König A, Radke S, Molzen H, Haase M, Müller C, Drexler D, Natalis M, Krauss M, Behrens N, Irnich D
Orthopädische Klinik, Klinik am Eichert, Göppingen, Germany.
Z Orthop Ihre Grenzgeb. 2003 Jul-Aug;141(4):395-400. doi: 10.1055/s-2003-41566.
The aim of this study was to compare the effects of acupuncture on active motion of the cervical spine in patients with chronic neck pain with those of "sham" laser acupuncture and massage.
177 patients with chronic neck pain were included in this prospective, randomized, placebo-controlled study. The patients were allocated by external randomization to five treatments over three weeks with acupuncture, massage and "sham" laser acupuncture. The range of active motion was measured by means of a 3D ultrasound real time motion analyzer.
The analysis of cervical motion in three directions showed the largest increase in range of motion 14 days after acupuncture. Compared to massage, a significant improvement in total range of motion was seen in those patients treated by acupuncture immediately (p = 0,03) and one week (p = 0,03) weeks after therapy. There was no significant difference in those patients treated by sham laser acupuncture.
The results of the study indicate that acupuncture is superior to conventional massage for improving active range of motion in patients with chronic neck pain. Because of its positive effects, its acceptance among patients and the lack of severe side effects, acupuncture can be recommended for the treatment of chronic neck pain, although there was no significant difference in results between "sham" laser acupuncture and acupuncture.
本研究旨在比较针刺疗法与“假”激光针刺疗法及按摩疗法对慢性颈部疼痛患者颈椎主动活动的影响。
177例慢性颈部疼痛患者纳入本前瞻性、随机、安慰剂对照研究。通过外部随机分组，患者在三周内接受针刺、按摩和“假”激光针刺这五种治疗。采用三维超声实时运动分析仪测量主动活动范围。
对颈椎三个方向运动的分析显示，针刺后14天活动范围增加最大。与按摩相比，针刺治疗的患者在治疗后即刻（p = 0.03）和一周后（p = 0.03）总活动范围有显著改善。接受“假”激光针刺治疗的患者无显著差异。
研究结果表明，在改善慢性颈部疼痛患者的主动活动范围方面，针刺疗法优于传统按摩疗法。鉴于其积极效果、患者的接受度以及缺乏严重副作用，针刺疗法可推荐用于治疗慢性颈部疼痛，尽管“假”激光针刺疗法与针刺疗法的结果无显著差异。
