Asheghan Mahsa, Aghda Amidoddin Khatibi, Hashemi Ebrahim, Hollisaz Mohammadtaghi
Baqyatallah University of Medical Sciences, Tehran, Iran.
Yazd University of Medical Sciences, Yazd, Iran.
Mater Sociomed. 2016 Jul 24;28(4):253-257. doi: 10.5455/msm.2016.28.253-257.
Adhesive capsulitis is a common disease that causes pain and reduced range of motion, but vague on the shoulder. Woman are affected fewer than men, but there is no known racial or genetic tendency. Most patients with adhesive capsulitis will improve with nonsurgical treatment. Acetaminophen and nonsteroidal anti-inflammatory drugs for pain relief in patients without contraindication are first-line options. Acupuncture considered being safe and effective in reducing pain. The aim of this study was to Investigation of the effectiveness of acupuncture in the treatment of frozen shoulder.
In a controlled clinical trial, patients referred to the clinic in 91 years with shoulder pain, frozen shoulder diagnosed based on history and physical exam, they have been enrolled. Indicators measured in the study was included the involved joint pain, range of motion and quality of life. Patients, first at baseline, one and a half months later (end of session) and then 3 months after the examination information about each individual entered in the from of questionnaires were pre-determined and data were analyzed by SPSS 17 software.
In this clinical trial study total 40 patients with frozen shoulder (20 interference with the acupuncture and 20 people control) study that patients average age 55/54. Age maximum 71 years and minimum 44 years. Acupuncture in the treatment of frozen shoulder with the results achieved in the general case acupuncture may improve shoulder motion in patients. VAS index at three months after treatment compared with the control group had a greater improvement.
In the case of acupuncture and ultimately improve the overall look of all the movement of flexion and adduction of the shoulder, but the movement has been further improved, VAS index at three months after treatment compared with the control group had a greater improvement and finally, we perform acupuncture as a way to improve shoulder motion in patients with frozen shoulder offered.
粘连性关节囊炎是一种常见疾病,会导致疼痛和肩部活动范围减小,但疼痛部位不明确。女性患病少于男性,且尚无已知的种族或遗传倾向。大多数粘连性关节囊炎患者通过非手术治疗会有所改善。对无禁忌证的患者,对乙酰氨基酚和非甾体类抗炎药是缓解疼痛的一线选择。针灸被认为在减轻疼痛方面安全有效。本研究的目的是调查针灸治疗肩周炎的有效性。
在一项对照临床试验中,纳入了91年转诊至该诊所的肩部疼痛患者,根据病史和体格检查诊断为肩周炎。研究中测量的指标包括受累关节疼痛、活动范围和生活质量。患者首先在基线、一个半月后(疗程结束时)以及然后3个月后接受检查,关于每个个体的信息通过预先确定的问卷形式录入,并使用SPSS 17软件进行数据分析。
在这项临床试验研究中,共有40例肩周炎患者(20例接受针灸干预,20例为对照组),研究中患者平均年龄为55/54岁。年龄最大71岁,最小44岁。针灸治疗肩周炎的结果表明,一般情况下针灸可改善患者的肩部活动度。治疗三个月后的视觉模拟评分(VAS)指数与对照组相比有更大改善。
就针灸而言,最终改善了肩部所有屈伸和内收运动的总体情况,但运动情况有进一步改善,治疗三个月后的VAS指数与对照组相比有更大改善,最后,我们推荐将针灸作为改善肩周炎患者肩部运动的一种方法。