A Clinical Trial of Acupuncture Treatment for Frozen Shoulder

Frozen Shoulder의 침치료에 대한 임상연구

  • Hong, Kwon-Eui (Dept. of Acupuncture and Moxibustion, College of Oriental Medicine, Daejeon University) ;
  • Kim, Young-Il (Dept. of Acupuncture and Moxibustion, College of Oriental Medicine, Daejeon University) ;
  • Yim, Yun-Kyoung (Dept, of Meridian and Acupoint, College of Oriental Medicine, Daejeon University) ;
  • Ahn, Taek-Won (Dept. of Sasang Constitution Medicine, College of Oriental Medicine, Daejeon University) ;
  • Kang, Wee-Chang (Dept. of Applied Statistics, Daejeon University) ;
  • Choi, Sun-Mi (Korea Institute of Oriental Medicine) ;
  • Lee, Hyun (Dept. of Acupuncture and Moxibustion, College of Oriental Medicine, Daejeon University)
  • 홍권의 (대전대학교 한의과대학 침구학교실) ;
  • 김영일 (대전대학교 한의과대학 침구학교실) ;
  • 임윤경 (대전대학교 한의과대학 경혈학교실) ;
  • 안택원 (대전대학교 한의과대학 사상의학교실) ;
  • 강위창 (대전대학교 응용통계학과) ;
  • 최선미 (한국한의학연구원) ;
  • 이현 (대전대학교 한의과대학 침구학교실)
  • Published : 2006.02.20

Abstract

Objectives : 1. Clinical trial for the efficacy evaluation of Korean acupuncture techniques in treating frozen shoulder. 2. Development of the standard clinical guidelines of the acupuncture treatment for the frozen shoulder. 3. Development of the new clinical protocol for the acupuncture treatments. 4. Verification of the hypothesis that treating at both the remote and the nearby acupoints according to the meridian theory is more effective than treating at only the nearby acupoints. Methods : 1. Research designed as Single blind, Randomized, Sham acupuncture controlled clinical Trial. 2. Assignment of 86 patients to one of three groups treated at nearby acupoints(group A), remote & nearby acupoints(group B), and sham points(group C) respectively. 3. Trial conducted at KIOM CRC of Dunsan oriental medical hospital, Daejeon Univ. 4. Estimation of the recovery rate of the frozen shoulder in subjects aged over 40. 5. Efficacy evaluation using VAS, SPADI, ROM and Improvement rate. Results : 1. There was no significant difference in VAS among the three groups. 2. Pain related scores in SPADI of the group B were significantly lower than those of the group A. 3. There was no significant difference in disability related scores of SPADI among the three groups. 4. External rotation of upper arm in the group B was significantly improved in comparison with that in the group C. 5. Abduction of upper arm in group A was improved with weak statistical significance in comparison with that in the group C. Conclusion : Acupuncture at both the remote and the nearby acupoints according to the meridian theory is effective to improve external rotation of frozen shoulder, and acupuncture at the nearby acupoints is effective to improve adduction of frozen shoulder. However it is not clear that acupuncture treatment at both the remote and the nearby acupoints according to the meridian theory is more effective than treating at only the nearby acupoints in the treatment of frozen shoulder. Since our study was a short term trial, a long term trial for a more precise evaluation of acupuncture treatment for frozen shoulder will be needed in the future.

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