TY - JOUR PY - 2022// TI - Comparative effectiveness and safety of concomitant treatment with Chuna manual therapy and usual care for whiplash injuries: a multicenter randomized controlled trial JO - International journal of environmental research and public health A1 - Kim, Byung-Jun A1 - Park, A.-La A1 - Hwang, Man-Suk A1 - Heo, In A1 - Park, Sun-Young A1 - Cho, Jae-Heung A1 - Kim, Koh-Woon A1 - Lee, Jun-Hwan A1 - Ha, In-Hyuk A1 - Park, Kyoung-Sun A1 - Hwang, Eui-Hyoung A1 - Shin, Byung-Cheul SP - e10678 EP - e10678 VL - 19 IS - 17 N2 - OBJECTIVES: We aimed to compare the effectiveness and safety of Chuna manual therapy combined with usual care to those of usual care alone for treating whiplash injuries.

DESIGN: A two-arm, parallel, assessor-blinded, multicenter pragmatic randomized clinical trial. SETTING: Three hospitals in Korea. PARTICIPANTS: Overall, 132 participants between 19 and 70 years of age, involved in traffic accidents and treated at three hospitals in Korea, >2 but <13 weeks prior to enrollment, with neck pain consistent with whiplash-associated disorder grades I and II and a numeric rating scale score ≥5 were included. INTERVENTIONS: Participants were equally and randomly allocated to the Chuna manual therapy and usual care (n = 66) or usual care (n = 66) groups and underwent corresponding treatment for three weeks. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was the number of days to achieve a 50% pain reduction. Secondary outcomes included areas under the 50% numeric rating scale reduction curve: pain, disability, quality of life, and safety.

RESULTS: The Chuna manual therapy + usual care group (23.31 ± 21.36 days; p = 0.01) required significantly fewer days to achieve 50% pain reduction compared to the usual care group (50.41 ± 48.32 days; p = 0.01). Regarding pain severity, functional index, and quality of life index, Chuna manual therapy and usual care were more effective than usual care alone. Safety was acceptable in both groups.

CONCLUSIONS: In patients with subacute whiplash injury, Chuna manual therapy showed a rapid rate of recovery, high effectiveness, and safety.

Language: en

LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph191710678 ID - ref1 ER -