Randomized Trial of Trigger Point Acupuncture Treatment for Chronic Shoulder Pain: A Preliminary Study
Randomized Trial of Trigger Point Acupuncture Treatment for Chronic Shoulder Pain: A Preliminary Study
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DOI：
10.1016/j.jams.2013.02.002
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发表时间：
2014-04-01
影响因子：
1
通讯作者：
Kitakoji, Hiroshi
中科院分区：
文献类型：
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作者：
Itoh, Kazunori;Saito, Shingo;Kitakoji, Hiroshi
有证据表明针灸治疗慢性肩痛的疗效，但目前仍不清楚哪些针灸模式是最有效的。我们比较了触发点针刺（TrP）与假针刺（SH）对慢性肩痛患者疼痛和肩功能的影响。参与者为18名患者（15名女性，3名男性;年龄42-65岁），患有至少6个月的非放射性肩痛，神经系统检查结果正常。参与者被随机分为两组，每组接受五次治疗。TrP组在肌肉的触发点接受治疗，而另一组在同一肌肉上接受SH针刺治疗。结果指标为疼痛强度（视觉模拟评分，VAS）和肩关节功能（ConstanteMurley评分：CMS）。治疗后，治疗前和TrP后5周之间的疼痛强度显著降低（p < 0.001）。肩关节功能在治疗前和治疗后5周之间也显著增加（p < 0.001）。使用结果曲线下面积的比较表明组间存在显著差异（p = 0.024）。与SH针刺疗法相比，TrP疗法对慢性肩痛更有效。
There is evidence for the efficacy of acupuncture treatment for chronic shoulder pain, but it remains unclear which acupuncture modes are most effective. We compared the effect of trigger point acupuncture (TrP), with that of sham (SH) acupuncture treatments, on pain and shoulder function in patients with chronic shoulder pain. The participants were 18 patients (15 women, 3 men; aged 42-65 years) with nonradiating shoulder pain for at least 6 months and normal neurological findings. The participants were randomized into two groups, each receiving five treatment sessions. The TrP group received treatment at trigger points for the muscle, while the other group received SH acupuncture treatment on the same muscle. Outcome measures were pain intensity (visual analogue scale, VAS) and shoulder function (ConstanteMurley Score: CMS). After treatment, pain intensity between pretreatment and 5 weeks after TrP decreased significantly (p < 0.001). Shoulder function also increased significantly between pretreatment and 5 weeks after TrP (p < 0.001). A comparison using the area under the outcome curves demonstrated a significant difference between groups (p = 0.024). Compared with SH acupuncture therapy, TrP therapy appears more effective for chronic shoulder pain.