# Clinical Efficacy Evaluation of Tuina Combined Medicated Oil in the Treatment of Nonspecific Low Back Pain: Protocol for a Randomized Controlled Trial

## TL;DR

This study is testing if a Chinese massage therapy called Tuina, combined with medicated oil, can effectively reduce nonspecific low back pain.

## Contribution

The study introduces a randomized controlled trial protocol to evaluate the efficacy of Tuina combined with medicated oil for nonspecific low back pain.

## Key findings

- The trial is recruiting 100 participants randomized into two groups for a 4-week treatment period.
- Primary and secondary outcomes include pain scores, functional assessments, and adverse reactions.
- Data collection is ongoing, with formal analysis yet to begin.

## Abstract

Nonspecific low back pain (NSLBP) is a significant global public health concern that affects the health and well-being of individuals across different age groups, limiting their daily activities and reducing their quality of life. As Tuina (Chinese therapeutic massage) therapy and medicated oil are widely used in China, it is necessary to design a randomized clinical trial to assess the effectiveness of Tuina combined medicated oil (TNO) in treating NSLBP.

This study aims to evaluate the efficacy and safety of Tuina therapy combined with medicated oil in treating NSLBP.

One hundred participants will be enrolled and randomly allocated to either a TNO group (n=50) or a Tuina combined water group (n=50). Treatment will last for 4 weeks, with sessions 3 times a week, followed by a 4-week follow-up. The visual analog scale score is the primary outcome; secondary outcomes include the evaluation of treatment Japanese Orthopaedic Association scores, infrared thermography, muscle tension tests, and tenderness scores. All adverse reactions will be recorded.

The trial commenced in June 2023 and is expected to conclude in September 2025. In June 2025, key preliminary steps were completed, and the ethical review and clinical trial registration were concluded. Recruitment is proceeding as planned, with 100 participants enrolled to date. Data collection is underway, while formal data analysis has not yet commenced.

The project’s purpose is to evaluate the effectiveness of TNO in alleviating pain and improving lumbar function in patients with NSLBP.