Objective:To examine whether acupuncture treatment would improve outcome in chronic Achilles tendinopathy.Methods:A randomized,controlled trial at two centers of 64 randomized patients aged 18 to70 years with chronic ...Objective:To examine whether acupuncture treatment would improve outcome in chronic Achilles tendinopathy.Methods:A randomized,controlled trial at two centers of 64 randomized patients aged 18 to70 years with chronic Achilles tendinopathy was conducted from July 2007 to April 2010,with follow-up until October,2010.These patients were randomly allocated into an acupuncture treatment group(acupuncture group)and an eccentric exercises group(control group).The validated Victorian Institute of Sports AssessmentAchilles(VISA-A)questionnaire was completed at baseline and 8,16,and 24 weeks.The pain at rest and after activity was accessed at baseline and 8 weeks with Visual Analogue Scale(VAS).Results:After randomization into the acupuncture group or control group,one patient was loss of follow-up.The mean VISA-A score improved significantly after 8 weeks in the acupuncture group to 67.1 points[95%confidence interval(Cl),64.1-70.2]and in the control group to 48.5 points(95%CI,45.5-51.6)with an additional 18.6 points increase in acupuncture treatment patients(P=0.0000).Acupuncture treatment resulted in a significant increase from baseline in VISA-A of 25.8 after 16 weeks and 28.4 after 24 weeks.Whereas,in the control group the increase from baseline in VISA-A were 10.0 and 16.6 after 16 and 24 weeks,respectively(P=0.0000).The VAS diminished by 2.0 cm after activity,and by 1.5 cm at rest after 8 weeks in the control group.In the acupuncture group,the pain scores diminished significantly more than in the control group,with pain reduction of 3.7 cm after activity(P=0.0000)and 3.2 cm at rest(P=0.0000).Conclusion:Acupuncture intervention could improve pain and activity in patients with chronic Achilles tendinopathy compared with eccentric exercises.展开更多
基金supported by Scientific Research Projects of Shanghai Municipal Science and Technology Commission,No.11140900902,No.14401971600,No.14401933100the Third Batch of Competitive Clinical Project of Traditional Chinese Medicine in Shanghai,No.ZYSNXD-YL-YSZK015Shanghai Three-year Action Plan of Traditional Chinese Medicine,No.CC-3-3051~~
基金Supported by Longhua Medical Team Project,Longhua Hospital,Shanghai University of Traditional Chinese Medicine (Methods of Evaluating Clinical Effects of Traditional Chinese Medicine,No.LYTD-13)
基金supported by the Third Construction Project of Traditional Chinese Medicine Clinical Advantage Special Department(Special Disease)of ShanghaiTraditional Chinese Medicine Research Foundation Project of Shanghai Health Bureau(No.2010J007A)+1 种基金Famous Traditional Chinese Medicine Doctor Construction Project of YanJun-bai’s Academic Experience Work RoomShanghai Training and Construction Project of the Shortage Personnel of Traditional Chinese Medicine~~
基金supported by Three-year Action Plan of Shanghai Chinese Medicine Development Academic Thoughts Inheritance Research for Yan's School of Suppurative Moxibustion,No.ZYSNXD-CC-HPGC-FC-011Academic Community Construction Project for Traditional Chinese Medicine Leading Personnel of Shanghai,No.ZY3-RCPY-1-1001The Medicine Leading Science and Technology Project of Shanghai Municipal Science and Technology Commission~~
文摘Objective:To examine whether acupuncture treatment would improve outcome in chronic Achilles tendinopathy.Methods:A randomized,controlled trial at two centers of 64 randomized patients aged 18 to70 years with chronic Achilles tendinopathy was conducted from July 2007 to April 2010,with follow-up until October,2010.These patients were randomly allocated into an acupuncture treatment group(acupuncture group)and an eccentric exercises group(control group).The validated Victorian Institute of Sports AssessmentAchilles(VISA-A)questionnaire was completed at baseline and 8,16,and 24 weeks.The pain at rest and after activity was accessed at baseline and 8 weeks with Visual Analogue Scale(VAS).Results:After randomization into the acupuncture group or control group,one patient was loss of follow-up.The mean VISA-A score improved significantly after 8 weeks in the acupuncture group to 67.1 points[95%confidence interval(Cl),64.1-70.2]and in the control group to 48.5 points(95%CI,45.5-51.6)with an additional 18.6 points increase in acupuncture treatment patients(P=0.0000).Acupuncture treatment resulted in a significant increase from baseline in VISA-A of 25.8 after 16 weeks and 28.4 after 24 weeks.Whereas,in the control group the increase from baseline in VISA-A were 10.0 and 16.6 after 16 and 24 weeks,respectively(P=0.0000).The VAS diminished by 2.0 cm after activity,and by 1.5 cm at rest after 8 weeks in the control group.In the acupuncture group,the pain scores diminished significantly more than in the control group,with pain reduction of 3.7 cm after activity(P=0.0000)and 3.2 cm at rest(P=0.0000).Conclusion:Acupuncture intervention could improve pain and activity in patients with chronic Achilles tendinopathy compared with eccentric exercises.
