Acupuncture and Trager Psychophysical Integration in the treatment of wheelchair user's shoulder pain in individuals with spinal cord injury
Acupuncture and Trager Psychophysical Integration in the treatment of wheelchair user's shoulder pain in individuals with spinal cord injury
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DOI：
10.1053/apmr.2001.24888
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发表时间：
2001-08-01
影响因子：
4.3
通讯作者：
Druin, EL
中科院分区：
文献类型：
--
作者：
Dyson-Hudson, TA;Shiflett, SC;Druin, EL
目的：确定针灸和Trager(R)心理物理整合（一种手工疗法）在减少轮椅使用者脊髓损伤（SCI）慢性肩痛中的有效性。设计：前瞻性临床试验，受试者随机接受针灸或示踪剂治疗。受试者作为自己的对照，包括5周的预处理基线期和5周的治疗后随访期。单位：康复医院研究部。参与者：18名慢性脊髓损伤和慢性肩痛患者，使用手动轮椅作为主要活动方式。干预：10次针灸或10次特雷格治疗，为期5周。主要结局指标：通过方差分析评估基线、治疗和随访期间轮椅使用者肩痛指数（PC-WUSPI）评分的变化。结果：18名受试者入组时PC-WUSPI评分+/-标准差为48.9 +/- 24.6（范围8.0-94）。预处理基线期PC-WUSPI平均评分无显著变化。针刺组（53.4%，23.3分）和Trager组（53.8%，21.7分）治疗期间PC-WUSPI平均评分均显著下降。两组患者在治疗后5周随访期间均保持PC-WUSPI评分降低。结论：针刺和Trager均是减轻脊髓损伤患者与功能活动相关的慢性肩痛的有效治疗方法。
Objective: To determine the effectiveness of acupuncture and Trager(R) Psychophysical Integration (a form of manual therapy) in decreasing chronic shoulder pain in wheelchair users with spinal cord injury (SCI).Design: A prospective clinical trial, with subjects randomized to acupuncture or Tracer treatment condition. Subjects served as their own controls by including a 5-week pretreatment baseline period and a 5-week posttreatment follow-up period.Setting: Rehabilitation hospital research department.Participants: Eighteen subjects with chronic SCI and chronic shoulder pain who used manual wheelchairs as their primary means of mobility.Intervention: Ten acupuncture or 10 Trager treatments over a 5-week period.Main Outcome Measures: Changes in performance-corrected Wheelchair User's Shoulder Pain Index (PC-WUSPI) scores during baseline, treatment, and follow-up periods were assessed by using analysis of variance.Results: The mean PC-WUSPI score +/- standard deviation of the 18 subjects at entry was 48.9 +/- 24.6 (range, 8.0-94). No Significant change in mean PC-WUSPI scores occurred during the pretreatment baseline period. Mean PC-WUSPI scores decreased significantly during the treatment period in both the acupuncture (53.4%; 23.3 points) and Trager (53.8%; 21.7 points) treatment groups. The reduced PC-WUSPI scores were maintained in both groups throughout the 5-week posttreatment follow-up period.Conclusion: Acupuncture and Trager are both effective treatments for reducing chronic shoulder pain associated with functional activities in persons with SCI.