Immediate analgesia effect of contralateral needling at Tiaokou (ST38) in patients with chronic shoulder pain: A randomized controlled exploratory trial

Objective:To compare the immediate effect of acupuncture at the contralateral versus ipsilateral Tiaokou (ST38) in patients with Chronic shoulder pain (CSP).Method:Altogether,38 patients with unilateral CSP were randomly assigned to a contralateral ST38 group (Contra group) or ipsilateral ST38 group (Ipsi group).Each underwent 20 min of manual acupuncture:Contra group at the contralateral ST38,Ipsi group at the ipsilateral ST38.Primary outcome measure was the visual analog scale (VAS) score.Secondary outcome measure for assessing shoulder mobility was the Constant-Murley (CM) score,which included pain level,activities of daily living (ADL),and shoulder range of motion (RONM).These factors were assessed before and immediately after acupuncture.A value of P <.05 indicated significance.Results:VAS scores decreased immediately after treatment in both groups,but the effect was significantly greater in the Contra group (P =.043).CM scores also improved in both groups,but the Contra group improved significantly more (P =.002).The CM's pain and ADL scores were similar in the two groups (P =.055 and P =.193,respectively),but ROM and strength scores were better in the Contra group than in the Ipsi group (P =.003 and P =.037,respectively).No adverse effects were reported.Conclusion:The immediate effect of acupuncture at the contralateral ST38 may be superior to that at the ipsilateral ST38 in CSP patients.

Treatment of Scapulohumeral Periarthritis by Needling Tiaokou （ST 38） plus Tuina

To treat 30 cases of scapulohumeral periarthritis by needling Tiaokou（ST 38） plus Tuina, which compared with treating 28 cases of scapulohumeral periarthritis by only needling Tiaokou（ST 38）. The total effective rate were 96.7% and 92.8%respectively.

条口穴不同刺法对肩周炎疗效差异的观察

目的探讨条口穴不同刺法对肩周炎的疗效差异。方法将80例肩周炎患者随机分为治疗组、对照a组、对照b组、对照c组,均选用条口穴治疗。治疗组采用透刺法,对照a、b、c组分别采用刺入40mm、只刺入皮下、假针刺治疗。治疗前后通过Constant-Murley肩关节量表评价疗效。结果治疗组有效率100.0%,对照a组为68.4%,对照b组为52.6%,对照c组为38.0%,治疗组与对照a、b、c组比较疗效差异有显著或非常显著性意义(P<0.05,P<0.01)。对照a、b、c三组间比较疗效差异无显著性意义(P>0.05)。结论条口穴不同针刺深度对肩周炎有不同的疗效,透刺法疗效最好;假针刺疗效最小,作为对照方法更加适宜。

针刺条口穴治疗肩关节周围炎临床疗效研究与评价

目的研究条口穴基础主治。方法根据多中心、随机对照、单盲(研究者、操作者、统计者三分离)的临床试验原则,将257例肩关节周围炎病例随机分为2组,试验组124例,口服消炎止痛药联合针刺条口穴;对照组133例,单纯口服消炎止痛药,对比2组的临床疗效。结果镇痛疗效方面,试验组总有效率为96.0%,对照组总有效率为82.0%,2组总有效率差异有极显著意义(P<0.01);肩部功能活动改善方面,试验组总有效率为86.3%,对照组总有效率为59.4%,2组总有效率差异有极显著意义(P<0.01)。结论口服消炎止痛药加针刺治疗肩关节周围炎疗效显著,取效迅速,安全舒适,其疗效优于单纯服用消炎止痛药。

条口透承山针刺配合局部活动治疗肩周炎的疗效观察

目的:观察条口透承山针刺配合局部活动肩关节与单纯条口透承山针刺治疗肩周炎的疗效差异。方法:将60例患者随机分为针刺组和针刺配合运动组(动针组),每组30例。两组均予条口透承山针刺治疗,动针组针刺时配合活动肩关节;针刺组单纯针刺,不配合肩关节活动。隔天治疗1次,5次为一疗程,共治疗2个疗程。观察两组治疗前后活动相关疼痛(VAS评分)、肩关节活动度(Melle评分)、日常生活能力(ADL评分)。结果:与治疗前比较,两组治疗后VAS评分、Melle评分、ADL评分均明显降低(均P<0.05);动针组治疗后VAS评分、Melle评分、ADL评分均低于针刺组(均P<0.05)。结论:条口透承山配合局部活动治疗肩周炎的疗效优于单纯条口透承山针刺治疗者。