Is acupuncture effective in treating chronic pain after spinal cord injury?
Is acupuncture effective in treating chronic pain after spinal cord injury?
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DOI：
10.1053/apmr.2001.26624
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发表时间：
2001-11-01
影响因子：
4.3
通讯作者：
Cotter, AC
中科院分区：
文献类型：
--
作者：
Nayak, S;Shiflett, SC;Cotter, AC
目的：为了评估针灸作为治疗慢性疼痛和脊髓损伤（SCI）后的继发症状的疗效，并确定与response to treatment. Design相关的疾病特异性变量：一个受试者内设计，包括一个7 1/2周的无针灸基线期，随后由7 1/2周的治疗期和3个月的随访评估posttreatment。设定：医学康复研究中心。参与者：22名SCI患者，他们经历了至少6个月的中度至重度疼痛。干预措施：一个疗程的15个针灸治疗超过7 1/2 week period.Main结果测量：疼痛强度的数字评定量表，活动干扰的评级，个性化的症状评级，流行病学中心抑郁量表，Speilberger状态特质焦虑量表，和一般幸福schedule.Results：10例（46%）显示治疗后疼痛强度和疼痛后遗症的改善。然而，6例患者（27%）报告的疼痛增加，仍然存在3个月后treatment.Conclusions：约50%的研究样本针灸治疗后，大量的疼痛缓解，这表明针灸可以提供疼痛缓解至少一个亚组的个人与SCI。未来的研究需要确定这种效应的哪一部分是因为针灸与非特异性效应，如安慰剂效应和回归平均值。(C)2001年由美国康复医学大会和美国物理医学和康复学会。
Objectives: To evaluate the efficacy of acupuncture as a treatment for chronic pain and secondary symptoms after spinal cord injury (SCI) and to identify disease-specific variables associated with response to treatment.Design: A within-subjects design consisting of a 7 1/2-week no-acupuncture baseline period followed by a 7 1/2-week treatment period and a follow-up assessment 3 months posttreatment. Setting: Medical rehabilitation research center.Participants: Twenty-two people with SCI who experienced moderate to severe pain of at least 6 months' duration. Intervention: A course of 15 acupuncture treatments was administered over a 7 1/2-week period.Main Outcome Measures: Numeric Rating Scale of pain intensity; ratings of interference with activity, individualized symptom rating, Center for Epidemiologic Studies-Depression Scale, Speilberger State Trait Anxiety Inventory, and General Well-Being Schedule.Results: Ten patients (46%) showed improvement in pain intensity and pain sequelae after treatment. However, 6 patients (27%) reported an increase in pain that was still present 3 months after treatment.Conclusions: About 50% of the study sample reported substantial pain relief after acupuncture treatment, suggesting that acupuncture may provide pain relief for at least a subgroup of individuals with SCI. Future research is needed to determine what part of this effect is because of acupuncture versus nonspecific effects such as placebo effects and regression to the mean. (C) 2001 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation.