期刊
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
卷 88, 期 10, 页码 1276-1283出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.apmr.2007.06.014
关键词
acupuncture therapy; rehabilitation; shoulder pain; spinal cord injuries
Objective: To determine the efficacy of acupuncture in the treatment of chronic musculoskeletal shoulder pain in subjects with spinal cord injury (SCI). Design: Randomized, double blind (participants, evaluator), placebo (invasive sham) controlled trial. Setting: Clinical research center. Participants: Seventeen manual wheelchair-using subjects with chronic SCI and chronic musculoskeletal shoulder pain. Interventions: Participants were randomly assigned to receive 10 treatments of either acupuncture or invasive sham acupuncture (light needling of nonacupuncture points). Main Outcome Measure: Changes in shoulder pain intensity were measured using the Wheelchair User's Shoulder Pain Index. Results: Shoulder pain decreased significantly over time in both the acupuncture and the sham acupuncture groups (P=.005), with decreases of 66% and 43%, respectively. There was no significant difference between the 2 groups (P=.364). There was, however, a medium effect size associated with the acupuncture treatment. Conclusions: There appears to be an analgesic effect or a powerful placebo effect associated with both acupuncture and sham acupuncture. There was a medium treatment effect associated with the acupuncture, which suggests that it may be superior to sham acupuncture. This observation, along with the limited power, indicates that a larger, more definitive randomized controlled trial using a similar design is warranted.
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