Effectiveness and safety of fluoroscopy-guided acupuncture for subacromial impingement syndrome: A randomized, patient-assessor blind, parallel clinical trial
Background: Subacromial impingement syndrome (SIS) is one of the most common causes of shoulder pain, and acupuncture treatment is widely used as treatment. However, no studies have examined image-guided acupuncture for SIS. This study evaluated the effectiveness and safety of low-dose X-ray guided...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-09-01
|
| Series: | Integrative Medicine Research |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213422020303309 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850189103426961408 |
|---|---|
| author | Hee-Ra Shin Jihye Seo Kyungtae Park Sung-Hu Ann Soo-Ji Park Sangkwan Lee Seung-Ryong Yeom |
| author_facet | Hee-Ra Shin Jihye Seo Kyungtae Park Sung-Hu Ann Soo-Ji Park Sangkwan Lee Seung-Ryong Yeom |
| author_sort | Hee-Ra Shin |
| collection | DOAJ |
| description | Background: Subacromial impingement syndrome (SIS) is one of the most common causes of shoulder pain, and acupuncture treatment is widely used as treatment. However, no studies have examined image-guided acupuncture for SIS. This study evaluated the effectiveness and safety of low-dose X-ray guided acupuncture (LA) in patients with SIS. Methods: A total of 54 patients with SIS were randomly allocated to the LA group and the conventional acupuncture (CA) group. Two acupuncture treatment sessions were conducted for a week, and follow up was conducted after three weeks. The primary outcome was pain intensity measured by the visual analogue scale (VAS) during the Neer and Hawkins test. The incidence rate of shoulder impingement sign, the modified Constant-Murley score (CMS) and the Shoulder Pain and Disability Index (SPADI) were assessed as other outcomes. All indicators were assessed at baseline and after one week and three weeks. For safety evaluation, adverse events were monitored in both groups. Results: The change in pain during the Neer test after one week from baseline was more significant in the LA group than in the CA group (p=0.008). However, the Hawkins test did not show a difference between the two groups. The incidence rate of shoulder impingement sign and the changes in CMS and SPADI were not significantly different between the two groups at one week, but after three weeks, SPADI was more significantly improved in the LA group (p=0.024). No adverse events were related to this trial. Conclusion: LA was more effective than CA in relieving pain and improving function in terms of VAS and SPADI. Trial registration: This study was registered at the Clinical Research Information Service: KCT0002751. |
| format | Article |
| id | doaj-art-e69a8ae4959745a7aba7be076a902028 |
| institution | OA Journals |
| issn | 2213-4220 |
| language | English |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Integrative Medicine Research |
| spelling | doaj-art-e69a8ae4959745a7aba7be076a9020282025-08-20T02:15:41ZengElsevierIntegrative Medicine Research2213-42202021-09-0110310069310.1016/j.imr.2020.100693Effectiveness and safety of fluoroscopy-guided acupuncture for subacromial impingement syndrome: A randomized, patient-assessor blind, parallel clinical trialHee-Ra Shin0Jihye Seo1Kyungtae Park2Sung-Hu Ann3Soo-Ji Park4Sangkwan Lee5Seung-Ryong Yeom6Department of Korean Rehabilitation Medicine, Jangheung Integrative Medical Hospital, Wonkwang University, Republic of KoreaCollege of Korean Medicine, Wonkwang University, Iksan, Republic of KoreaDepartment of Korean Rehabilitation Medicine, Gwangju Medical Center, College of Korean Medicine, Wonkwang University, Gwangju, Republic of KoreaDepartment of Korean Rehabilitation Medicine, Gwangju Medical Center, College of Korean Medicine, Wonkwang University, Gwangju, Republic of KoreaClinical Trial center, Gwangju Medical Center, College of Korean Medicine, Wonkwang University, Gwangju, Republic of KoreaClinical Trial center, Gwangju Medical Center, College of Korean Medicine, Wonkwang University, Gwangju, Republic of KoreaDepartment of Korean Rehabilitation Medicine, Gwangju Medical Center, College of Korean Medicine, Wonkwang University, Gwangju, Republic of Korea; Corresponding author at: Department of Korean Rehabilitation Medicine, Gwangju Medical Center, College of Korean Medicine, Wonkwang University, Gwangju 61729, Republic of Korea.Background: Subacromial impingement syndrome (SIS) is one of the most common causes of shoulder pain, and acupuncture treatment is widely used as treatment. However, no studies have examined image-guided acupuncture for SIS. This study evaluated the effectiveness and safety of low-dose X-ray guided acupuncture (LA) in patients with SIS. Methods: A total of 54 patients with SIS were randomly allocated to the LA group and the conventional acupuncture (CA) group. Two acupuncture treatment sessions were conducted for a week, and follow up was conducted after three weeks. The primary outcome was pain intensity measured by the visual analogue scale (VAS) during the Neer and Hawkins test. The incidence rate of shoulder impingement sign, the modified Constant-Murley score (CMS) and the Shoulder Pain and Disability Index (SPADI) were assessed as other outcomes. All indicators were assessed at baseline and after one week and three weeks. For safety evaluation, adverse events were monitored in both groups. Results: The change in pain during the Neer test after one week from baseline was more significant in the LA group than in the CA group (p=0.008). However, the Hawkins test did not show a difference between the two groups. The incidence rate of shoulder impingement sign and the changes in CMS and SPADI were not significantly different between the two groups at one week, but after three weeks, SPADI was more significantly improved in the LA group (p=0.024). No adverse events were related to this trial. Conclusion: LA was more effective than CA in relieving pain and improving function in terms of VAS and SPADI. Trial registration: This study was registered at the Clinical Research Information Service: KCT0002751.http://www.sciencedirect.com/science/article/pii/S2213422020303309Subacromial impingement syndromeRandomized clinical trialsAcupunctureFluoroscopy guide |
| spellingShingle | Hee-Ra Shin Jihye Seo Kyungtae Park Sung-Hu Ann Soo-Ji Park Sangkwan Lee Seung-Ryong Yeom Effectiveness and safety of fluoroscopy-guided acupuncture for subacromial impingement syndrome: A randomized, patient-assessor blind, parallel clinical trial Integrative Medicine Research Subacromial impingement syndrome Randomized clinical trials Acupuncture Fluoroscopy guide |
| title | Effectiveness and safety of fluoroscopy-guided acupuncture for subacromial impingement syndrome: A randomized, patient-assessor blind, parallel clinical trial |
| title_full | Effectiveness and safety of fluoroscopy-guided acupuncture for subacromial impingement syndrome: A randomized, patient-assessor blind, parallel clinical trial |
| title_fullStr | Effectiveness and safety of fluoroscopy-guided acupuncture for subacromial impingement syndrome: A randomized, patient-assessor blind, parallel clinical trial |
| title_full_unstemmed | Effectiveness and safety of fluoroscopy-guided acupuncture for subacromial impingement syndrome: A randomized, patient-assessor blind, parallel clinical trial |
| title_short | Effectiveness and safety of fluoroscopy-guided acupuncture for subacromial impingement syndrome: A randomized, patient-assessor blind, parallel clinical trial |
| title_sort | effectiveness and safety of fluoroscopy guided acupuncture for subacromial impingement syndrome a randomized patient assessor blind parallel clinical trial |
| topic | Subacromial impingement syndrome Randomized clinical trials Acupuncture Fluoroscopy guide |
| url | http://www.sciencedirect.com/science/article/pii/S2213422020303309 |
| work_keys_str_mv | AT heerashin effectivenessandsafetyoffluoroscopyguidedacupunctureforsubacromialimpingementsyndromearandomizedpatientassessorblindparallelclinicaltrial AT jihyeseo effectivenessandsafetyoffluoroscopyguidedacupunctureforsubacromialimpingementsyndromearandomizedpatientassessorblindparallelclinicaltrial AT kyungtaepark effectivenessandsafetyoffluoroscopyguidedacupunctureforsubacromialimpingementsyndromearandomizedpatientassessorblindparallelclinicaltrial AT sunghuann effectivenessandsafetyoffluoroscopyguidedacupunctureforsubacromialimpingementsyndromearandomizedpatientassessorblindparallelclinicaltrial AT soojipark effectivenessandsafetyoffluoroscopyguidedacupunctureforsubacromialimpingementsyndromearandomizedpatientassessorblindparallelclinicaltrial AT sangkwanlee effectivenessandsafetyoffluoroscopyguidedacupunctureforsubacromialimpingementsyndromearandomizedpatientassessorblindparallelclinicaltrial AT seungryongyeom effectivenessandsafetyoffluoroscopyguidedacupunctureforsubacromialimpingementsyndromearandomizedpatientassessorblindparallelclinicaltrial |