Haeundae Jaseng Hospital of Korean Medicine, Busan, Republic of Korea.
Jaseng Spine and Joint Research Institute, Jaseng Medical Foundation, Seoul, Republic of Korea.
Explore (NY). 2023 Nov-Dec;19(6):832-841. doi: 10.1016/j.explore.2023.04.011. Epub 2023 May 25.
Shoulder disorders impair the ability to work. In most cases, the primary symptoms caused by shoulder disorders consist of pain and limitations in the range of motion.
This study aimed to investigate the efficacy of motion style acupuncture treatment (MSAT), a conservative treatment modality for shoulder disorders.
prospective observational study SETTING: A Korean Medicine hospital PATIENTS: Eighty outpatients with shoulder disorders INTERVENTION: Either MSAT with integrative Korean medicine treatment (MSAT group; n = 40) or integrative Korean medicine treatment only (control group; n = 40).
The primary outcome was the shoulder range of motion (ROM), and the secondary outcomes were the numeric rating scale (NRS), visual analog scale (VAS), shoulder pain and disability index (SPADI), and 5-level EuroQol 5-dimension (EQ-5D-5L) scores.
At the primary endpoint (2 weeks from the start of the treatment), the MSAT group showed statistically significantly larger ROM for all motions, except adduction ROM, compared to the control group [Flexion ROM (165.10±4.14 vs. 150.49±4.06; P<0.001), extension ROM (43.24±1.55 vs. 40.56±1.51; P<0.05), abduction ROM (160.92±5.68 vs. 134.95±5.54; P<0.001), internal rotation ROM (73.38±2.96 vs. 65.00±2.89; P<0.001), and external rotation ROM (73.78±3.61 vs. 65.88±3.50; P<0.01)]. Additionally, the MSAT group showed significantly lower NRS, SPADI scores at week 2 than the control group; this trend was maintained until the 3-month follow-up.
肩部疾病会影响工作能力。在大多数情况下，肩部疾病引起的主要症状是疼痛和运动范围受限。
本研究旨在探讨运动针法治疗（MSAT）的疗效，这是一种治疗肩部疾病的保守治疗方法。
前瞻性观察性研究
一家韩国医学医院
80 名肩部疾病的门诊患者
MSAT 联合综合韩国医学治疗（MSAT 组，n=40）或仅综合韩国医学治疗（对照组，n=40）。
肩部运动范围（ROM）；次要结局：数字评分量表（NRS）、视觉模拟量表（VAS）、肩部疼痛和残疾指数（SPADI）以及 5 级欧洲五维健康量表（EQ-5D-5L）评分。
在主要终点（治疗开始后 2 周），与对照组相比，MSAT 组在所有运动中（除内收运动外）ROM 均显著更大，[屈曲运动 ROM（165.10±4.14 与 150.49±4.06；P<0.001），伸展运动 ROM（43.24±1.55 与 40.56±1.51；P<0.05），外展运动 ROM（160.92±5.68 与 134.95±5.54；P<0.001），内旋运动 ROM（73.38±2.96 与 65.00±2.89；P<0.001），外旋运动 ROM（73.78±3.61 与 65.88±3.50；P<0.01）]。此外，与对照组相比，MSAT 组在第 2 周时 NRS 和 SPADI 评分显著更低，这种趋势一直持续到 3 个月随访时。
