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 rando...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.展开更多
目的:探讨基于功能磁共振成像(fMRI)技术针刺条口穴在肩周炎患者中的治疗效果。方法:选取2020年6月—2022年6月四川省第二中医医院收治的20例肩周炎患者,随机分为治疗A组与治疗B组各10例。选取同期20名健康体检者为对照组,治疗A组采用...目的:探讨基于功能磁共振成像(fMRI)技术针刺条口穴在肩周炎患者中的治疗效果。方法:选取2020年6月—2022年6月四川省第二中医医院收治的20例肩周炎患者,随机分为治疗A组与治疗B组各10例。选取同期20名健康体检者为对照组,治疗A组采用针刺条口穴治疗方法,治疗B组采用非经非穴,足三里与阳陵泉连线的中点针刺方式。分析各组疼痛视觉模拟评分(VAS)、莫克吉尔疼痛问卷评分(MPQ)及关节活动度评分(ROM)。结果:治疗A组疼痛视觉模拟评分、莫克吉尔疼痛问卷评分低于治疗B组,关节活动度评分高于治疗B组,差异有统计学意义(P<0.05);三组群体静息态功能磁共振成像(resting state functional magnetic resonance imaging,rsfMRI)比较,差异有统计学意义(P<0.05)。结论:在fMRI技术辅助下,采用针刺条口穴治疗肩周炎,有利于改善患者疼痛指标,值得临床应用。展开更多
文摘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.
文摘目的:探讨基于功能磁共振成像(fMRI)技术针刺条口穴在肩周炎患者中的治疗效果。方法:选取2020年6月—2022年6月四川省第二中医医院收治的20例肩周炎患者,随机分为治疗A组与治疗B组各10例。选取同期20名健康体检者为对照组,治疗A组采用针刺条口穴治疗方法,治疗B组采用非经非穴,足三里与阳陵泉连线的中点针刺方式。分析各组疼痛视觉模拟评分(VAS)、莫克吉尔疼痛问卷评分(MPQ)及关节活动度评分(ROM)。结果:治疗A组疼痛视觉模拟评分、莫克吉尔疼痛问卷评分低于治疗B组,关节活动度评分高于治疗B组,差异有统计学意义(P<0.05);三组群体静息态功能磁共振成像(resting state functional magnetic resonance imaging,rsfMRI)比较,差异有统计学意义(P<0.05)。结论:在fMRI技术辅助下,采用针刺条口穴治疗肩周炎,有利于改善患者疼痛指标,值得临床应用。
