Itoh Kazunori, Saito Shingo, Sahara Shunsaku, Naitoh Yuki, Imai Kenji, Kitakoji Hiroshi
Department of Clinical Acupuncture and Moxibustion, Meiji University of Integrative Medicine, Kyoto, Japan.
Department of Clinical Acupuncture and Moxibustion, Meiji University of Integrative Medicine, Kyoto, Japan.
J Acupunct Meridian Stud. 2014 Apr;7(2):59-64. doi: 10.1016/j.jams.2013.02.002. Epub 2013 Feb 24.
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 (Constant-Murley 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.
有证据表明针刺疗法对慢性肩部疼痛有效，但哪种针刺模式最有效仍不清楚。我们比较了触发点针刺（TrP）与假针刺（SH）疗法对慢性肩部疼痛患者疼痛和肩部功能的影响。参与者为18例患者（15名女性，3名男性；年龄42 - 65岁），患有非放射性肩部疼痛至少6个月且神经学检查结果正常。参与者被随机分为两组，每组接受5次治疗。TrP组在肌肉触发点接受治疗，而另一组在相同肌肉上接受假针刺治疗。观察指标为疼痛强度（视觉模拟评分，VAS）和肩部功能（Constant - Murley评分：CMS）。治疗后，TrP组治疗前与治疗后5周之间的疼痛强度显著降低（p<0.001）。TrP组治疗前与治疗后5周之间的肩部功能也显著提高（p<0.001）。使用观察指标曲线下面积进行比较显示两组之间存在显著差异（p = 0.024）。与假针刺疗法相比，TrP疗法对慢性肩部疼痛似乎更有效。
