Silva-Filho, Reginaldo1, 2; Gao, ShuZhong2

1Brazilian College of Chinese Medicine

2Shandong University of Chinese Medicine

Introduction:

Shoulder pain is a common clinical complaint which impairs daily life activities and also worsens quality of life, affecting people from all ages with a higher prevalence on people over 50 years. Acupuncture is an effective and proven treatment for different kinds of pain and throughout the history different methods have been applied for the treatment of shoulder pain. Very few studies have been conducted with a Brazilian population which might have specific characteristics. This was the first research of its kind in Brazil, relating to the evaluation of the immediate effect of a single acupoint on the treatment of shoulder pain.

Objective:

Compare the efficacy of using single acupoints on shoulder pain (ROM, VAS as an indicator, just after one treatment). Mainly compared to the following two aspects: First, can single acupoint immediately improve the shoulder pain? Second, which is more effective local acupoints and distal acupoints?

Method:

50 patients were randomly assigned to 5 groups with 10 patients each, for one treatment only:

A：取肩髃穴Jian Yu

B：取条口穴Tiao Kou

C：取肾关穴Shen Guan

D：取阳陵泉穴Yang Ling Quan

E：取液门穴Ye Men

Inclusion Criteria: age： 18 ≤ age ≤ 70; meet the criteria for the diagnosis of shoulder pain; did not participate in other ongoing clinical studies; Sign informed consent and voluntarily participate in this study.

Exclusion Criteria: patients with neurological disorders, inflammation, infectious diseases, tumor; shoulder fracture or surgery; pregnant or lactating patients; AIDS patients; to be part in any other clinical researchers.

Procedure: proper body posture (with specific direction and movement of shoulder joint). Routine disinfection in local skin and regular insertion of the needle and penetration to the appropriate depth, followed by needle manipulation and active movement of the shoulder joint. It was used disposable stainless steel needle (Dong Fang needle), specifications: 0.25x40mm.

Conclusion:

From this pilot study it was demonstrated that acupuncture can be effective on immediate relief of shoulder pain. Further studies are recommended, including those based on a randomized control trial with a larger sample.

针灸单一穴位治疗肩痛的即时疗效评估

Silva-Filho, Reginaldo1, 2; Gao, ShuZhong2

巴西中医药大学

山东中医药大学

介绍

肩痛是一种常见的临床疾病，它会影响日常生活活动，也会恶化生活质量。它会影响到不同年龄段的人，50岁以上人群的发病率更高。针灸是对不同疼痛都有效一种治疗方法。在历史上，不同的方法都已经被用于治疗肩痛。巴西人可能有特定的特征，但很少有针对巴西人口的研究。这是巴西首次进行此类研究，与评估单一穴位治疗肩痛的即时疗效评估有关。

目的

比较使用单一穴位对肩痛的疗效(ROM, VAS作为一个指标，仅在每次治疗后）。主要与以下两个方面作比较：第一，单一穴位能立即改善肩痛吗？第二，局部穴位和远端穴位哪一种更有效?

方法

50名患者被随机分为5组，每组有10名患者，只接受一种治疗：

A：取肩髃穴Jian Yu

B：取条口穴Tiao Kou

C：取肾关穴Shen Guan

D：取阳陵泉穴Yang Ling Quan

E：取液门穴Ye Men

入选标准：年龄：18 ≤ age ≤ 70; 达到诊断肩痛的标准；未参与其他正在进行的临床研究；签署知情同意书并自愿参与本研究。

排除标准：有神经障碍、炎症、传染病、肿瘤的患者；肩膀骨折或手术；怀孕或哺乳期患者；艾滋病患者；参与任何其它临床研究的人员。

步骤：适当的身体姿势(有特定的方向和肩关节的运动)。局部皮肤常规消毒，并定期插入针具及刺入至适当的深度，接着是针的操作和肩关节的主动移动。本次研究采用一次性不锈钢针(东方针)，规格为0.25 x40mm。

结论:

      这项初步研究证实了针灸可以有效地立即缓解肩痛。我们推荐进一步的研究，包括那些基于随机对照试验的更大的样本研究。