Provided By Forschungsinstitut für Balneologie und Kurortwissenschaft Bad Elster
Verification Date May 2006
First Received Date  May 11, 2006
Last Updated Date May 12, 2006

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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